Page 1 of 73
BUTTARO'S PRIMARY CARE, INTERPROFESSIONAL
COLLABORATIVE PRACTICE, 7TH EDITION EXAM LATEST
VERSION QUESTIONS AND ANSWERS 2026 EDITION
BUTTARO'S PRIMARY CARE, INTERPROFESSIONAL COLLABORATIVE PRACTICE, 7TH
EDITION EXAM
250 Questions with Rationales
SECTION 1: THE EVOLVING LANDSCAPE OF COLLABORATIVE PRACTICE (Questions
1-40)
Question 1
A small, rural hospital is designated as a Level 1 Accountable Care Organization
(ACO). What feature is part of this designation?
A) Strict requirements for financial reporting and advanced IT standards
B) Bonuses based on achievement of benchmarks for quality measures and
expenditures
C) Care coordination for chronic diseases as a mandatory requirement
D) Minimum cash reserves and care coordination standards
Rationale: The correct answer is B. A Level 1 ACO has the least amount of financial risk
and requirements but receives shared savings bonuses based on achievement of
benchmarks for quality measures and expenditures. Care coordination and minimum
cash reserves are Level 2 requirements, while strict financial reporting is Level 3.
Question 2
The Advisory Board survey of 2014 identified which finding about patient
preferences for primary care?
A) Patients prioritized associations with area hospitals for care delivery
B) Patients were most concerned about the costs of ambulatory care
, Page 2 of 73
C) Patients desired 24/7 access to care, walk-in settings, and care close to home
D) The ratio of providers to patients was the primary concern for patients
Rationale: The correct answer is C. The 2014 Advisory Board survey found that patients
desired 24/7 access to care, walk-in settings, the ability to be seen within 30 minutes,
and care that is close to home.
Question 3
Which assessments are performed as part of the Value-Based Purchasing (VBP)
initiative? (Select all that apply)
A) Appraising costs per case of care for Medicare patients
B) Assessing patients' satisfaction with hospital care
C) Evaluating available evidence to guide clinical care guidelines
D) Monitoring mortality rates of all patients with pneumonia
E) Requiring advanced IT standards and minimum cash reserves
Rationale: The correct answers are A, B, and D. VBP examines five domains including
efficiency of care (cost per case), experience of care (patient satisfaction measures),
and outcomes of care (mortality rates). Evidence evaluation is part of evidence-based
practice, and IT/financial standards are part of ACO requirements.
Question 4
According to the American Heart Association, which blood pressure reading is
categorized as Stage 2 hypertension?
A) 120/80 mmHg
B) 130/85 mmHg
C) 140/90 mmHg
D) 150/95 mmHg
Rationale: The correct answer is C. Stage 2 hypertension is defined as blood pressure
of 140/90 mmHg or higher. Early intervention at this stage is critical to prevent
cardiovascular complications.
Question 5
Which vaccine should be administered annually to all adults to reduce the risk of
seasonal respiratory infections?
A) Influenza vaccine
B) Hepatitis B vaccine
, Page 3 of 73
C) Varicella vaccine
D) Tetanus vaccine
Rationale: The correct answer is A. The influenza vaccine is recommended annually as
flu virus strains vary each year. It is particularly important for high-risk populations such
as the elderly and those with chronic health conditions.
Question 6
At what age should routine screening for colorectal cancer begin for adults at
average risk, according to USPSTF guidelines?
A) 40 years
B) 45 years
C) 50 years
D) 55 years
Rationale: The correct answer is B. The USPSTF recommends starting colorectal cancer
screening at age 45 for adults at average risk due to rising incidence rates in younger
adults.
Question 7
Which of the following is NOT a recommended lifestyle change for managing
prediabetes?
A) Losing 5-7% of body weight
B) Reducing carbohydrate intake drastically
C) Increasing physical activity to at least 150 minutes per week
D) Following a Mediterranean diet
Rationale: The correct answer is B. While moderating carbohydrate intake is beneficial,
drastic reduction is not necessary. Sustainable changes such as moderate weight loss
and physical activity are most effective.
Question 8
What is the preferred first-line pharmacologic treatment for type 2 diabetes?
A) Insulin
B) Sulfonylureas
C) Metformin
D) DPP-4 inhibitors
, Page 4 of 73
Rationale: The correct answer is C. Metformin is typically the first-line treatment due to
its safety, effectiveness, and low risk of hypoglycemia.
Question 9
For a patient diagnosed with asthma, what is the preferred initial treatment for mild
persistent asthma?
A) Short-acting beta agonist as needed
B) Long-acting beta agonist alone
C) Low-dose inhaled corticosteroids
D) Oral corticosteroids
Rationale: The correct answer is C. For mild persistent asthma, low-dose inhaled
corticosteroids are preferred to reduce inflammation and control symptoms.
Question 10
In a 65-year-old smoker, which screening is recommended to assess the risk of
abdominal aortic aneurysm?
A) Abdominal ultrasound
B) Chest X-ray
C) CT scan of the abdomen
D) Carotid ultrasound
Rationale: The correct answer is A. The USPSTF recommends a one-time abdominal
ultrasound for men aged 65-75 who have ever smoked to screen for abdominal aortic
aneurysm.
Question 11
How often should adults aged 50-75 with average risk for colon cancer undergo
colonoscopy if previous results were normal?
A) Every 5 years
B) Every 10 years
C) Every 15 years
D) Only once after age 50
Rationale: The correct answer is B. A colonoscopy is recommended every 10 years for
adults with average risk if previous screenings were normal.
BUTTARO'S PRIMARY CARE, INTERPROFESSIONAL
COLLABORATIVE PRACTICE, 7TH EDITION EXAM LATEST
VERSION QUESTIONS AND ANSWERS 2026 EDITION
BUTTARO'S PRIMARY CARE, INTERPROFESSIONAL COLLABORATIVE PRACTICE, 7TH
EDITION EXAM
250 Questions with Rationales
SECTION 1: THE EVOLVING LANDSCAPE OF COLLABORATIVE PRACTICE (Questions
1-40)
Question 1
A small, rural hospital is designated as a Level 1 Accountable Care Organization
(ACO). What feature is part of this designation?
A) Strict requirements for financial reporting and advanced IT standards
B) Bonuses based on achievement of benchmarks for quality measures and
expenditures
C) Care coordination for chronic diseases as a mandatory requirement
D) Minimum cash reserves and care coordination standards
Rationale: The correct answer is B. A Level 1 ACO has the least amount of financial risk
and requirements but receives shared savings bonuses based on achievement of
benchmarks for quality measures and expenditures. Care coordination and minimum
cash reserves are Level 2 requirements, while strict financial reporting is Level 3.
Question 2
The Advisory Board survey of 2014 identified which finding about patient
preferences for primary care?
A) Patients prioritized associations with area hospitals for care delivery
B) Patients were most concerned about the costs of ambulatory care
, Page 2 of 73
C) Patients desired 24/7 access to care, walk-in settings, and care close to home
D) The ratio of providers to patients was the primary concern for patients
Rationale: The correct answer is C. The 2014 Advisory Board survey found that patients
desired 24/7 access to care, walk-in settings, the ability to be seen within 30 minutes,
and care that is close to home.
Question 3
Which assessments are performed as part of the Value-Based Purchasing (VBP)
initiative? (Select all that apply)
A) Appraising costs per case of care for Medicare patients
B) Assessing patients' satisfaction with hospital care
C) Evaluating available evidence to guide clinical care guidelines
D) Monitoring mortality rates of all patients with pneumonia
E) Requiring advanced IT standards and minimum cash reserves
Rationale: The correct answers are A, B, and D. VBP examines five domains including
efficiency of care (cost per case), experience of care (patient satisfaction measures),
and outcomes of care (mortality rates). Evidence evaluation is part of evidence-based
practice, and IT/financial standards are part of ACO requirements.
Question 4
According to the American Heart Association, which blood pressure reading is
categorized as Stage 2 hypertension?
A) 120/80 mmHg
B) 130/85 mmHg
C) 140/90 mmHg
D) 150/95 mmHg
Rationale: The correct answer is C. Stage 2 hypertension is defined as blood pressure
of 140/90 mmHg or higher. Early intervention at this stage is critical to prevent
cardiovascular complications.
Question 5
Which vaccine should be administered annually to all adults to reduce the risk of
seasonal respiratory infections?
A) Influenza vaccine
B) Hepatitis B vaccine
, Page 3 of 73
C) Varicella vaccine
D) Tetanus vaccine
Rationale: The correct answer is A. The influenza vaccine is recommended annually as
flu virus strains vary each year. It is particularly important for high-risk populations such
as the elderly and those with chronic health conditions.
Question 6
At what age should routine screening for colorectal cancer begin for adults at
average risk, according to USPSTF guidelines?
A) 40 years
B) 45 years
C) 50 years
D) 55 years
Rationale: The correct answer is B. The USPSTF recommends starting colorectal cancer
screening at age 45 for adults at average risk due to rising incidence rates in younger
adults.
Question 7
Which of the following is NOT a recommended lifestyle change for managing
prediabetes?
A) Losing 5-7% of body weight
B) Reducing carbohydrate intake drastically
C) Increasing physical activity to at least 150 minutes per week
D) Following a Mediterranean diet
Rationale: The correct answer is B. While moderating carbohydrate intake is beneficial,
drastic reduction is not necessary. Sustainable changes such as moderate weight loss
and physical activity are most effective.
Question 8
What is the preferred first-line pharmacologic treatment for type 2 diabetes?
A) Insulin
B) Sulfonylureas
C) Metformin
D) DPP-4 inhibitors
, Page 4 of 73
Rationale: The correct answer is C. Metformin is typically the first-line treatment due to
its safety, effectiveness, and low risk of hypoglycemia.
Question 9
For a patient diagnosed with asthma, what is the preferred initial treatment for mild
persistent asthma?
A) Short-acting beta agonist as needed
B) Long-acting beta agonist alone
C) Low-dose inhaled corticosteroids
D) Oral corticosteroids
Rationale: The correct answer is C. For mild persistent asthma, low-dose inhaled
corticosteroids are preferred to reduce inflammation and control symptoms.
Question 10
In a 65-year-old smoker, which screening is recommended to assess the risk of
abdominal aortic aneurysm?
A) Abdominal ultrasound
B) Chest X-ray
C) CT scan of the abdomen
D) Carotid ultrasound
Rationale: The correct answer is A. The USPSTF recommends a one-time abdominal
ultrasound for men aged 65-75 who have ever smoked to screen for abdominal aortic
aneurysm.
Question 11
How often should adults aged 50-75 with average risk for colon cancer undergo
colonoscopy if previous results were normal?
A) Every 5 years
B) Every 10 years
C) Every 15 years
D) Only once after age 50
Rationale: The correct answer is B. A colonoscopy is recommended every 10 years for
adults with average risk if previous screenings were normal.
