Exam 12/3

Front 1

the transparent sac that encloses the fetus in the utero is called the?

Back 1

amniotic sac

Front 2

A congenital condition of the newborn marked by mental retardation is called:

Back 2

Down Syndrome

Front 3

Surgical puncture of the amnion is called:

Back 3

amniocentesis

Front 4

The membrane by which the fetus receives nourishment is the :

Back 4

placenta

Front 5

surgical removal of the testicle is called:

Back 5

orchidectomy

Front 6

Excision of all or part of the prostate is called:

Back 6

prostatectomy

Front 7

Surgical rupture of the fetal membranes is called:

Back 7

amniotomy

Front 8

The study of diseases of the female reproductive organs is called

Back 8

gynecology

Front 9

which of the following abbreviations refers to a test for early diagnosis of cancer of the uterus ?

a.pap

b.PID

C.TUR

D.TURP

Back 9

Pap

Front 10

Surgical removal of the end of the foreskin of the penis is called:

Back 10

circumcision

Front 11

The period after childbirth is called:

Back 11

postpartum

Front 12

which of the following provides a picture of the developing fetus?

a.amniocentesis

b.colposcopy

c.laparoscopy

d.ultrasonography

Back 12

ultrasonography

Front 13

If the buttocks, knees, or feet of the fetus enters the mother's pelvis during labor, this is called:

Back 13

breech presentation

Front 14

reproductive organs are called:

Back 14

genitalia

Front 15

which of the following means within the uterus?

Back 15

intrauterine

Front 16

menopause is also called

Back 16

climacteric

Front 17

inflammation of the inner lining of the uterus is called:

Back 17

endometritis

Front 18

A surgical procedure that expands the cervical opening so that the uterine wall can be scraped is called:

Back 18

dilation and curettage

Front 19

the term vaginal is

Back 19

an adjective that refers to birth canal

Front 20

A sexually transmitted disease characterized by blisters on the genital organs is:

Back 20

herpes genitalis

Front 21

gestation

Back 21

pregnancy

Front 22

a condition in which tissue somewhat resembling endometrium occurs abnormally in the pelvic cavity is called:

Back 22

endometritis

Front 23

trying or binding of uterine tube for elective steriliaztion is a:

Back 23

tubal ligation

Front 24

A hormone that is necessary for the development and maintenance of female secual characteristics is

Back 24

estrogen

Front 25

menses is the same as

Back 25

menstruation

Front 26

what is true about gonads?

Back 26

they function in the production of sperm or ova

Front 27

At what time point is a developing human embryo referred to as a fetus?

Back 27

8 weeks after conception

Front 28

Abnormal implantation of a fertilized ovum outside the uterus called

Back 28

an eptomic pregnancy

Front 29

herniation of the bladder through the vaginal wall

Back 29

cytocele

Front 30

inner lining of the uterus

Back 30

endometrium

Front 31

newborn infant up to age 6 weeks

Back 31

neonate

Front 32

pertaining to a fetus

Back 32

fetal

Front 33

pertaining to a uterus

Back 33

uterine

Front 34

surgical removal of the uterus

Back 34

hysterectomy

Front 35

woman who has never given birth

Back 35

nullipara

Front 36

t or f?

The federal government financially supports the minimum assistance level of the medically needy aged, and the states must wholly support any part of the program that goes beyond the federal minimum?

Back 36

True

Front 37

t or f?
The federal government designs the medicaid program for each state in the basis of the needs of the state

Back 37

False

Front 38

Medicaid is not so much an insurance program as an assistance program

t or f?

Back 38

true

Front 39

medicaid is an established program of medical assistance in 46 states?

t or f?

Back 39

FALSE

Front 40

Medicaid is administrated by federal funding only

t or f?

Back 40

FALSE

Front 41

THE FEDERAL GOVERNMENT DETERMINES THE PAYMENT FOR MEDICAL SERVICES IN THE MEDICAID PROGRAM

t or f?

Back 41

FALSE

Front 42

Emergency services and pregnancy services are exempt by law from co payment requirements?

t or f?

Back 42

true

Front 43

the medicaid patient may be responsible for a copayment?

t or f?

Back 43

true

Front 44

it is possible for a medicaid patient to be on medicaid 1 month and off medicaid the following month?

t or f?

Back 44

true

Front 45

a physician may accept or refuse medicaid patients on the basis of the individual patient and his or her circumstances

t or f?

Back 45

false

Front 46

the patients medical card must be checked each time the patient visits the physicians office to verify eligibility for month of service

t or f?

Back 46

true

Front 47

in some cases the welfare office may grant retroactive eligibility to a patient

t or f?

Back 47

true

Front 48

family planning is a medicaid basic benefit

t or f?

Back 48

true

Front 49

home health care is never covered by medicaid

t or f?

Back 49

false

Front 50

if a service is totally disallowed by medicaid, a physician is in legal right to bill the patient

t or f?

Back 50

true

Front 51

All state medicaid programs operate with a fee-for-service reimbursement system

t or f?

Back 51

false

Front 52

Medicaid patients in managed care plans must go to hospitals participating in their assigned plan

t or f?

Back 52

true

Front 53

managed care medicaid programs usually save money in health care delivery

t or f?

Back 53

true

Front 54

prior approval or authorization is never required in the medicaid program

t or f?

Back 54

false

Front 55

all states processing medical claims must bill using the CMS 1500 claim form

t or f?

Back 55

true

Front 56

When medicaid and a third party payer cover the patient, medicaid is always the payer of last resort

t or f?

Back 56

true

Front 57

it is not possible for an immigrant to have medicaid coverage?

t or f?

Back 57

false

Front 58

It is not possible for a person to be eligible for medical benefits and also have additional group health insurance coverage

t or f?

Back 58

false

Front 59

The federal emergency relief administration made funds available for....?

Back 59

medical expenses of the needy unemployed

Front 60

The medicaid program was a direct result of....

Back 60

a law passed by congress in 1950

Front 61

on the medicaid program, congress authorized vendor payments for medical care, which are payments from the

Back 61

welfare agency directly to the physician

Front 62

DEFRA and CHAP were responsible for...

Back 62

expanding Medicaid eligibility requirements

Front 63

Medicaid is administered by the

Back 63

State government with partial federal funding

Front 64

The federal aspects of medicaid are the responsibility of the

Back 64

CMS

Front 65

The Omnibus Budget reconciliation act did what?

Back 65

provided assistance for the aged and disabled who are receiving medicare and whose incomes are below the poverty level.

Front 66

medicaid is available to needy and low-income people such as

Back 66

the blind, disabled, and those 65 and older

Front 67

if a physician accepts medicaid patients, the physician must accept

Back 67

the medicaid allowed amount

Front 68

medicaid eligilibilty must always be checked for the

Back 68

month of service and type of service

Front 69

to control escalating health care costs by curbing unnecessary emergency department visits and emphasizing preventative care. Medicaid reform has involved

Back 69

managed care programs

Front 70

medicaid managed care patient claims should be sent to the

Back 70

managed care organization and not the medicaid fiscal agent

Front 71

the group of medicaid recipients refereed to as ______ includes all cash recipients of the AID to families with dependent children, certain other AFDC related groups, most cash recipents of the supplemental security income program , and other SSI-related groups.

Back 71

Catergorically needy

Front 72

the two medicaid eligibility classifications are the _____ needs group and the _________ needy class

Back 72

categorically

medically

Front 73

some medicaid recipients in the medically needy category must pay a coinsurance payment and/or deductible, also known as a/an____________within the eligibility month before state benefits may be received

Back 73

share of cost

Front 74

medicaid identification cards are usually issued every _______

Back 74

month

Front 75

The ______ form, formally known as an explanation of benefits form, accompanies all medicaid payment checks.

Back 75

Remittance Advise

Front 76

A person retired from a career in the armed forces is eligible for TRICARE until 65 years of age

t or f?

Back 76

true

Front 77

An NAS certification is required for all TRICARE standard, TRICARE Extra, and CHAMPVA beneficiaries who wish to receive treatment as inpatients at civilian hospital and who live within a catchment area surrounding a Uniformed Services medical treatment facility

t or f?

Back 77

false

Front 78

The NAS is required for outpatient services that ate within the catchment area

t or f?

Back 78

false

Front 79

All dependents 10 years of age or older are required to have a military identification card for TRICARE

t or f?

Back 79

true

Front 80

A partnership programs permits TRICARE-eligible people to receive inpatient treatment from civilian providers of care in a military hospital

t or f?

Back 80

true

Front 81

A certified nurse midwife is an authorized provider of health care for TRICARE beneficiaries

t or f?

Back 81

TRUE

Front 82

Providers may choose to accept TRICARE assignment on a case by case basis

t or f?

Back 82

true

Front 83

in the tricare extra plan, the individual enrolls yearly and pays an annual fee

t or f?

Back 83

false

Front 84

enrollment in tricare prime is voluntary

t or f?

Back 84

true

Front 85

active duty service members are eligible for TRICARE extra

t or f?

Back 85

false

Front 86

All privacy act requests from patients must be made is writing

t or f?

Back 86

false

Front 87

TRICARE is subject to state regulatory agencies that control insurance policies

t or f?

Back 87

false

Front 88

TRICARE claims must be billed on a special claim form provided by the closest military facility within the area of treatment

t or f?

Back 88

false

Front 89

For a CHAMPVA beneficiary, if the physician is nonparticipating and does not accept assignment, the patient completes the top portion of the CMS-1500 claim form, attaches an itemized statement from the physician, and submits the claim.

t or f?

Back 89

true

Front 90

TRICARE/CHAMPVA is usually the second payer when a beneficiary is enrolled in other health insurance plans.

t or f?

Back 90

true

Front 91

TRICARE is considered primary to medicare for people younger than age 65 who have Medicare part A as a result of a disability and who have enrolled in Medicare Part B

t or f?

Back 91

false

Front 92

TRICARE, formerly known as CHAMPUS, is funded through...

Back 92

Congress

Front 93

The 3 choices of health care coverage for families of active duty military personnel, military retirees, and their dependents are....

Back 93

TRICARE Standard, TRICARE Prime, and TRICARE extra

Front 94

The healthcare maintenance organization provided for dependents of active duty military personnel is called...

Back 94

TRICARE Prime

Front 95

People NOT entitled to benefits under TRICARE are

Back 95

CHAMPVA beneficiaries

Front 96

What is the system called that TRICARE claims processors use to verify beneficiary eligibility?

Back 96

DEERS

Front 97

a nas is a

Back 97

certification from a military hospital stating that it cannot provide the necessary care

Front 98

Health care professionals who may treat a tricare patient are

Back 98

doctors of medicine, doctors of osteopathy, psychologists

Front 99

A physician who chooses not to participate in TRICARE bills.....

Back 99

no more than 115% of the TRICARE allowable charge.

Front 100

Enrollment for tricare prime is for how long a time?

Back 100

1 year at a time

Front 101

The physician who is responsible for coordinating and managing all of the health care for the TRICARE PRIME patient is referred to as a/an

Back 101

PCM

Front 102

CHAMPVA is a/an

Back 102

service benefit program

Front 103

The wife of a veteran with a total permanent disability resulting from a service connected injury is eligible for champva benefits as long as...

Back 103

as long as shes not eligible for tricare standard and as long as shes not eligible for medicare part A

Front 104

The Privacy Act of 1974 establishes an individuals right to review his or her medical records maintained by a

Back 104

federal medical care facility, va hospital,U.S Public health service facility.

Front 105

The time limit within which a TRICARE outpatient claim must be filed is

Back 105

within 1 year from the date a service is provided

Front 106

TRICARE prime and TRICARE Extra claims are

Back 106

Filed by a provider to a tricare subcontractor

Front 107

the actibve duty service member whose family members are covered under TRICARE is called the ___________

Back 107

Sponser

Front 108

Indviduals who qualify for TRICARE are known as

Back 108

beneficiaries

Front 109

A certification from a military hospital stating that it cannot provide the care needed is called a

Back 109

Nonavailability Statement (NAS)

Front 110

all dependents _______ years of age or older are required to have a Uniformed Services (military) identification card

Back 110

10