,
, Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Change
dJ dJ dJ dJ dJ dJ dJ dJ dJ
Test Bank
dJ
MULTIPLE CHOICE d J
1. Which of the following has influenced an emphasis on primary care education in medical s
dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ d J
chools?
a. Changes in Medicare reimbursement dJ dJ dJ d
methods recommended in 1992
J dJ dJ dJ
b. Competition from nonphysicians desiringto dJ dJ dJ d
meet primary care shortages
J dJ dJ dJ
c. The need for monopolistic control in the m
dJ dJ dJ dJ dJ dJ dJ
arketplace of primary outpatient care dJ dJ dJ dJ
d. The recognition that nonphysicians have v
dJ dJ dJ dJ dJ
ariable success providing primary care
dJ dJ dJ dJ
ANS: A dJ
The Physician Payment Review Commission in 1992 directly increased financial reimbu
dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ
rsement to clinicians who provide primary care. Coupled with a shortage of primary care
dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ
providers, this incentive led medical schools to place greater emphasis on preparing prima
dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ d J dJ
ry care physicians. Competition from nonphysicians increased coincidentally as professi
dJ dJ dJ dJ dJ dJ dJ dJ dJ
onals from other disciplines stepped up to meet the needs.
dJ dJ dJ dJ dJ dJ dJ dJ dJ
Nonphysicians have had increasing success at providing primary care and have been sho
dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ d J
wn to be safe and effective.
dJ dJ dJ dJ dJ
DIF: Cognitive Level: Remembering (Knowledge)
dJ dJ dJ REF: 2 dJ
2. Which of the following statements is true about the prescribing practices of physicians?
dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ
a. Older physicians tend to prescribe more
dJ dJ dJ dJ dJ dJ
appropriate medications than younger dJ dJ dJ dJ
physicians.
b. Antibiotic medications remain in the top fiv dJ dJ dJ dJ dJ dJ
e classifications of medications presc
dJ dJ dJ dJ
ribed.
c. Most physicians rely on a “therapeutic
dJ dJ dJ dJ dJ dJ
armamentarium” that consists of less than dJ dJ dJ dJ dJ dJ
100 drug preparations per physician.
dJ dJ dJ dJ
d. The dominant form of drug information
dJ dJ dJ dJ dJ dJ
used by primary care physicians continues
dJ dJ dJ dJ dJ dJ
to be that provided by pharmaceutical
dJ dJ dJ dJ dJ dJ
companies.
ANS: D dJ
Even though most physicians claim to place little weight on drug advertisements,
dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ dJ