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Rationales 2025|2026 Q&A | Instant
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1. Which legislation primarily governs the practice of
medicine in Ontario?
a) Health Insurance Act
b) Regulated Health Professions Act (RHPA)
c) Canada Health Act
d) Public Hospitals Act
The RHPA provides the overarching framework for all regulated
health professions in Ontario, including medicine.
2. What is the primary purpose of the CPSO?
a) Advocate for physicians’ interests
b) Negotiate physician salaries
c) Protect the public by regulating the practice of medicine
, d) Provide malpractice insurance
The CPSO’s mandate is to protect the public by regulating
physicians, not advocating for them.
3. Which document outlines the specific scope of practice for
physicians in Ontario?
a) Health Professions Procedural Code
b) Canada Health Act
c) Medicine Act, 1991
d) Hospital Act
The Medicine Act, 1991 defines the practice of medicine and
controlled acts physicians are authorized to perform.
4. Which of the following is a controlled act authorized to physicians?
a) Dispensing medication without a prescription
b) Communicating a diagnosis
c) Selling medical devices
d) Providing dental procedures
Communicating a diagnosis is one of the controlled acts reserved
for physicians.
5. Under the RHPA, who has the authority to make regulations
governing physicians’ practice?
a) Canadian Medical Association
b) CPSO Council with government approval
c) Ontario Medical Association
, d) Ministry of Finance
The CPSO Council drafts regulations, but they must be approved
by the Ontario government.
6. Which of the following must physicians obtain before
performing a controlled act?
a) Hospital privileges
b) Informed consent from the patient
c) Insurance coverage
d) Approval from the Ministry of Health
Informed consent is legally and ethically required before
performing controlled acts.
7. Which legislation governs patient privacy and
confidentiality in Ontario?
a) Canada Health Act
b) RHPA
c) Personal Health Information Protection Act (PHIPA)
d) Privacy Act
PHIPA governs the collection, use, and disclosure of personal
health information in Ontario.
8. Who is considered the health information custodian under
PHIPA in a private practice?
a) The receptionist
b) The patient
, c) The physician
d) The Ministry of Health
In private practice, the physician is the health information
custodian responsible for PHI.
9. A patient requests access to their medical record. What
is the physician’s obligation?
a) Refuse access
b) Provide only a summary
c) Provide access unless an exception under PHIPA applies
d) Charge excessive fees to discourage access
Patients have the right to access their records under PHIPA,
with limited exceptions.
10. How long must a physician retain an adult patient’s
medical records in Ontario?
a) 5 years from last entry
b) 10 years from last entry
c) 15 years from last entry
d) Indefinitely
Ontario regulations require records to be kept for at least 10
years from the last entry.
11. How long must a physician retain a child’s medical record?
a) Until age 18
b) 10 years from the last entry