TEXAS MEDICAL JURISPRUDENCE EXAM – PRACTICE QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
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*CORE DOMAINS*
*Texas Medical Board (TMB) Functions and Authority*
*Physician Licensing and Registration Requirements*
*Standard of Care and Professional Liability Concepts*
*Disciplinary Procedures and Administrative Hearings*
*Medical Records Privacy and HIPAA Compliance*
*Informed Consent and Advanced Directives*
*Prescriptive Authority and Controlled Substances*
*Reporting Obligations and Peer Review Rules*
*Physician-Patient Relationship Ethics*
*INTRODUCTION*
This practice assessment is designed to prepare candidates for the Texas Medical
Jurisprudence Examination by simulating the rigorous legal and ethical standards
required for licensure in Texas. The exam evaluates a comprehensive understanding
of the Texas Medical Practice Act, Board rules, and state-specific healthcare
regulations. Candidates will encounter a mix of foundational theory, regulatory
compliance questions, and complex, scenario-based vignettes. These items test the
ability to apply statutory requirements to real-world clinical decision-making.
Success requires demonstrating proficiency in patient safety, legal boundaries,
and the maintenance of professional integrity in practice.
, SECTION ONE
1. A physician’s license has been expired for 45 days. To continue practicing
medicine legally in Texas, what action must the physician take?
A. Continue practicing but pay a late penalty fee during the next renewal cycle.
B. Cease practicing immediately until the license is officially renewed.
C. Practice under the supervision of a licensed physician for 30 days.
D. Apply for a temporary emergency permit from the Texas Medical Board.
🟢 B. Cease practicing immediately until the license is officially renewed.
🔴 RATIONALE: Under the Texas Medical Practice Act, practicing medicine with an
expired license is considered practicing without a license, which is a violation of state
law. The physician must stop all medical activities until the registration is current.
2. Which of the following is a primary duty of the Texas Medical Board (TMB)?
A. Setting the maximum rates physicians can charge for elective procedures.
B. Providing legal defense for physicians facing malpractice lawsuits.
C. Protecting the public through licensure, regulation, and enforcement.
D. Lobbying the state legislature for increased physician reimbursement.
🟢 C. Protecting the public through licensure, regulation, and enforcement.
🔴 RATIONALE: The TMB’s primary mission is to protect the public's health, safety, and
welfare by ensuring that those licensed to practice medicine are competent and follow
professional standards.
, 3. A physician is asked to provide medical records for a patient who has not signed
a written authorization. In which scenario is this disclosure legally permitted
under Texas law?
A. A pharmaceutical representative requests data for a marketing study.
B. The patient's employer requests the records to verify a sick leave claim.
C. A court issues a subpoena for the records in a criminal proceeding.
D. A distant relative requests the records to update a family tree.
🟢 C. A court issues a subpoena for the records in a criminal proceeding.
🔴 RATIONALE: Texas law allows for the disclosure of confidential medical records
without patient consent in response to a court order or a lawful subpoena in specific
judicial or administrative proceedings.
4. How long must a physician in Texas generally maintain the medical records of an
adult patient after the date of the last treatment?
A. Five years
B. Seven years
C. Ten years
D. Permanently
🟢 B. Seven years
🔴 RATIONALE: Texas Medical Board rules require that medical records for adult
patients be maintained for a minimum of seven years from the date of the last
treatment.
, 5. A physician assistant (PA) is prescribing a non-controlled substance. What is the
requirement regarding the supervising physician’s information on the
prescription?
A. The physician’s name and DEA number must be included.
B. Only the PA’s name and license number are required.
C. The PA must include the supervising physician's name and contact information.
D. The physician must co-sign every prescription before the patient leaves.
🟢 C. The PA must include the supervising physician's name and contact information.
🔴 RATIONALE: In Texas, prescriptions issued by a PA or APN must include the name,
address, and telephone number of the supervising physician, though the physician
does not need to sign the specific prescription.
6. Under the Texas Medical Practice Act, "professional failure to practice medicine in
an acceptable professional manner consistent with public health and welfare" is
defined as:
A. Malpractice
B. Unprofessional conduct
C. Non-therapeutic prescribing
D. Administrative negligence
🟢 B. Unprofessional conduct
🔴 RATIONALE: This phrase is a statutory definition used by the TMB to categorize
behaviors that deviate from accepted standards, regardless of whether actual patient
harm occurred.
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
*CORE DOMAINS*
*Texas Medical Board (TMB) Functions and Authority*
*Physician Licensing and Registration Requirements*
*Standard of Care and Professional Liability Concepts*
*Disciplinary Procedures and Administrative Hearings*
*Medical Records Privacy and HIPAA Compliance*
*Informed Consent and Advanced Directives*
*Prescriptive Authority and Controlled Substances*
*Reporting Obligations and Peer Review Rules*
*Physician-Patient Relationship Ethics*
*INTRODUCTION*
This practice assessment is designed to prepare candidates for the Texas Medical
Jurisprudence Examination by simulating the rigorous legal and ethical standards
required for licensure in Texas. The exam evaluates a comprehensive understanding
of the Texas Medical Practice Act, Board rules, and state-specific healthcare
regulations. Candidates will encounter a mix of foundational theory, regulatory
compliance questions, and complex, scenario-based vignettes. These items test the
ability to apply statutory requirements to real-world clinical decision-making.
Success requires demonstrating proficiency in patient safety, legal boundaries,
and the maintenance of professional integrity in practice.
, SECTION ONE
1. A physician’s license has been expired for 45 days. To continue practicing
medicine legally in Texas, what action must the physician take?
A. Continue practicing but pay a late penalty fee during the next renewal cycle.
B. Cease practicing immediately until the license is officially renewed.
C. Practice under the supervision of a licensed physician for 30 days.
D. Apply for a temporary emergency permit from the Texas Medical Board.
🟢 B. Cease practicing immediately until the license is officially renewed.
🔴 RATIONALE: Under the Texas Medical Practice Act, practicing medicine with an
expired license is considered practicing without a license, which is a violation of state
law. The physician must stop all medical activities until the registration is current.
2. Which of the following is a primary duty of the Texas Medical Board (TMB)?
A. Setting the maximum rates physicians can charge for elective procedures.
B. Providing legal defense for physicians facing malpractice lawsuits.
C. Protecting the public through licensure, regulation, and enforcement.
D. Lobbying the state legislature for increased physician reimbursement.
🟢 C. Protecting the public through licensure, regulation, and enforcement.
🔴 RATIONALE: The TMB’s primary mission is to protect the public's health, safety, and
welfare by ensuring that those licensed to practice medicine are competent and follow
professional standards.
, 3. A physician is asked to provide medical records for a patient who has not signed
a written authorization. In which scenario is this disclosure legally permitted
under Texas law?
A. A pharmaceutical representative requests data for a marketing study.
B. The patient's employer requests the records to verify a sick leave claim.
C. A court issues a subpoena for the records in a criminal proceeding.
D. A distant relative requests the records to update a family tree.
🟢 C. A court issues a subpoena for the records in a criminal proceeding.
🔴 RATIONALE: Texas law allows for the disclosure of confidential medical records
without patient consent in response to a court order or a lawful subpoena in specific
judicial or administrative proceedings.
4. How long must a physician in Texas generally maintain the medical records of an
adult patient after the date of the last treatment?
A. Five years
B. Seven years
C. Ten years
D. Permanently
🟢 B. Seven years
🔴 RATIONALE: Texas Medical Board rules require that medical records for adult
patients be maintained for a minimum of seven years from the date of the last
treatment.
, 5. A physician assistant (PA) is prescribing a non-controlled substance. What is the
requirement regarding the supervising physician’s information on the
prescription?
A. The physician’s name and DEA number must be included.
B. Only the PA’s name and license number are required.
C. The PA must include the supervising physician's name and contact information.
D. The physician must co-sign every prescription before the patient leaves.
🟢 C. The PA must include the supervising physician's name and contact information.
🔴 RATIONALE: In Texas, prescriptions issued by a PA or APN must include the name,
address, and telephone number of the supervising physician, though the physician
does not need to sign the specific prescription.
6. Under the Texas Medical Practice Act, "professional failure to practice medicine in
an acceptable professional manner consistent with public health and welfare" is
defined as:
A. Malpractice
B. Unprofessional conduct
C. Non-therapeutic prescribing
D. Administrative negligence
🟢 B. Unprofessional conduct
🔴 RATIONALE: This phrase is a statutory definition used by the TMB to categorize
behaviors that deviate from accepted standards, regardless of whether actual patient
harm occurred.
