Q1. Ambulatory care is a recent phenomenon.
a. true
b. false
Q2. Advances in healthcare management in recent years have enabled policy makers to promote template health care services that satisfy the health care needs of the majority of the population.
a. true
b. false
Q3. It is more difficult for young physicians to set up solo practices today than in the past.
a. true
b. false
Q4. It is important that policy makers and health care providers be able to measure the access of community members to health care services. Which of the following measures is employed to see whether the health system itself contributes to adequate access?
a. Hospital bed-to-population ratio
b. Percentage insurance coverage
c. Race and ethnicity/differentials
RF d. Physician office use measures
Q5. An important function of local public health departments is:
a. Conducting ongoing disease surveillance and monitoring
b. Maintaining birth control clinics through Planned Parenthood
c. Providing outpatient medical treatment for chronic diseases
d. Offering dental care to low income citizens
Q6. What role do public health agencies play in coping with terrorism?
a. Screening airline passengers to identify possible terrorists
b. Monitoring for potential biological threats and attacks
c. Conducting intelligence efforts overseas to surface potential terrorists
d. Serving on the National Security Council
Q7. In recent years, employers have been:
a. Increasing employee health benefits
b. Cutting back on employee health benefits
c. Keeping employee health benefits level
d. Supporting legislation to provide more health coverage of employees
Q8. Individual physicians make important contributions to maintaining good public health in society through:
a. Their financial contributions to health care programs
b. Their active participation in public health societies
c. Their attempts to control health care costs
d. The clinical preventive services they offer
Q9. Thanks to early detection and improved interventions, survival rates for cancer have increased dramatically in the past three decades.
a. true
b. false
Q10. The Federal government agency that plays a lead role in supporting biomedical research is:
a. National Institutes of Health
b. Centers for Disease Control and Prevention
c. Food and Drug Administration
d. Centers for Medicare and Medicaid Services
Q11. The need and demand for health care balance out.
a. true
b. false
Q12. In the final analysis, the ultimate source of money to pay for health services comes from:
a. The people who live in a country
b. The national government
c. State and local government
d. Insurance companies
Q13. When considering healthcare policy, which of the following issues is the most significant policy issue facing policy makers today:
a. Improving the caliber of education at medical school
b. Employing information systems to improve healthcare delivery
c. Access to health care
d. Treating rare diseases that do not normally receive adequate attention from the medical and research communities
Q14. The level of funding of Medicaid is strongly affected by increased longevity of the population.
a. true
b. false
Q15. As a general rule, as a country's population grows, so do its health care costs.
a. true
b. false
Q16. The focus on reducing the impact of diseases once they occur in individual patients is an example of:
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Quaternary prevention
Q17. Perhaps the dominant challenge for the future of health care services in the United States will be tied to:
a. Dealing with increased immigration
b. Developing more sophisticated medical technologies
c. Reducing the incidence of cancer
d. Providing adequate services to an aging of the population
Q18. Reforms of the American health care system have largely eliminated racial and economic differentials as barriers to access to adequate health care.
a. true
b. false
Q19. The single greatest source of death today is:
a. Chronic diseases
b. Life-style diseases
c. Infectious diseases
d. Accidents
Q20. The biological basis of health services has changed dramatically in the past fifty years. What category of biological change has had the greatest impact?
a. An improved understanding of the aging process
b. An improved understanding of human development
c. An improved understanding of the interaction of humans with their environment
d. An improved understanding of the molecular basis for disease and illness
Q21. Which Federal agency is charged with conducting epidemiological investigations of disease outbreaks?
a. FDA
b. National Center for Health Statistics
c. Center for Disease Control and Prevention
d. Centers for Medicare and Medicaid Services
Q22. Improvements in information technology have enabled policy makers and health care providers to identify deficiencies in health care access that can be remedied. A significant example of such technology is:
a. 4G cell phones
b. Geographic Information Systems (GIS)
c. Tablet computers, such as the iPad
d. Web 3.0
Q23. In the United States, two great steps toward increasing access of poorer people to health care services was the launching of Medicare and Medicaid.
a. true
b. false
Q24. It is important that policy makers and health care providers be able to measure the access of community members to health care services. Which of the following measures is employed to see whether access is fairly distributed among different segments of the population?
a. Hospital bed-to-population ratio
b. Percentage insurance coverage
c. Race and ethnicity/differentials
d. Physician office use measures
Q25. Which of the following best illustrates the statement: "Attitudes have a big impact on care-seeking behavior."
a. Patients who dislike hospitals are slow to pay their bills
b. People who believe that health care services are likely to help them are more likely to seek health care than those who are skeptical of medical practice
c. People who respect their health care provider are likely to share their positive feelings with friends and colleagues
d. People who have a bad experience with one health care provider may switch to another
Q26. Which of the following reflects a major recent trend in the provision of health care services?
a. Health care costs have stabilized
b. Mortality rates for cancer have dramatically increased
c. Physicians have played an increasingly strong role in managing health care
d. There has been a major shift in supplying health care from a focus on hospitals to a focus on ambulatory care
Q27. With ambulatory care:
a. The importance of hospital-provided services has increased
b. Many services that were traditionally provided on an inpatient basis are now supplied on an outpatient basis
c. Advanced surgical procedures - such as open heart surgery - are performed in the patient's home
d. The need for health insurance has diminished.
Q28. For solo practice physicians to survive, they often need to:
a. Affiliate with larger practices, e.g., with hospitals or managed care organizations
b. Purchase more sophisticated technology
c. Provide services to uninsured patients
d. Locate their practices in low income neighborhoods
Q29. An important source of information on patients' use of office visits to see physicians is:
a. Surveys conducted of patients as they leave doctors' offices
b. Telephone surveys of a random sample of the population, asking people about their use of visits to doctors' office
c. The AARP Patient Patterns Survey
d. The National Ambulatory Medical Care Survey
Q30. The Federal government agency that plays a lead role in testing new medicines, equipment and procedures to assure their safety and efficacy is:
a. National Institutes of Health
b. Centers for Disease Control and Prevention
c. Food and Drug Administration
d. Centers for Medicare and Medicaid Services
Q31. America's underperformance in the health services arena is tied to its underinvestment in medicine and health services.
a. true
b. false
Q32. Individuals and health care professionals often have different perceptions of illness and disease.
a. true
b. false
Q33. A truly modern health care system emerged in the Post World War II era, as exemplified by technological advances, improved therapeutic interventions, increased focus on chronic diseases, and:
a. Federal government involvement in health services directly
b. Improved diets of the population
c. Introduction of CAT scanning diagnostic procedures
d. Passage of the Social Security Act
Q34. An advantage of group practice in medicine is that it promotes the sharing of patient care responsibilities among physicians.
a. true
b. false
Q35. Providers and insurers may lack the incentive to invest in preventive services because:
a. The payoffs for such services may not be realized for many years
b. They do not believe it is their responsibility to play a direct role in controlling public health
c. Medicare and Medicaid payments are so low, that it is hard to make a profit providing health care services to the public
d. They don't want to eliminate disease, because they make a living treating it
Q36. In the USA, large and medium-sized communities established health departments by:
a. The late 1700s
b. The early 1800s
c. The late 1800s
d. The early 1900s
Q37. Perhaps the greatest challenge facing the American health care system today is:
a. Introducing more sophisticated medical technology into hospitals
b. Protecting doctors from medical malpractice lawsuits
c. Improving Emergency Medical Technology (EMT) services
d. Providing adequate health care treatment for the uninsured
Q38. A patient undergoes a battery of diagnostic medical procedures. This is an example of:
a. Primary care
b. Secondary care
c. Tertiary care
d. Quaternary care
Q39. A surgical team performs heart transplant surgery. This is an example of:
a. Primary care
b. Secondary care
c. Tertiary care
d. Quaternary care
Q40. At the outset of the 21st century, which of the following countries spent the largest portion of its GDP (Gross Domestic Product) on health expenditures?
a. Germany
b. United States
c. Mexico
d. United Kingdom