PA PRACTICE EXAM I PT QUESTIONS AND ANSWERS
100% SOLVED
Fledshers - ANSWER - Russian "PAs"
-90% woman
- "complimentary/substitutional" - not next to/in relief of docs.
China's Barefoot Docs - ANSWER 1965 - Cultural Revolution
- 2-3 month training
-peasant performing medical duties, not a HC worker
Conditions that fostered PA Concept - ANSWER 1. Elimination of deprivation of society
among poor, minority & women
2. Inc. to positive value attached to health & HC --- system, delivery, cost
3. Supply of phys & specialty maldistribution
4. Physician extender models --- midwives, Feldshers...
5. Nurses & corpsmen avaialble
6. Need for clinical support professional
1910 - ANSWER Flexner Report to Carnegie
-· Called on med schools to be science-based, and to have higher admission and
graduation standards
· Nearly ½ the schools did not meet the standards, they merged or shut down by 1935.
- Reverted to men only.
· 1942 teaching hospitals emerged from this report.
First half of 20th Century - ANSWER - 94% white men doctors
,- Fee for Service - Cash
-Hospitals 20% of HC
WWII Impact on Medicine - ANSWER - PCN
- Plasma
-Medics
Post WWII - ANSWER - Rapid decline in generalists due to restricted privileges so they
use GI money to become specialists.
1960s - ANSWER Great Society, Civil Unrest, Migrant Workers
1959 - ANSWER - National shortage of HC providers
- 1st national HC Crisis
Natalie Holt - ANSWER - Wrote "Confusions Masterpiece" about how nurses could have
had PAs but NLN shut them down
-RN w/ BSN to enhance image
1798 - ANSWER - John Wall - US Navy "loblolly boy" - asst. medical officer.
- Changed to "surgeon's steward" then "bayman" then "Hospital Corpsman" in the 20th
c.
1863 - ANSWER Johnanna Maria Heden - Swedish midwife - 1st female feldsher
1891 - ANSWER - Capt. John Van Renssalaer Hoff, MC - 1st "medic" instruction for
members of the Hospital Corps at Fort Riley, Kansas.
1898 - ANSWER - US Navy Hospital Corps
, 1911 - ANSWER - Henrietta Phelps Lawson Jeffries, AA midwife put on trial in NC. Found
not guilty after judge becomes her attorney.
1930 - ANSWER - Dr. Charles Higgins hires Eddie Rogers to be his "medic" in urology at
Cl. Clinic
- Vivien Thomas works with Dr. Alfred Blaylock at Vandy and JH. - Work on "blue babies"
- Former military corpsmen start to receive formal training for Federal Prison System.
This led to US Public Health Service PA Program in 1968.
1940 - ANSWER - Henry "Buddy" Treadwell is trained by Dr. Amos Johnson to be his
"doctor's assistant" in rural NC
1942 - ANSWER - Dr. Eugene Stead develops a fast-track, 3yr medical curriculum at
Emory Univ. for military service.
- No residents, so used them to help staff hospital.
- Provided model for competency-based medical curr. developed to educate PA's at
Duke in 1965.
1957 - ANSWER - Thelma Ingles takes sabbatical with Dr. Stead to develop Nursing
master's program for nurse clinicians.
- This was funded by the Rockefeller Group, but was not accredited by the National
League of Nurses because Thelma did not have a nursing degree.
- If it had, we may not have PA's.
100% SOLVED
Fledshers - ANSWER - Russian "PAs"
-90% woman
- "complimentary/substitutional" - not next to/in relief of docs.
China's Barefoot Docs - ANSWER 1965 - Cultural Revolution
- 2-3 month training
-peasant performing medical duties, not a HC worker
Conditions that fostered PA Concept - ANSWER 1. Elimination of deprivation of society
among poor, minority & women
2. Inc. to positive value attached to health & HC --- system, delivery, cost
3. Supply of phys & specialty maldistribution
4. Physician extender models --- midwives, Feldshers...
5. Nurses & corpsmen avaialble
6. Need for clinical support professional
1910 - ANSWER Flexner Report to Carnegie
-· Called on med schools to be science-based, and to have higher admission and
graduation standards
· Nearly ½ the schools did not meet the standards, they merged or shut down by 1935.
- Reverted to men only.
· 1942 teaching hospitals emerged from this report.
First half of 20th Century - ANSWER - 94% white men doctors
,- Fee for Service - Cash
-Hospitals 20% of HC
WWII Impact on Medicine - ANSWER - PCN
- Plasma
-Medics
Post WWII - ANSWER - Rapid decline in generalists due to restricted privileges so they
use GI money to become specialists.
1960s - ANSWER Great Society, Civil Unrest, Migrant Workers
1959 - ANSWER - National shortage of HC providers
- 1st national HC Crisis
Natalie Holt - ANSWER - Wrote "Confusions Masterpiece" about how nurses could have
had PAs but NLN shut them down
-RN w/ BSN to enhance image
1798 - ANSWER - John Wall - US Navy "loblolly boy" - asst. medical officer.
- Changed to "surgeon's steward" then "bayman" then "Hospital Corpsman" in the 20th
c.
1863 - ANSWER Johnanna Maria Heden - Swedish midwife - 1st female feldsher
1891 - ANSWER - Capt. John Van Renssalaer Hoff, MC - 1st "medic" instruction for
members of the Hospital Corps at Fort Riley, Kansas.
1898 - ANSWER - US Navy Hospital Corps
, 1911 - ANSWER - Henrietta Phelps Lawson Jeffries, AA midwife put on trial in NC. Found
not guilty after judge becomes her attorney.
1930 - ANSWER - Dr. Charles Higgins hires Eddie Rogers to be his "medic" in urology at
Cl. Clinic
- Vivien Thomas works with Dr. Alfred Blaylock at Vandy and JH. - Work on "blue babies"
- Former military corpsmen start to receive formal training for Federal Prison System.
This led to US Public Health Service PA Program in 1968.
1940 - ANSWER - Henry "Buddy" Treadwell is trained by Dr. Amos Johnson to be his
"doctor's assistant" in rural NC
1942 - ANSWER - Dr. Eugene Stead develops a fast-track, 3yr medical curriculum at
Emory Univ. for military service.
- No residents, so used them to help staff hospital.
- Provided model for competency-based medical curr. developed to educate PA's at
Duke in 1965.
1957 - ANSWER - Thelma Ingles takes sabbatical with Dr. Stead to develop Nursing
master's program for nurse clinicians.
- This was funded by the Rockefeller Group, but was not accredited by the National
League of Nurses because Thelma did not have a nursing degree.
- If it had, we may not have PA's.
