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CPHQ test Quiz with perfectly answered questions

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"Underuse is evidence by the fact that many scientifically sound practices are not used as often they should be, For example, biannual mammography screening in woman ages 40 to 69 has been proven beneficial and yet is performed less than 75 percent of the time." This is the categorization of: A. Defects B. Lack of professionalism in Medical field C. Lack of care D. Healthcare practice A. Defects __________ is a term applied when the proper clinical care process is not executed appropriately, such as giving the wrong drug to a patient or incorrectly administering the correct drug. A. Underuse B. Overuse C. Misuse D. Illegal use Answer: C- misuse Crossing the Quality Chasm provided a blueprint for the future that classified and unified the components of quality through six aims for improvement, chain of effects, and simple rules for redesign of healthcare. The six aims for improvement, viewed also six dimensions of quality. Which of the following is NOT out of those dimensions? A. Safe B. Care centered C. Efficient D. Effective Answer: B- care centered ______________ can be measured by how well evidence-______________ can be measured by how well evidence-based practices are followed, such as the percentage of time diabetic patients receive all recommended care at each doctor visit, the percentage of hospital-acquired infections, or the percentage of patients who develop pressure ulcers (bed sores) while in the nursing home. A. Safe care B. Equitable care C. Effective care D. Timely care Answer: C - effective care Today's patients' perception of the quality of our healthcare system is not favorable. In healthcare, quality is a household word that evokes great emotion, including: A. Frustration and despair, exhibited by patients who experience healthcare services firsthand or family members who observe the care of their loved ones B. Anxiety over the ever-increasing costs and complexities of care C. Patient centered measures D. Timely care that may be experienced in terms of performance of services Answer: A, B - There is a story of an intensive care unit (ICU) at Dominican Hospital in Santa Cruz Country, California. Dominican, a 379-bed community hospital, is part of the 41-hospital Catholic Healthcare West system. "We used to replace ventilator circuit for incubated patients daily because we thought this helped to prevent pneumonia," explained Lee Vanderpool, vice president. ""But the evidence shows that the more you interfere with that device, the more often you risk introducing infection. It turns out it is often better to leave it alone until it begins to become cloudy, or 'gunky,' as the no clinicians say." The hospital staff learned an important lesson from this experience that: A. Evidence is more powerful than intuition B. Intuition is more powerful than evidence C. Efforts improve mortality rate D. Introduction f a new protocol, or any new idea, involves education Answer: A A number of attributes can characterize the quality of healthcare services. As, there are different groups involved in healthcare, such as physicians, patients and health insurers, tend to attach different levels of importance to particular attributes and as a result define quality care differently. Which of the following is/are NOT out of those attributes? A. Technical performance B. Responsiveness to patient preferences C. Excess staff D. Amenities Answer: C Quality and technical performance refers to how well current scientific medical knowledge and technology are applied in a given situation. It is usually assessed in terms of: A. Timeliness and accuracy of the diagnosis B. Appropriateness of therapy and other medical interventions are performed C. The quality of interpersonal relationships D. Both A & B Answer: D The quality of amenities of care refers to the characteristics of the setting in which the encounter between patient and clinician takes place, such as: A. Comfort B. Comfort, care and access C. Comfort, convenience and privacy D. Responsive to patient preferences Answer: C

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AMLS FINAL
A 45-year-old patient is found supine on the floor. Healthcare providers note pinpoint pupils, shallow
respirations, and vomitus in and around the mouth. What course of action should be taken next?correct
answerSupplemental oxygen and suction

Patients with a history of COPD that present with an acute onset of shortness of breath are likely to have
which condition?correct answerPulmonary embolism

During compensatory shock, the renin-angiotensine-aldosterone system is activated to cause
a/an:correct answerIncrease in preload, afterload, and re-absorption of sodium

What clinical findings are most commonly associated with a pulmonary embolus?correct answerClear
breath sounds with tachypnea

What condition is most likely to cause respiratory acidosis?correct answerNarcotic overdose

A 55-year-old complains of an "aching" chest discomfort that persists over several days. The patient has
a temperature of 101*F (38.3*C). Which finding will help narrow the diagnosis to pericarditis?correct
answerST-segment elevation in all leads

Anaphylaxis is most associated with which physiological event?correct answerVasodilation

Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathologic change?correct
answerBreakdown of the alveolar-capillary membrane

Continuous positive airway pressure would be most beneficial in treating which patient?correct answerA
22-year-old with severe asthma who is not responding to nebulizer treatments

What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic nonketotic coma
(HHNC)?correct answerCrystalloid IV fluid administration

Your patient has had a seizure secondary to a nerve agent exposure. What medication would be best to
diminish the seizure?correct answerMidazolam

Respiratory alkalosis may occur as a result of:correct answerFever and anxiety

An age-related change that increases the risk of respiratory compromise is:correct answerDecrease in
lung compliance

Paroxysmal nocturnal dyspnea is most common in patients with a history of:correct answerLeft-sided
heart failure

The patient presents with a history of fever and an upper respiratory infection. Historical information
reveals increasing water intake, orthostatic hypotension, and an increase in urination. You suspect these
symptoms are caused by:correct answerHyperglycemia

You are dispatched to the home of a 32-year-old patient with a history of Graves' disease. The patient
was in the ER earlier today for some "tests for my ulcers." He received contrast and was discharged. He
is now complaining of not feeling well, chest pain, and palpitations. You note an anxious patient with

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