Chapter 01: The Health Care System
Bonewit-West: Today’s Medical Assistant, 4th Edition
MULTIPLE CHOICE
1. Why is Hippocrates often called the father of Western Medicine?
a. He believed that disease was caused by physical and environmental factors that
could be studied.
b. He developed “medications” from plant and animal sources to treat certain
diseases.
c. He created a medical school using a model that resembles modern medical
schools.
d. His students swore an oath called the Hippocratic Oath, which is still recited by
graduating physicians.
ANS: A REF: p. 2, CAAHEP Competency (2015); ABHES Competency:
2. What is the name for treatment that reduces symptoms of a disease, but does not cure the disease?
a. Definitive
b. Palliative
c. Holistic
d. Empirical
ANS: B REF: p. 2, CAAHEP Competency (2015): V.C.10; ABHES Competency: 3.c.
3. When a patient comes to the office for care and then leaves and goes home, what type of care has the p
a. Clinic
b. Extended
c. Managed
d. Ambulatory
ANS: D REF: p. 6, CAAHEP Competency (2015); ABHES Competency: 1.b.
4. What type of insurance plan pays a physician separately for each procedure that was performed?
a. Government insurance
b. Capitation insurance
c. Fee-for-service insurance
d. Managed care insurance
ANS: C
REF: p. 3, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.
5. Which of the following facilities now functions primarily to provide acute care and diagnostic services
a. Clinic
b. Hospital
c. Physician’s office
d. Skilled nursing facility/nursing home
ANS: B REF: p. 2, CAAHEP Competency (2015); ABHES Competency: 1.a.
6. What is a system by which a person (or the person’s employer) pays an insurance company a yearly am
for the insurance company’s paying some or most of the person’s medical expenses for that year?
a. Life insurance
b. Health insurance
c. Capitation
d. Formulary
ANS: B
REF: p. 3, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.
, 9. What is the federal insurance plan that provides health insurance for the elderly, the disabled, and those
disease?
a. Medicaid
b. Medicare
c. TRICARE
d. Managed Care
ANS: B
REF: p. 5, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.
10. What is the current name for the health insurance plan for dependent spouses and children of active-du
a. Medicaid
b. Medicare
c. TRICARE
d. CHAMPVA
ANS: C
REF: p. 5, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.
11. What type of health care encourages regular checkups, immunizations, and well-child visits?
a. Acute care
b. Conservative care
c. Diagnostic care
d. Routine care
ANS: D
REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.
12. What is utilization review?
a. A process to determine whether health care is medically necessary
b. A means to determine how much patients should pay for insurance
c. Collection of statistics about the number of cases of specific diseases
d. The systematic study of surgical techniques
ANS: A
REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.
13. Which of the following was included in the original model for health maintenance organizations (HMO
a. A network of physicians in the community
b. Payment only for visits resulting from illness or disease
c. Full-service clinics in which the physicians were employees
d. Allowing patient to obtain services at all hospitals in a given geographic area
ANS: C
REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.
14. What is it called when a physician receives one monthly fee from the insurance company for each subs
a. Fee-for-service
b. Indemnity
c. Incentive reimbursement
d. Capitation
ANS: D
REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.
15. What is the name for an insurance plan’s list of approved medications?
a. Formulary
b. Prescription
c. Premium
d. Generic
ANS: A
Bonewit-West: Today’s Medical Assistant, 4th Edition
MULTIPLE CHOICE
1. Why is Hippocrates often called the father of Western Medicine?
a. He believed that disease was caused by physical and environmental factors that
could be studied.
b. He developed “medications” from plant and animal sources to treat certain
diseases.
c. He created a medical school using a model that resembles modern medical
schools.
d. His students swore an oath called the Hippocratic Oath, which is still recited by
graduating physicians.
ANS: A REF: p. 2, CAAHEP Competency (2015); ABHES Competency:
2. What is the name for treatment that reduces symptoms of a disease, but does not cure the disease?
a. Definitive
b. Palliative
c. Holistic
d. Empirical
ANS: B REF: p. 2, CAAHEP Competency (2015): V.C.10; ABHES Competency: 3.c.
3. When a patient comes to the office for care and then leaves and goes home, what type of care has the p
a. Clinic
b. Extended
c. Managed
d. Ambulatory
ANS: D REF: p. 6, CAAHEP Competency (2015); ABHES Competency: 1.b.
4. What type of insurance plan pays a physician separately for each procedure that was performed?
a. Government insurance
b. Capitation insurance
c. Fee-for-service insurance
d. Managed care insurance
ANS: C
REF: p. 3, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.
5. Which of the following facilities now functions primarily to provide acute care and diagnostic services
a. Clinic
b. Hospital
c. Physician’s office
d. Skilled nursing facility/nursing home
ANS: B REF: p. 2, CAAHEP Competency (2015); ABHES Competency: 1.a.
6. What is a system by which a person (or the person’s employer) pays an insurance company a yearly am
for the insurance company’s paying some or most of the person’s medical expenses for that year?
a. Life insurance
b. Health insurance
c. Capitation
d. Formulary
ANS: B
REF: p. 3, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.
, 9. What is the federal insurance plan that provides health insurance for the elderly, the disabled, and those
disease?
a. Medicaid
b. Medicare
c. TRICARE
d. Managed Care
ANS: B
REF: p. 5, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.
10. What is the current name for the health insurance plan for dependent spouses and children of active-du
a. Medicaid
b. Medicare
c. TRICARE
d. CHAMPVA
ANS: C
REF: p. 5, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.
11. What type of health care encourages regular checkups, immunizations, and well-child visits?
a. Acute care
b. Conservative care
c. Diagnostic care
d. Routine care
ANS: D
REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.
12. What is utilization review?
a. A process to determine whether health care is medically necessary
b. A means to determine how much patients should pay for insurance
c. Collection of statistics about the number of cases of specific diseases
d. The systematic study of surgical techniques
ANS: A
REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.
13. Which of the following was included in the original model for health maintenance organizations (HMO
a. A network of physicians in the community
b. Payment only for visits resulting from illness or disease
c. Full-service clinics in which the physicians were employees
d. Allowing patient to obtain services at all hospitals in a given geographic area
ANS: C
REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.
14. What is it called when a physician receives one monthly fee from the insurance company for each subs
a. Fee-for-service
b. Indemnity
c. Incentive reimbursement
d. Capitation
ANS: D
REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.
15. What is the name for an insurance plan’s list of approved medications?
a. Formulary
b. Prescription
c. Premium
d. Generic
ANS: A
