AMA Journal of Ethics®

Illuminating the art of medicine

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AMA Journal of Ethics®

Illuminating the art of medicine

Virtual Mentor. April 2004, Volume 6, Number 4.

Test Questions

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Test Questions: Medicine and the Social Contract

Medicine and the Social Contract

1. According to the AMA Code of Medical Ethics, when managed care plans place restrictions on the care that physicians may provide to their patients, physicians must advocate for any care they believe will materially benefit their patients.

A. True
B. False

2. As discussed in Dr. Nancy Nielsen's case commentary, physicians who file fraudulent claims to federal payers are liable under the Civil
False Claims Act and the Health Care Fraud Act for penalties including:

A. Civil penalties, in the form of fines
B. Criminal penalities, in the form of fines ONLY
C. Criminal penalties, in the form of fines and
imprisonment
D. A and B
E. A and C

3. Time spent with patients is not reimbursable by Medicare in Current Procedural Terminology (CPT) coding.

A. True
B. False

4. According to the Clinical Pearl by Christopher D. Hoy, MD, all of the following are benefits of daily nocturnal hemodialysis, EXCEPT:

A. Improved nutrition
B. Return of libido
C. Improvements in sleep and cognition
D. Availability through most dialysis centers nationwide
E. Lower overall cost to the health care system

5. Physicians may provide assistance to the medically underserved by:

A. Delivering pro bono medical care
B. Employment at an institution that provides care to the
uninsured or underinsured
C. Becoming involved in activist organizations
D. Accepting Medicaid insurance
E. All of the above

6. One of Dr. John Snow's significant contributions to medicine and epidemiology was:

A. Advocacy for worldwide polio vaccination
B. Identifying the link between high lead levels and neurologic
damage in major cities
C. Recognizing the relationship between cholera cases and
contaminated water in London
D. Being principally responsible for the development of
sanatoriums for tuberculosis patients in the United States

7. According to the journal discussion by Azza M. Jayaprakash, MS, prior to Medicare-funded treatment for end stage renal
disease, determinations for dialysis treatments of uninsured patients were decided by:

A. Random computer selection
B. A committee consisting of physicians, social workers, and
community representatives
C. Patients' financial assets
D. Patients' age and prognosis

8. According to the article by Sylvia Cruess, MD, and Richard Cruess, MD, all of the following are societal expectations of
medicine under the social contract, EXCEPT:

A. Altruism
B. Morality and integrity
C. Guaranteed competence
D. Transparency
E. Guaranteed access to care

9. Under the social contract, physicians may reasonably expect that society will:

A. Regulate the medical profession
B. Grant physicians sufficient autonomy to act in the best interest of patients
C. Create the standards required for medical licensure
D. Create standards for medical education

10. For a physician to be protected under Good Samaritan statutes, of the following requirements must be met, EXCEPT:

A. Provide care in "good faith"
B. Once aid is initiated, the physician is responsible for the patient, until the patient is stabilized or the physician is relieved by another physician
C. Care must be rendered free of charge
D. The physician must be employed by a hospital
E. Care is provided in an emergent situation, where there is
serious risk to the patient's life or well-being

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