Texas Medical Board Physician Assistant Jurisprudence Exam Review

Front 1

To be eligible to be licensed as a physician assistant, an applicant must meet several requirements. Which of the
following is not a requirement for licensure?

A Successful completion of an educational program for physician assistants or surgeon assistants
accredited by the Accreditation Review Commission for the Education of Physician Assistants (ARCPA)
or by that committee's predecessor or successor entities;
B Successful completion of a four year degree program at an accredited college or university;
C Holding a certificate issued by the National Commission on Certification of Physician Assistants;
D Being of good moral character;
E Having passed a jurisprudence examination approved by the Physician Assistant Board.

Back 1

Successful completion of a four year degree program at an accredited college or university is not a
requirement for licensure.

Front 2

Regarding eligibility to be licensed as a physician assistant, which of the following are true?
(1) there is a requirement that applicants pass the jurisprudence examination with a score of 75 or better within
three attempts;
(2) an applicant who is unable to pass the jurisprudence examination within three attempts must appear before a
committee of the Board to address the applicant's inability to pass the examination and to re-evaluate the
applicant's eligibility for licensure;
(3) it is at the discretion of the committee to allow an applicant additional attempts to take the jurisprudence
examination.

Back 2

All three are true.

Front 3

The state entity that issues physician assistant licenses to applicants who have met all requirements for this
license is:

A The Texas State Board of Medical Examiners;
B The Texas Medical Board;
C The Texas State Board of Physician Assistant Examiners;
D The Texas Physician Assistant Board;
E None of the above.

Back 3

The Texas Physician Assistant Board

Front 4

Regarding the membership of the Physician Assistant Board, which of the following are true?
(1) the Board consists of nine members appointed by the governor with the advice and consent of the senate;
(2) all members of the Board must be practicing physician assistants;
(3) at least one member of the Board must be a physician who supervises physician assistants;
(4) at least three members of the Board must be public members who are not licensed as either a physician or a
physician assistant.

Back 4

The Physician Assistant Board consists of nine members appointed by the governor with the
advice and consent of the senate, and at least three members of the Board must be public
members who are not licensed as either a physician or a physician assistant.

Front 5

A person may not practice as a physician assistant in Texas unless the person:

A Is licensed as a physician assistant in Texas or is licensed as a physician in Texas or another state;
B Is licensed as a physician in another state or a foreign country bordering the United States;
C Is licensed as a physician assistant in Texas;
D Is licensed as a physician assistant in Texas or is licensed as a physician assistant in another state
with reciprocity with Texas;
E None of the above.

Back 5

A person may not practice as a physician assistant in Texas unless the person is licensed as a
physician assistant in Texas.

Front 6

Which of the following are true? A person is not required to hold a Texas physician assistant license:
(1) to practice as a technician, assistant, or employee of a physician who performs delegated tasks but does not
act as a physician assistant or represent that the person is a physician assistant;
(2) to practice as any other licensed health care worker acting within the scope of that person's license if the
person does not use the title "physician assistant" or the initials "P.A." and is not otherwise represented or
designated as a physician assistant.

Back 6

A person is not required to hold a physician assistant license: (1) to practice as a technician,
assistant, or employee of a physician who performs delegated tasks but does not act as a
physician assistant or represent that the person is a physician assistant, or (2) to practice as any
other licensed health care worker acting within the scope of that person's license if the person
does not use the title "physician assistant" or the initials "P.A." and is not otherwise represented or
designated as a physician assistant.

Front 7

Physician assistants licensed under the Physician Assistant Act must register and pay a fee:

A Biennially;
B Semi-annually;
C Annually on a staggered basis;
D Annually by December 31;
E None of the above.

Back 7

C Annually on a staggered basis;

Front 8

Which of the following are required in order for a licensed physician assistant to renew his or her license?
(1) payment of the required fee;
(2) documentation that required CME has been completed;
(3) submission of the required form and other documents required by the Board.

Back 8

In order for a licensed physician assistant to renew his or her license he or she must pay the
required fee, document that required CME has been completed, and submit the required form and
other documents required by the Board.

Front 9

A physician assistant whose license has expired:

A May continue practicing for up to 30 days after the expiration date of the license;
B May not practice after the expiration date of the license;
C May continue practicing if the physician assistant notifies the Board of his or her intention to renew
the license within 30 days;
D May not practice after a 15 day grace period for renewal;
E None of the above.

Back 9

A physician assistant whose license has expired may not practice after the expiration date of the
license.

Front 10

Which of the following are true? Practicing after the expiration date of a license and any grace period:
(1) May subject the physician assistant to a written warning;
(2) May subject the physician assistant to disciplinary action by the Board;
(3) May subject the physician assistant to criminal penalties for practicing without a license.

Back 10

Practicing after the expiration date of a license and any grace period may subject the physician
assistant to disciplinary action by the Board and may subject the physician assistant to criminal
penalties for practicing without a license.

Front 11

Which of the following are true? A person who is otherwise eligible to renew a license may:
(1) renew an unexpired license by paying the required renewal fee before the expiration date of the license;
(2) if the person's license has been expired for 90 days or less, renew the license by paying a fee in an amount
equal to one and one-half times the required renewal fee;
(3) if the person's license has been expired for longer than 90 days but less than one year, the person may renew
the license by paying to the Medical Board a fee in an amount equal to two times the required renewal fee;
(4) if the person's license has been expired for one year or longer, the person may not renew the license and it is
automatically cancelled (unless an investigation is pending).

Back 11

For a person who is otherwise eligible to renew a license, all of the four choices are true.

Front 12

If a physician assistant's license has been cancelled solely for failure to renew within the specified time after its
expiration date:

A The physician assistant may obtain a new license by complying with the requirements and procedures
for obtaining an original license;
B The physician assistant may obtain a new license by complying with the requirements and
procedures for renewal of a license;
C The physician assistant may obtain a new license only after passing the jurisprudence examination,
paying an additional fee and by complying with the requirements and procedures for renewal of a
license;
D The physician assistant may not obtain a new license in Texas after his or her license has been
cancelled;
E None of the above.

Back 12

If a physician assistant's license has been cancelled solely for failure to renew within the specified
time after its expiration date, the physician assistant may obtain a new license by complying with
the requirements and procedures for obtaining an original license.

Front 13

The amount of continuing medical education (CME) that must be completed and documented for renewal of the
physician assistant license is:

A 40 hours, at least 30 of which must be from formal courses that are designated for Category I credit by
a CME sponsor approved by the American Academy of Physician Assistants;
B 30 hours, at least 20 of which must be from formal courses that are designated for Category I credit
by a CME sponsor approved by the American Academy of Physician Assistants;
C 40 hours, at least 20 of which must be from formal courses that are designated for Category I credit
by a CME sponsor approved by the American Academy of Physician Assistants;
D 40 hours, with no requirement as to how many must be from formal courses that are designated for
Category I credit by a CME sponsor approved by the American Academy of Physician Assistants;
E None of the above.

Back 13

The amount of continuing medical education (CME) that must be completed and documented for
renewal of the physician assistant license is 40 hours, at least 20 of which must be from formal
courses that are designated for Category I credit by a CME sponsor approved by the American
Academy of Physician Assistants.

Front 14

Which of the following are reasons for which a physician assistant may be exempt, subject to approval by the
licensure committee of the Board, from the annual minimum continuing medical education requirements?
(1) catastrophic illness;
(2) military service of at least 6 months in length;
(3) residence of longer than one year outside of Texas,;
(4) for good cause showing that the physician assistant is unable to comply with the requirements.

Back 14

(1), (2), (3) and (4).

Front 15

Which of the following does not qualify as Category II continuing medical education (CME that is not required to
meet the requirements for Category I credit)?

A Attendance at hospital lectures;
B Attendance at case conferences;
C Providing volunteer medical services at the site where the physician assistant practices, if it is a site
serving a medically underserved population;
D Attendance at grand rounds;
E Informal self-study.

Back 15

Providing volunteer medical services at the site where the physician assistant practices, even if it is
a site serving a medically underserved population, does not qualify as Category II continuing
medical education.

Front 16

With respect to the supervision of a physician assistant by a physician, which of the following are true?
(1) a physician assistant may not have more than one supervising physician;
(2) a physician assistant may have more than one supervising physician;
(3) supervision of a physician assistant by a supervising physician need not be continuous if the period of
discontinuity is less than one week and occurs no more than once per year.

Back 16

(2)

Front 17

The supervision of a physician assistant:

A Requires the constant physical presence of the supervising physician where physician assistant
services are being performed;
B Does not require the constant physical presence of the supervising physician, but if not present, the
supervising physician must be easily available by radio, telephone, or another telecommunication
device;
C Requires the constant physical presence of the supervising physician if the physician assistant has
been delegated the authority to prescribe dangerous drugs;
D Does not require the constant physical presence of the supervising physician if the supervising
physician oversees the activities of, and accepts responsibility for, medical services provided by the
physician assistant;
E None of the above.

Back 17

The supervision of a physician assistant does not require the constant physical presence of the
supervising physician where physician assistant services are being performed, but, if a supervising
physician is not present, the supervising physician and the physician assistant must be, or must be
able to easily be, in contact with one another by radio, telephone, or another telecommunication
device.

Front 18

A physician who becomes a supervising physician:

A Is responsible for supervising the physician assistant, but assumes no legal liability for the services
rendered by the physician assistant;
B If he or she complies with applicable provisions of the Physician Assistant Act, assumes no legal
liability for the services rendered by the physician assistant;
C If he or she complies with applicable provisions of the Physician Assistant Act, is responsible for
supervising the physician assistant;
D Assumes responsibility and legal liability for the services rendered by the physician assistant;
E None of the above.

Back 18

A physician who becomes a supervising physician assumes responsibility and legal liability for the
services rendered by the physician assistant, but is not liable for an act of the PA solely because
the physician signed an order or protocol authorizing the PA to provide, carry out, or sign a
prescription drug order.

Front 19

Which of the following physicians can be the supervising physician of a physician assistant?
(1) a physician who has an active license and has never been disciplined by the Texas Medical Board;
(2) a physician who has an active license but was disciplined (required to pay an administrative penalty of $500)
by the Texas Medical Board for failing to timely provide properly requested medical records to a patient;
(3) a physician who has an active license but was disciplined (required to give up his schedule II and III
prescribing authority) for prescribing controlled substances to several patients who exhibited drug-seeking
behavior;
(4) a physician who has an active license but was disciplined (required to give up his prescribing authority for all
scheduled drugs) for prescribing controlled substances to several patients who exhibited drug-seeking behavior.

Back 19

(1) and (2)

Front 20

A supervising physician must:

A Notify the Medical Board of the physician's intent to supervise a physician assistant;
B Appear before a committee of the Medical Board to obtain approval of a request to supervise a
physician assistant;
C Notify the Physician Assistant Board of intent to supervise a physician assistant, and obtain Board
approval;
D Appear before a committee of the Physician Assistant Board to obtain approval of a request to
supervise a physician assistant;
E None of the above.

Back 20

A supervising physician must notify the Medical Board of the physician's intent to supervise a
physician assistant.

Front 21

If a supervising physician will be unavailable to supervise the physician assistant as required by the Physician
Assistant Act and Board rules:

A The physician assistant must stop practicing and will not be able to resume practicing until the
supervising physician is again available;
B An alternate physician may provide the required supervision as provided by Board rules;
C As long as there is a physician at the practice site, the supervising physician is not required to be
available to supervise;
D As long as the supervising physician will be available within a two-week period, the practice of the
physician assistant is not affected;
E None of the above.

Back 21

If a supervising physician will be unavailable to supervise the physician assistant, an alternate
physician may provide the required supervision as provided by Board rules.

Front 22

Which of the following are required for an alternate physician to provide supervision of a physician assistant?
(1) the alternate physician must affirm in writing and document through a log where the physician assistant is
located that he or she is familiar with the protocols or standing delegation orders in use and is accountable for
adequately supervising care provided pursuant to those protocols or standing delegation orders;
(2) the log is kept with the protocols or standing orders and contains dates of the alternate physician supervision
and is signed by the alternate physician acknowledging this responsibility;
(3) the physician assistant must verify that the alternate physician is a licensed Texas physician holding an
unrestricted and active license;
(4) a physician assistant may not be supervised by an alternate physician, but must be supervised by his or her
supervising physician.

Back 22

(1), (2) and (3);

Front 23

An alternate physician may provide supervision to a physician assistant:

A For a period of up to seven days if both the alternate physician and the physician assistant comply
with the requirements of the Physician Assistant Act and Board rules;
B For a period of up to 14 days if both the alternate physician and the physician assistant comply with
the requirements of the Physician Assistant Act and Board rule;
C For a period of up to 30 days if both the alternate physician and the physician assistant comply with
the requirements of the Physician Assistant Act and Board rules;
D A physician assistant may not be supervised by an alternate physician, but must be supervised by his
or her supervising physician;
E None of the above.

Back 23

An alternate physician may provide supervision to a physician assistant if both the alternate
physician and the physician assistant comply with the requirements of the Physician Assistant Act
and Board rules, then for a period of up to 14 days.

Front 24

Before beginning practice, each physician assistant licensed by the state must notify the Physician Assistant
Board. The notice is sufficient:

A If it specifies the physician assistant’s business address and phone number;
B If it specifies business address and phone number of both the physician assistant and the
supervising physician;
C Only if it is on the form prescribed by the National Association of Physician Assistants and provides
the information requested by that form;
D Only if it is on the form prescribed by the Physician Assistant Board and provides the information
requested by that form;
E None of the above.

Back 24

The notice is sufficient only if it is on the form prescribed by the Physician Assistant Board and
provides the information requested by that form.

Front 25

A physician assistant shall notify the Board of changes regarding his or her supervising physician:

A At each renewal of his or her license;
B Not later than the 30th day after the date any change or addition occurs;
C Within a reasonable time after the date any change or addition occurs;
D If the change results in the physician assistant having no supervising physician;
E None of the above.

Back 25

A physician assistant shall notify the Board of any change in, or addition to, the person acting as
his or her supervising physician not later than the 30th day after the date the change or addition
occurs.

Front 26

A physician assistant shall inform the Board of address changes:

A Within two weeks of the effective date of the address change;
B At least two weeks before the effective date of the address change;
C Within 30 days of the effective date of the address change;
D Within a reasonable time after the effective date of the address change;
E None of the above.

Back 26

A physician assistant shall inform the Board of address changes within two weeks of the effective
date of the address change.

Front 27

The scope of practice of a physician assistant includes providing:

A All medical services that are within the education, training, and experience of the physician assistant;
B All medical services that are delegated by a supervising physician that are within the education,
training, and experience of the physician assistant;
C All medical services that are delegated by a supervising physician;
D All "medically necessary" services that are delegated by a supervising physician;
E None of the above.

Back 27

The scope of practice of a physician assistant includes providing all medical services that are
delegated by a supervising physician that are within the education, training, and experience of the
physician assistant.

Front 28

Medical services provided by a physician assistant may, if within the scope of practice of the physician assistant,
include all of the following, except:

A Ordering or performing diagnostic and therapeutic procedures;
B Formulating a working diagnosis;
C Prescribing a controlled substance (scheduled drug) for a period of up to 60(120) days;
D Assisting at surgery;
E Developing and implementing a treatment plan.

Back 28

A physician assistant may only prescribe a Schedule III, IV, or V controlled substance, and then
only for a period of up to 30 (90) days

Front 29

Medical services provided by a physician assistant may, if within the scope of practice of the physician assistant,
include all of the following, except:

A Distributing pharmaceutical sample prescription medications to patients in a specific practice setting in
which the physician assistant is authorized to prescribe pharmaceutical medications and sign
prescription drug orders;
B Exercising independent medical judgment;
C Monitoring the effectiveness of therapeutic interventions;
D Making appropriate referrals;
E Prescribing scheduled drugs (Schedules III, IV and V) if authorized by protocol or standing order.

Back 29

Medical services provided by a physician assistant may not include exercising independent
medical judgment.

Front 30

Except for prescribing medications, medical services, if within the scope of practice of the physician assistant,
may be performed by a physician assistant:

A Only in a clinic, hospital, ambulatory surgical center, patient home, nursing home, or other institutional
setting;
B In any place authorized by a supervising physician;
C Only in a clinic, hospital, ambulatory surgical center, patient home, nursing home, or other institutional
setting, and only if authorized by a supervising physician;
D Only in a clinic, hospital, ambulatory surgical center, and only if authorized by a supervising physician;

Back 30

Medical services (other than prescribing medications) provided by a physician assistant may, if
within the scope of practice of the physician assistant, be performed in any place authorized by a
supervising physician.

Front 31

During a disaster under the state emergency management plan or a disaster declared by the governor or the
United States government which of the following are true?

Back 31

During a disaster under the state emergency management plan or a disaster declared by the
governor or the United States government, a physician assistant may perform medical tasks under
the supervision of any physician who is also performing volunteer work in the disaster, or without
the supervision of a physician, if a physician is not available to provide supervision, but only if the
medical tasks performed by the physician assistant are not performed for compensation or other
remuneration.

Front 32

A "dangerous drug" includes:
References: 483.001, Health & Safety Code
A Only drugs classified as controlled substances by federal or state law;
B All drugs that may only be dispensed by prescription under federal or state law;
C All drugs, other than controlled substances, that may only be dispensed by prescription under federal
or state law;
D All drugs that have addictive potential or potential for abuse;

Back 32

A dangerous drug includes all drugs, other than controlled substances, that may only be dispensed
by prescription under federal or state law.

Front 33

A physician, by following the procedures and in the circumstances prescribed by law, may delegate to a physician
assistant the authority to prescribe which of the following?
References: 157.0511, Occ. Code
A Controlled substances listed in Schedules II, III and IV;
B Dangerous drugs, excluding those with addictive potential or potential for abuse;
C Controlled substances, excluding those with addictive potential or potential for abuse;
D Dangerous drugs and controlled substances listed in Schedules III, IV and V;
None of the above.
Question:
E

Back 33

A physician, by following the procedures and in the circumstances prescribed by law, may delegate
to a physician assistant the authority to prescribe dangerous drugs and controlled substances
listed in Schedules III, IV and V.

Front 34

The authority of a physician assistant, with appropriate delegation by a physician, to prescribe controlled
substances in the authorized schedules is limited to prescriptions for a period not to exceed:
References: 157.0511, Occ. Code
A 30 days;
B 45 days;
C 60 days;
D 90 days;

Back 34

The authority of a physician assistant, with appropriate delegation by a physician, to prescribe
controlled substances in the authorized schedules is limited to prescriptions for a period not to
exceed 90 days.

Front 35

A physician assistant may call in prescriptions to a pharmacy:
References: 157.051(2), Occ. Code
A In his or her own name after consultation with the physician;
B In his or her own name, but only dangerous drugs and only after consultation with the physician;
C In his or her own name with appropriate delegation by a physician in accordance with a standing
delegation order;
D Only on behalf of the physician and after consultation with, and as directed by, the physician;
E Only for those patients with whom the physician assistant has previously treated.

Back 35

A physician assistant may call in prescriptions to a pharmacy only on behalf of the physician and
after consultation with, and as directed by, the physician.

Front 36

The authority of a physician assistant, with appropriate delegation by a physician, to prescribe the scheduled
controlled substances whose prescription may be delegated to a physician assistant is limited as follows:
References: 157.0511, Occ. Code
A With regard to refills, the refill may only be authorized after consultation with the delegating physician;
B With regard to refills, only one refill for a period not to exceed 30 days may be authorized without
consultation with the delegating physician;
C With regard to a child of less than five years of age, the prescription may be made only after
consultation with the delegating physician;
D With regard to a child of less than three years of age, the prescription may be made only after
consultation with the delegating physician;

Back 36

The authority of a physician assistant: with regard to refills, the refill may only be authorized after
consultation with the delegating physician.

Front 37

The places a supervising physician may delegate to a physician assistant the authority to prescribe or supply
medication include which of the following?
References: 157.053, 157.0541, Occ. Code; Board Rule 185.11
A Any of the locations specified in the order or protocol under which the physician assistant practices;
B The physician's primary practice site and the physician’s alternate practice site;
C Within a ten-mile radius of either the physician’s primary practice site or alternate practice site, if
specified in the order or protocol;
D The practice site designated by the physician assistant as his or her practice site;

Back 37

The places a supervising physician may delegate to a physician assistant the authority to prescribe
or supply medication include the physician's primary practice site and the physician's alternate
practice site.

Front 38

The places a supervising physician may delegate to a physician assistant the authority to prescribe or supply
medication include which of the following?
(1) sites serving certain medically underserved populations as specified by law;
(2) sites serving exclusively chronic pain patients;
(3) a facility-based practice site, such as a hospital or nursing home, as specified by law.

Back 38

The places a supervising physician may delegate to a physician assistant the authority to prescribe
or supply medication include sites serving certain medically underserved populations as specified
by law and a facility-based practice site, such as a hospital or nursing home, as specified by law.

Front 39

For purposes of delegating prescription authority, a physician's "primary site" includes which of the following?
(1) the practice location of a physician at which the physician spends the majority of the physician’s time;
(2) a licensed hospital, a licensed long-term care facility, or a licensed adult care center where both the physician
and the physician assistant are authorized to practice;
(3) the residence of an established patient;
(4) another location at which the physician is physically present with the physician assistant or advanced practice
nurse.

Back 39

For purposes of delegating prescription authority, a physician's "primary site" includes the practice
location of a physician at which the physician spends the majority of the physician’s time; a
licensed hospital, a licensed long-term care facility, or a licensed adult care center where both the
physician and the physician assistant are authorized to practice; the residence of an established
patient; another location at which the physician is physically present with the physician assistant or
advanced practice nurse.

Front 40

To be a physician's "alternate site" for purposes of delegating prescription authority, a practice site must be:
(1) located within 100 miles of the of physician's primary (residence or) practice site;
(2) located within 75 miles of the physician’s (residence or) primary practice site;
(3) where services similar to the services provided at the delegating physician’s primary practice site are provided.

Back 40

To be a physician's "alternate site" for purposes of delegating prescription authority, a practice site
must be located within 75 miles of the physician’s primary (residence or ) practice site and where
services similar to the services provided at the delegating physician’s primary practice site are
provided.

Front 41

At a physician's primary practice site, which of the following are true? The physician may delegate prescribing
authority to a physician assistant:
(1) only as authorized through a physician’s order, a standing medical order, a standing delegation order or
another order or protocol as defined by the Medical Board;
(2) only if the physician assistant is acting under adequate physician supervision by having the physician present
at the site at all times that the physician assistant is authorized to prescribe;
(3) only if the physician assistant is acting under continuous physician supervision, but constant physical presence
of the physician is not required;
(4) only as specifically authorized for each patient by the treating physician.

Back 41

At a physician's primary practice site, the physician may delegate prescribing authority to a
physician assistant only as authorized through a physician’s order, a standing medical order, a
standing delegation order or another order or protocol as defined by the Medical Board and only if
the physician assistant is acting under continuous physician supervision, but constant physical
presence of the physician is not required.

Front 42

Which of the following are true? At any authorized practice site, the physician may delegate prescribing authority
to a physician assistant:
(1) as authorized through a physician’s order, a standing medical order, a standing delegation order or another
order or protocol as defined by the Medical Board;
(2) by a common understanding between the physician and the physician assistant of the scope of prescribing
authority delegated to the physician assistant;
(3) but only if the physician assistant is acting under adequate physician supervision as prescribed by law for the
particular practice site;
(4) but only if the physician has been the supervising physician for the physician assistant for no less than five
years.

Back 42

At any authorized practice site, the physician may delegate prescribing authority to a physician
assistant as authorized through a physician’s order, a standing medical order, a standing
delegation order or another order or protocol as defined by the Medical Board, but only if the
physician assistant is acting under adequate physician supervision as prescribed by law for the
particular practice site.

Front 43

A physician's authority to delegate the carrying out or signing of a prescription drug order at the physician’s
primary practice site is limited to which of the following?
(1) a combined number of four physician assistants or advanced practice nurses or their full-time equivalents
practicing at the physician’s primary practice site or at an alternate practice site;
(2) a combined number of five physician assistants or advanced practice nurses or their full-time equivalents
practicing at the physician’s primary practice site or at an alternate practice site;
(3) the patients with whom the physician has established or will establish a physician-patient relationship.

Back 43

Of the choices provided, a physicians authority to delegate prescriptive authority at the physician's
primary practice site is limited to a combined number of four physician assistants or advanced
practice nurses or their full-time equivalents practicing at the physician’s primary practice site or at
an alternate practice site and is limited to the patients with whom the physician has established or
will establish a physician-patient relationship.

Front 44

A physician's authority to supervise a physician assistant (without regard to the physician's authority to delegate
prescription authority) is limited to which of the following?
References: Board Rule 185.16(a)
A A combined number of three physician assistants or advanced practice nurses or their full-time
equivalents practicing at the physician’s primary practice site or at an alternate practice site;
B A combined number of five physician assistants or advanced practice nurses or their full-time
equivalents practicing at the physician’s primary practice site or at an alternate practice site;
C Except as otherwise provided Board rule for certain situations, up to five physician assistants, or their
full-time equivalents;
D Except as otherwise provided Board rule for certain situations, up to three physician assistants, or
their full-time equivalents;

Back 44

A physician's authority to supervise a physician assistant (when prescription authority has not been
delegated) is limited to five physician assistants or their full-time equivalents, except as otherwise
provided Board rule for certain situations.

Front 45

How many supervising physicians may a physician assistant have at any one time?

Back 45

There is no limitation on the number of supervising physicians a physician assistant may have at
any one time.

Front 46

With respect to physician supervision of the carrying out and signing of prescription drug orders at the physician’s
primary practice site, which of the following is true? The supervision:
(1) must conform to what a reasonable, prudent physician would find consistent with sound medical judgment;
(2) may vary with the education and experience of the particular physician assistant;
(3) may not vary with the education and experience of the particular physician assistant;

Back 46

Supervision must conform to what a reasonable, prudent physician would find consistent with
sound medical judgment and may vary with the education and experience of the particular
physician assistant.

Front 47

Under which of the following is physician supervision adequate for purposes of delegating prescription authority at
an alternate practice site? If the delegating physician:
(1) is on-site with the physician assistant at least 10 percent of the time;
(2) is on-site with the physician assistant at least 20 percent of the time;
(3) reviews at least 10 percent of the medical charts at the site;
(4) is available through direct telecommunication for consultation, patient referral, or assistance with a medical
emergency.

Back 47

(1), (3) and (4);

Front 48

Under which of the following is physician supervision adequate for purposes of delegating prescription authority at
a site serving a medically underserved population?
References: 157.052, Occ. Code; Board Rule 193.6(b)
A If it meets the requirements for physician supervision at a primary practice site;
B If it meets the requirements for physician supervision at an alternate practice site;
C Only if it meets the specific requirements set out by law for such sites;
D There is no separate site designation for a "site serving a medically underserved population;"

Back 48

Physician supervision is adequate for purposes of delegating prescription authority at a site serving
a medically underserved population only if it meets the specific requirements set out by law for
such sites.

Front 49

Under which of the following is physician supervision adequate for purposes of delegating prescription authority at
a facility-based practice site?
References: 157.054, Occ. Code; Board Rule 193.6(e)
A If it meets the requirements for physician supervision at a primary practice site;
B If it meets the requirements for physician supervision at an alternate practice site;
C Only if it meets the specific requirements set out by law for such sites;
D There are no separate legal provisions for delegating prescription authority for a facility-based
practice site, including such sites as a hospital or long-term care facility;

Back 49

Physician supervision is adequate for purposes of delegating prescription authority at a facility based
practice site only if it meets the specific requirements set out by law for such sites.

Front 50

If a delegating physician will be unavailable to supervise the physician assistant as required by law, arrangements
shall be made for another physician to provide that supervision on a temporary basis. With respect to the
alternate or substitute physician, which of the following is not true?
References: Board Rule 193.6(g)
A The physician assistant is responsible for verifying that the alternate physician is a licensed Texas
physician qualified to practice in the same or a similar specialty as the regular delegating physician;
B The physician assistant is responsible for verifying that the alternate physician is a licensed Texas
physician holding an unrestricted and active license;
C The alternate physician providing that supervision must document, through a permanent record kept
at the practice site of the physician assistant, that he or she is familiar with the protocols or standing
delegation orders in use;
D The alternate physician must document that he or she is accountable for adequately supervising
prescriptive delegation provided pursuant to the protocols or standing delegation orders;

Back 50

It is not true that the physician assistant is responsible for verifying that the alternate physician is a
licensed Texas physician qualified to practice in the same or a similar specialty as the regular
delegating physician.

Front 51

Regarding the protocol that may be used to delegate prescriptive authority to a physician assistant, as described
by Medical Board rules, which of the following are true? The protocol:
(1) may authorize diagnosis of the patient’s condition and treatment, but cannot authorize the exercise of
independent medical judgment by the physician assistant;
(2) may state the types or categories of medications that may be prescribed or the types or categories of
medications that may not be prescribed by the physician assistant;
(3) must be documented in writing and maintained as a permanent record;
(4) does not change the fact that a physician assistant remains professionally responsible for acts performed
under the scope and authority of his or her own license.

Back 51

Regarding the protocol that may be used to delegate prescriptive authority to a physician assistant,
as described by Medical Board rules, the protocol may authorize diagnosis of the patient’s
condition and treatment, but cannot authorize the exercise of independent medical judgment by the
physician assistant; may state the types or categories of medications that may be prescribed or the
types or categories of medications that may not be prescribed by the physician assistant; must be
documented in writing and maintained as a permanent record; and does not change the fact that a
physician assistant remains professionally responsible for acts performed under the scope and
authority of his or her own license.

Front 52

"Abuse" of an elderly person (age 65 and older) or a disabled person, as defined by law, includes which of the
following?
(1) injury, unreasonable confinement, intimidation or cruel punishment inflicted on the elderly or disabled person
by the person’s caretaker;
(2) injury, unreasonable confinement, intimidation or cruel punishment inflicted on the elderly or disabled person
by a family member or other individual who has an ongoing relationship with the person;
(3) sexual abuse of the elderly or disabled person, including any involuntary or nonconsensual sexual conduct,
committed by the person’s caretaker;
(4) sexual abuse of the elderly or disabled person, including any involuntary or nonconsensual sexual conduct,
committed by a family member or other individual who has an ongoing relationship with the person.

Back 52

"Abuse" of an elderly person (age 65 and older) or a disabled person, as defined by law, includes
injury, unreasonable confinement, intimidation or cruel punishment inflicted on the elderly or
disabled person by the person’s caretaker; injury, unreasonable confinement, intimidation or cruel
punishment inflicted on the elderly or disabled person by a family member or other individual who
has an ongoing relationship with the person; sexual abuse of the elderly or disabled person,
including any involuntary or nonconsensual sexual conduct, committed by the person’s caretaker;
and sexual abuse of the elderly or disabled person, including any involuntary or nonconsensual
sexual conduct, committed by a family member or other individual who has an ongoing relationship
with the person.

Front 53

Using the resources of an elderly person (age 65 and older) or disabled person, as defined by law, for monetary
or personal benefit, profit, or gain constitutes "exploitation" if which of the following are true?
(1) if the person using the resources of the elderly or disabled person has received benefits, profits or gains that
are more than "insignificant" as determined by a court of law;
(2) if the person using the resources of the elderly or disabled person is the natural heir of the elderly or disabled
person;
(3) if the person using the resources of the elderly or disabled person is a caretaker, family member or other
individual who has an ongoing relationship with the elderly or disabled person;
(4) if the person using the resources did not obtain the informed consent of the elderly or disabled person.

Back 53

Using the resources of an elderly person (age 65 and older) or disabled person, as defined by law,
for monetary or personal benefit, profit, or gain constitutes "exploitation" if if the person using the
resources of the elderly or disabled person is a caretaker, family member or other individual who
has an ongoing relationship with the elderly or disabled person or if the person using the resources
did not obtain the informed consent of the elderly or disabled person.

Front 54

"Neglect" of an elderly person (age 65 and older) or a disabled person, as defined by law, includes which of the
following?
(1) failure of a caretaker to provide to the elderly or disabled person the goods or services, including medical
services, that are necessary to avoid physical or emotional harm or pain;
(2) failure of the elderly or disabled person to provide for him- or herself the goods or services, including medical
services, that are necessary to avoid physical or emotional harm or pain;
(3) failure of a caretaker to provide to the elderly or disabled person the goods or services, excluding medical
services, that are necessary to avoid physical or emotional harm or pain.

Back 54

"Neglect" of an elderly person (age 65 and older) or a disabled person, as defined by law, includes
the failure of a caretaker to provide to the elderly or disabled person the goods or services,
including medical services, that are necessary to avoid physical or emotional harm or pain and the
failure of the elderly or disabled person to provide for him- or herself the goods or services,
including medical services, that are necessary to avoid physical or emotional harm or pain.

Front 55

Consent for emergency care of an individual is not required under which of the following situations?
(1) the individual is unable to communicate because of an injury, accident, or illness or is unconscious, and is
suffering from what reasonably appears to be a life-threatening injury or illness;
(2) a court of record orders the treatment of an individual who is in an imminent emergency to prevent the
individual’s serious bodily injury or loss of life;
(3) the individual is a minor who is suffering from what reasonably appears to be a life-threatening injury or illness
and whose parents, managing or possessory conservator, or guardian is not present.
References: 773.008 Health & Safety Code
A (1);
B (1) and (2);
C (1) and (3);
D (1), (2) and (3);
None of the above.

Back 55

Consent for emergency care of an individual is not required if the individual is unable to
communicate because of an injury, accident, or illness or is unconscious, and is suffering from
what reasonably appears to be a life-threatening injury or illness; if a court of record orders the
treatment of an individual who is in an imminent emergency to prevent the individual’s serious
bodily injury or loss of life; of if the individual is a minor who is suffering from what reasonably
appears to be a life-threatening injury or illness and whose parents, managing or possessory
conservator, or guardian is not present.

Front 56

If an adult patient in a hospital or nursing home is comatose, incapacitated, or otherwise mentally or physically
incapable of communication, certain adults may act as a surrogate for the patient in order to give consent to
medical treatment. Under state law, who of the following has the first priority for consenting to medical treatment,
if available?
References: 313.004 Health & Safety Code
A The patient’s nearest living relative;
B The patient’s parents;
C A member of the clergy identified to act for the patient;
D A majority of the patient's children;
E The patient' spouse.

Back 56

If an adult patient in a hospital or nursing home is comatose, in capacitated, or otherwise mentally
or physically incapable of communication, the patient's spouse has the first priority for consenting
to medical treatment.

Front 57

Under HIPAA, or HIPPA, which of the following is true? A patient's protected health information cannot be
disclosed:
References: 45 Code of Federal Regulations 160
A Without the patient's authorization, unless the information is more than five years old;
B Without the patient's authorization;
C Without the patient’s authorization or the authorization of the patient's insurance company;
D Without the patient's authorization, with limited exceptions for treatment, payment and health care
operations;
E None of the above.

Back 57

A patient's protected health information cannot be disclosed without the patient's authorization,
with limited exceptions for treatment, payment, and health care operations.

Front 58

HIPAA is the acronym for a federal act relating to limitations on the use and disclosure of a patient’s health
information. HIPAA stands for:
References: Public Law 104-191, 104th Congress
A Health Information Privacy and Accountability Act;
B Health Insurance Privacy and Accountability Act;
C Health Insurance Portability and Accountability Act;
D It's not HIPAA, it’s HIPPA, and it stands for Health Information Portability and Privacy Act;
E None of the above.

Back 58

HIPAA stands for Health Insurance Portability and Accountability Act.

Front 59

Given that a communication between a physician and a patient, relative to or in connection with any professional
services as a physician to the patient, is confidential and privileged and may not be disclosed except in certain
circumstances, which of the following is true regarding a record of the identity, diagnosis, evaluation, or treatment
of a patient by a physician that is created or maintained by a physician? The record:
References: 159.002, Occ. Code
A May be disclosed, with certain exceptions, by a physician assistant, because the privilege is only
between the patient and the physician;
B May not be disclosed by a physician assistant, with certain exceptions, as long as the physician
assistant is contractually bound by an agreement with his or her supervising physician;
C Is confidential and privileged by law, and may not be disclosed by a physician assistant;
D Is confidential and privileged by law, and may not be disclosed by a physician assistant except to the
extent that disclosure is consistent with the authorized purposes for which the information was
obtained;
E None of the above.

Back 59

A record of the identity, diagnosis, evaluation, or treatment of a patient by a physician that is
created or maintained by a physician is confidential and privileged by law, and may not be
disclosed by a physician assistant except to the extent that disclosure is consistent with the
authorized purposes for which the information was obtained.

Front 60

If a person has cause to believe that an elderly person (65 years of age or older) or a disabled person is in a state
of abuse, neglect, or exploitation, which of the following is true?
References: 48.051 Human Resources Code
A The person has a duty to report to the Texas Department of Family and Protective Services only if the
person is a physician;
B The person has a duty to report to the Texas Department of Family and Protective Services only if
the person is a physician assistant or an advanced practice nurse;
C The person, without regard to any professional or medical training, has a duty to report to the Texas
Department of Family and Protective Services;
D The person, without regard to any professional or medical training, has a duty to report to the Texas
Department of Aging and Disability Services;
E None of the above.

Back 60

If a person has cause to believe that an elderly person (65 years of age or older) or a disabled
person is in a state of abuse, neglect, or exploitation, the person has a duty to report to the Texas
Department of Family and Protective Services, without regard to any professional or medical
training.

Front 61

"Neglect" of a child, as defined by law, includes which of the following?
(1) the failure to seek, obtain, or follow through with medical care for a child, with the failure resulting in or
presenting a substantial risk of death, disfigurement, or bodily injury or with the failure resulting in an observable
and material impairment to the growth, development, or functioning of the child;
(2) the failure to provide a child with food, clothing, or shelter necessary to enable the child to participate in school
and other functions and activities at a level equal to the average of other children in the lowest economic quartile;
(3) the failure to provide a child with food, clothing, or shelter necessary to sustain the life or health of the child,
excluding failure caused primarily by financial inability unless relief services had been offered and refused.

Back 61

"Neglect" of a child, as defined by law, includes the failure to seek, obtain, or follow through with
medical care for a child, with the failure resulting in or presenting a substantial risk of death,
disfigurement, or bodily injury or with the failure resulting in an observable and material impairment
to the growth, development, or functioning of the child and the failure to provide a child with food,
clothing, or shelter necessary to sustain the life or health of the child, excluding failure caused
primarily by financial inability unless relief services had been offered and refused.

Front 62

Which of the following persons may consent to medical treatment of a child when the person having the right to
consent as provided by law cannot be contacted?
(1) an adult first cousin of the child;
(2) a peace officer who has lawfully taken custody of the child, if the peace officer has reasonable grounds to
believe the child is in need of immediate medical treatment;
(3) an adult aunt or uncle of the child;
(4) an adult who has actual care, control, and possession of the child and has written authorization to consent
from a person having the right to consent.

Back 62

When the person having the right to consent as provided by law cannot be contacted, a peace
officer who has lawfully taken custody of the child, if the peace officer has reasonable grounds to
believe the child is in need of immediate medical treatment; an adult aunt or uncle of the child; or
an adult who has actual care, control, and possession of the child and has written authorization to
consent from a person having the right to consent may consent to medical treatment of a child.

Front 63

Which of the following persons may not consent to medical treatment of a child when the person having the right
to consent as provided by law cannot be contacted?
References: 32.001 Family Code
A An adult brother or sister of the child;
B A grandparent of the child;
C A 16 year-old brother or sister of the child;
D The school of the child, if the school has valid written authorization to consent;
E An adult aunt or uncle of the child.

Back 63

A minor brother or sister of the child may not consent to medical treatment of a child when the
person having the right to consent as provided by law cannot be contacted.

Front 64

"Abuse" of a child, as defined by law, includes which of the following?
(1) causing, permitting, encouraging, engaging in, or allowing the photographing, filming, or depicting of the child if
the person knew or should have known that the resulting photograph, film, or depiction of the child is obscene or
pornographic;
(2) failure to make a reasonable effort to prevent an action by another person that results in physical injury that
results in substantial harm to the child;
(3) mental or emotional injury to a child that results in an observable and material impairment in the child’s growth,
development, or psychological functioning;
(4) the current use by a person of a controlled substance in a manner or to the extent that the use results in
physical, mental or emotional injury to a child.

Back 64

"Abuse" of a child, as defined by law, includes causing, permitting, encouraging, engaging in, or
allowing the photographing, filming, or depicting of the child if the person knew or should have
known that the resulting photograph, film, or depiction of the child is obscene or pornographic;
failure to make a reasonable effort to prevent an action by another person that results in physical
injury that results in substantial harm to the child; mental or emotional injury to a child that results
in an observable and material impairment in the child’s growth, development, or psychological
functioning; and the current use by a person of a controlled substance in a manner or to the extent
that the use results in physical, mental or emotional injury to a child.

Front 65

Which of the following entities is not an appropriate place for a physician assistant to report suspected child
abuse?
References: 261.103 Family Code
A The Texas Physician Assistant Board;
B The Texas Department of Family and Protective Services;
C Any local or state law enforcement agency;
D If the abuse or neglect occurred in a facility that is operated, licensed, certified or registered by a state
agency, that agency;
E None of the above.

Back 65

The Physician Assistant Board is not an appropriate place for a physician assistant to report
suspected child abuse.

Front 66

If a physician assistant has cause to believe that a child has been abused or neglected or may be abused or
neglected, which of the following is true?
References: 261.101(b) Family Code
A The physician assistant must report not later than 48 hours after he or she first suspects that the child
has been abused or neglected;
B If the physician assistant knows that another person in his place of practice, such as a nurse or a
medical assistant, is aware of the abuse or neglect, he or she may rely on that person to make a
report;
C The physician assistant may delegate to another responsible person the reporting of the abuse or
neglect;
D The physician assistant must report not later than 12 hours after he or she first suspects that the child
has been abused or neglected;
E None of the above.

Back 66

If a physician assistant has cause to believe that a child has been abused or neglected or may be
abused or neglected, the physician assistant must report not later than 48 hours after he or she
first suspects that the child has been abused or neglected.

Front 67

A physician assistant who treats a person for injuries that he or she has reason to believe were caused by family
violence is required to do which of the following?
(1) counsel the person on ways to avoid provoking violence;
(2) advise the patient that you are going to report the injury to the police;
(3) immediately provide the person with information regarding the nearest family violence shelter and document
this in the person’s medical record;
(4) document in the person’s medical record the reasons for the belief the person’s injuries were caused by family
violence and provide to the person the notice, in the form specified in the Texas Family Code, regarding their
rights and how they may be protected from family violence.

Back 67

A physician assistant who treats a person for injuries that he or she has reason to believe were
caused by family violence is required to mmediately provide the person with information regarding
the nearest family violence shelter and document this in the person’s medical record and document
in the person’s medical record the reasons for the belief the person’s injuries were caused by
family violence and provide to the person the notice, in the form specified in the Texas Family
Code, regarding their rights and how they may be protected from family violence.

Front 68

A physician assistant who has cause to believe that a resident of a nursing home or similar institution has been or
may be adversely affected by abuse or neglect:
References: 242.122, 242.125 and 242.131 Health & Safety Code
A Has a moral duty, but no legal duty, to report this information;
B If he or she works at the nursing home, has a duty to report the information to the owners or
administrators of the home, but has no further duty to report after this;
C Has a duty to report the information immediately to the Department of Health Services or a state or
local law enforcement agency, though there are no legal sanctions for failing to so report;
D Has a duty to report the information immediately to the Department of Health Services or a state or
local law enforcement agency and may be subject to a criminal penalty for failing to so report;
E None of the above.

Back 68

A physician assistant who has cause to believe that a resident of a nursing home or similar
institution has been or may be adversely affected by abuse or neglect has a duty to report the
information immediately to the Department of Health Services or a state or local law enforcement
agency and may be subject to a criminal penalty for failing to so report.

Front 69

If, following an investigation, the Board determines to officially proceed on a complaint, which of the following are
true?
(1) a panel consisting of at least two Board representatives will conduct an informal meeting or hearing, after
giving the physician assistant at least 30 days notice, to consider whether an act subject to disciplinary action has
been committed;
(2) the physician assistant will be allowed to be present at the hearing and to be heard, but will not be allowed to
have an attorney or other representative at the hearing;
(3) both the physician assistant and the complainant will be provided an opportunity to be heard at the hearing;
(4) after the conclusion of the informal proceeding, the panel will attempt to mediate the disputed matters and
make a recommendation regarding the disposition of the case without proceeding to a formal, contested case
hearing.

Back 69

If, following an investigation, the Board determines to officially proceed on a complaint, a panel
consisting of at least two Board representatives will conduct an informal meeting or hearing, after
giving the physician assistant at least 30 days notice, to consider whether an act subject to
disciplinary action has been committed; both the physician assistant and the complainant will be
provided an opportunity to be heard at the hearing; and after the conclusion of the informal
proceeding, the panel will attempt to mediate the disputed matters and make a recommendation
regarding the disposition of the case without proceeding to a formal, contested case hearing.

Front 70

In determining whether a physician assistant has committed an act subject to disciplinary action, the Board will do
which of the following?
(1) the Board will conduct a preliminary investigation of a complaint filed with the Board;
(2) on completion of the preliminary investigation, the Board will determine whether to officially proceed on the
complaint;
(3) the Board will keep the complaint and the investigation file confidential.

Back 70

In determining whether a physician assistant has committed an act subject to disciplinary action,
the Board will conduct a preliminary investigation of a complaint filed with the Board; on completion
of the preliminary investigation, the Board will determine whether to officially proceed on the
complaint; and the Board will keep the complaint and the investigation file confidential.

Front 71

If a person holds himself or herself out as a physician assistant, acts as a physician assistant or uses some
combination or abbreviation of the term "physician assistant" without meeting the legal requirements for the use of
that term, which of the following are true? The person:
(1) may be subject to discipline by the Board of Nurse Examiners if he or she has a nursing license;
(2) commits a misdemeanor punishable by a fine;
(3) commits a felony of the third degree.

Back 71

If a person holds himself or herself out as a physician assistant, acts as a physician assistant or
uses some combination or abbreviation of the term "physician assistant" without meeting the legal
requirements for the use of that term, may be subject to discipline by the Board of Nurse
Examiners if he or she has a nursing license and commits a felony of the third degree.

Front 72

A person working in a physician's office may be called a physician assistant only if:
References: 204.352, Occ. Code
A That is the official job title assigned to his or her position by the physician;
B He or she has completed the equivalent of two years of medical training and are working in the office
of a physician under the physician’s direct and constant supervision;
C He or she holds a physician assistant license issued by the Texas Physician Assistant Board;
D He or she has a medical license from another state or country, or a suspended medical license from
Texas;
E None of the above.

Back 72

A person working in a physician's office may be called a physician assistant only if he or she holds
a physician assistant license issued by the Physician Assistant Board.

Front 73

In addition to or in place of an administrative penalty imposed by the Board against a physician assistant who
violates the Physician Assistant Act or a Board rule adopted under the Act, the Board may:
References: 204.316, Occ. Code
A Order the physician assistant to pay a refund to a patient in an amount not to exceed the amount the
patient paid for the service provided;
B Order the physician assistant to pay a refund to a patient in an amount not to exceed twice the
amount the patient paid for the service provided;
C Order the physician assistant to pay a refund to a patient in an amount not to exceed three times the
amount the patient paid for the service provided;
D The Board may not order a physician assistant to refund money to a patient;
E None of the above.

Back 73

The Board may order the physician assistant to pay a refund to a patient in an amount not to
exceed the amount the patient paid for the service provided.

Front 74

The Board may temporarily suspend the license of a physician assistant:
References: 204.311, Occ. Code
A If a disciplinary panel finds that the physician assistant would, by his or her continuation in practice,
constitute a continuing threat to the public welfare, and if the physician assistant received 30 days
notice of the hearing;
B Only if the physician assistant agrees to an order of voluntary suspension after a hearing before a
disciplinary panel appointed by the presiding officer of the Board;
C Only if the physician assistant has committed a felony related to his or her practice or has caused
patient harm;
D Immediately, if a disciplinary panel appointed by the presiding officer of the Board finds that the
physician assistant would, by his or her continuation in practice, constitute a continuing threat to the
public welfare;
E None of the above.

Back 74

The Board may temporarily suspend the license of a physician assistant immediately, if a
disciplinary panel appointed by the presiding officer of the Board finds that the physician assistant
would, by his or her continuation in practice, constitute a continuing threat to the public welfare.

Front 75

The Board may impose an administrative penalty against a physician assistant who violates the Physician
Assistant Act or a Board rule adopted under the Act. The amount of the penalty:
References: Board Rule 185.19
A May not exceed $1,000 per violation;
B May not exceed, for all violations that are the subject of one investigation, a total of $5,000;
C May not exceed $5,000 per violation and may not exceed a total of $25,000;
D May not exceed $5,000 per violation, though each day a violation continues or occurs is considered a
separate violation for purposes of imposing a penalty;
E None of the above.

Back 75

The amount of an administrative penalty may not exceed $5,000 per violation, though each day a
violation continues or occurs is considered a separate violation for purposes of imposing a penalty.

Front 76

Which of the following is true regarding the disciplinary actions that may be taken by the Board against a
physician assistant? The disciplinary action:
References: 204.312, 204.313, and 204,314, Occ. Code
A May be made effective immediately upon the receipt of a letter notifying the physician assistant that
the Board has investigated a complaint and is taking the specified action;
B May, if the Board possesses sufficient information, be made effective 20 days following a showcause
notice delivered to the physician assistant’s last known address;
C May, except in the special case of a temporary suspension, be taken only after an informal hearing
before at least two members of the Board after due notice and with opportunity for the physician
assistant to respond to the allegations;
D May, if revocation is under consideration, be taken only after a hearing before at least three members
of the Board after due notice and with opportunity for the physician assistant to respond to the
allegations;
E None of the above.

Back 76

The disciplinary actions may, except in the special case of a temporary suspension, be taken only
after an informal hearing before at least two members of the Board after due notice and with
opportunity for the physician assistant to respond to the allegations.

Front 77

A physician assistant has a duty to report relevant information to the Board related to the acts of another physician
assistant in this state in which of the following situations?
References: Board Rule 185.23
A He or she is aware that the physician assistant is of questionable moral character;
B In his or her opinion, the physician assistant is monetarily defrauding the supervising physician
through inaccurate billing records;
C In his or her opinion, the physician assistant poses a continuing threat to the public welfare through
practice as a physician assistant;
D In his or her opinion, the physician assistant poses a continuing threat to the public welfare, unless his
or her contract with the place of employment provides that such reports shall be made only to the
clinic administrator or the supervising physician;
E None of the above.

Back 77

A physician assistant has a duty to report relevant information to the Board related to the acts of
another physician assistant in this state if, in his or her opinion, the physician assistant poses a
continuing threat to the public welfare through practice as a physician assistant.

Front 78

The Board shall provide a physician assistant who is the subject of a formal complaint with access to all
information in its possession subject to certain exceptions. The Board is not required to provide which of the
following?
(1) any information deemed to be too sensitive to be in the public domain;
(2) Board investigative reports;
(3) the identity of the complainant, if they are not going to testify at the hearing.

Back 78

The Board is not required to provide Board investigative reports or the identity of the complainant,
if they are not going to testify at the hearing.

Front 79

If a physician assistant, or an applicant for a physician assistant license, is found to have committed an act that is
subject to disciplinary action, the Physician Assistant Board may take which of the following actions?
(1) limit the practice of the physician assistant to one or more specified activities or exclude from the practice of
the physician assistant one or more specified activities;
(2) require the person to submit to the care, counseling, or treatment of a health care practitioner designated by
the Physician Assistant Board;
(3) order the person to perform public service;
(4) administer a public reprimand.

Back 79

The Physician Assistant Board may limit the practice of the physician assistant to one or more
specified activities or exclude from the practice of the physician assistant one or more specified
activities; require the person to submit to the care, counseling, or treatment of a health care
practitioner designated by the physician assistant board; order the person to perform public
service; and/or administer a public reprimand.

Front 80

If a physician assistant, or an applicant for a physician assistant license, is found to have committed an act that is
subject to disciplinary action, the Physician Assistant Board may take which of the following actions?
(1) deny the person's application for a license or license renewal or revoke the person's license or other
authorization;
(2) require the person to complete additional training;
(3) suspend, limit, or restrict the person's license;
(4) assess an administrative penalty.

Back 80

Physician Assistant Board may deny the person's application for a license or license renewal or
revoke the person's license or other authorization; require the person to complete additional
training; suspend, limit, or restrict the person's license; and/or assess an administrative penalty.

Front 81

The Physician Assistant Board may take action against a physician assistant who meets which of the following
criteria?
(1) has had the person's license or other authorization to practice as a physician assistant suspended, revoked, or
restricted or who has had other disciplinary action taken by another state regarding practice as a physician
assistant;
(2) has repeated or recurring meritorious health care liability claims that in the opinion of the board evidence
professional incompetence likely to harm the public;
(3) through his or her practice as a physician assistant sexually abuses or exploits another person;
(4) is removed or suspended or has disciplinary action taken by his or her peers in any professional association or
society, or is being disciplined by a licensed hospital or medical staff of a hospital if that action, in the opinion of
the Board, was based on unprofessional conduct or professional incompetence that was likely to harm the public.

Back 81

The Physician Assistant Board may take action against a physician assistant who has had the
person's license or other authorization to practice as a physician assistant suspended, revoked, or
restricted or who has had other disciplinary action taken by another state regarding practice as a
physician assistant; has repeated or recurring meritorious health care liability claims that in the
opinion of the board evidence professional incompetence likely to harm the public; through his
practice as a physician assistant sexually abuses or exploits another person; or is removed or
suspended or has disciplinary action taken by his peers in any professional association or society,
or is being disciplined by a licensed hospital or medical staff of a hospital if that action, in the
opinion of the board, was based on unprofessional conduct or professional incompetence that was
likely to harm the public.

Front 82

The Physician Assistant Board may take action against a physician assistant or an applicant for a physician
assistant license who has or has done which of the following?
(1) has a mental or physical condition that renders the person unable to safely perform as a physician assistant;
(2) has committed an act of moral turpitude;
(3) has failed to practice as a physician assistant in an acceptable manner consistent with public health and
welfare;
(4) prescribes, dispenses, or administers a drug or treatment that is nontherapeutic in nature or nontherapeutic in
the manner the drug or treatment is prescribed, dispensed, or administered.

Back 82

The Physician Assistant Board may take action against a physician assistant or an applicant for a
physician assistant license who has a mental or physical condition that renders the person unable
to safely perform as a physician assistant; has committed an act of moral turpitude; has failed to
practice as a physician assistant in an acceptable manner consistent with public health and
welfare; or prescribes, dispenses, or administers a drug or treatment that is nontherapeutic in
nature or nontherapeutic in the manner the drug or treatment is prescribed, dispensed, or
administered.

Front 83

The Physician Assistant Board may take action against a physician assistant or an applicant for a physician
assistant license who does which of the following?
(1) violates state law if the violation is connected with practice as a physician assistant;
(2) fails to keep complete and accurate records of the purchase and disposal of drugs as required by Chapter 483,
Health and Safety Code, or any subsequent rules;
(3) represents that he or she is a physician;
(4) habitually uses drugs or intoxicating liqueurs to the extent that, in the opinion of the Board, the person cannot
safely perform as a physician assistant.

Back 83

The Physician Assistant Board may take action against a physician assistant or an applicant for a
physician assistant license who violates state law if the violation is connected with practice as a
physician assistant; fails to keep complete and accurate records of the purchase and disposal of
drugs as required by Chapter 483, Health and Safety Code, or any subsequent rules; represents
that he or she is a physician; or habitually uses drugs or intoxicating liqueurs to the extent that, in
the opinion of the Board, the person cannot safely perform as a physician assistant.

Front 84

The Physician Assistant Board may take action against a physician assistant or an applicant for a physician
assistant license who is or does which of the following?
(1) violates the Physician Assistant Act or a rule adopted under that act;
(2) is convicted of a felony, placed on deferred adjudication, or placed in a pretrial diversion program;
(3) violates state law if the violation is connected with practice as a physician assistant.

Back 84

The Physician Assistant Board may take action against a physician assistant or an applicant for a
physician assistant license who violates the Physician Assistant Act or a rule adopted under that
act; is convicted of a felony, placed on deferred adjudication, or placed in a pretrial diversion
program; violates state law if the violation is connected with practice as a physician assistant.

Front 85

The Physician Assistant Board may take action against a physician assistant who does which of the following?
(1) fraudulently alters a physician assistant license, certificate, or diploma; uses a physician assistant license,
certificate, or diploma that has been fraudulently purchased, issued, or counterfeited or that has been materially
altered;
(2) directly or indirectly aids or abets a person not licensed to practice as a physician assistant in practicing as a
physician assistant;
(3) unlawfully advertises in a false, misleading, or deceptive manner.

Back 85

The Physician Assistant Board may take action against a physician assistant who fraudulently
alters a physician assistant license, certificate, or diploma; uses a physician assistant license,
certificate, or diploma that has been fraudulently purchased, issued, or counterfeited or that has
been materially altered; directly or indirectly aids or abets a person not licensed to practice as a
physician assistant in practicing as a physician assistant; or unlawfully advertises in a false,
misleading, or deceptive manner.

Front 86

The Physician Assistant Board may take action against a physician assistant who is or does which of the
following?
(1) is fired from his or her position by his or her supervising physician;
(2) writes a false or fictitious prescription for a dangerous drug;
(3) has had disciplinary action taken by another state regarding practice as a physician assistant.

Back 86

The Physician Assistant Board may take action against a physician assistant who writes a false or
fictitious prescription for a dangerous drug or has had disciplinary action taken by another state
regarding practice as a physician assistant.

Front 87

The Physician Assistant Board may take action against a physician assistant who is or does which of the
following?
(1) is rude and inconsiderate in dealing with colleagues and co-workers;
(2) violates any state law;
(3) violates the Physician Assistant Act or any rule adopted under that Act;
(4) is fired from his or her position by his or her supervising physician.

Back 87

The Physician Assistant Board may take action against a physician assistant who violates the
Physician Assistant Act or any rule adopted under that Act.

Front 88

The Physician Assistant Board may take action against a physician assistant who is or does which of the
following?
(1) is related in the second degree of consanguinity or affinity to a Board or staff member and does not report this
to the Board;
(2) has a physical or mental condition, even if this condition does not affect his or her ability to practice as a
physician assistant;
(3) acts in an unprofessional or dishonorable manner that is likely to deceive, defraud, or injure the public.

Back 88

The Physician Assistant Board may take action against a physician assistant who acts in an
unprofessional or dishonorable manner that is likely to deceive, defraud, or injure the public.

Front 89

The Physician Assistant Board may take action against a physician assistant who does which of the following?
(1) fraudulently or deceptively uses a license;
(2) falsely represents that the person is a physician;
(3) acts in an unprofessional or dishonorable manner that is likely to deceive, defraud, or injure the public.

Back 89

The Physician Assistant Board may take action against a physician assistant who fraudulently or
deceptively uses a license; falsely represents that the person is a physician; or acts in an
unprofessional or dishonorable manner that is likely to deceive, defraud, or injure the public.

Front 90

In relation to a physician assistant's patient care activities, which of the following is true?
(1) the physician assistant is legally responsible for his or her patient care activities and the supervising physician
is not legally responsible for these activities;
(2) each supervising physician retains legal responsibility for a physician assistant's patient care activities,
including the provision of care and treatment to a patient in a health care facility;
(3) if a physician assistant is employed by an entity, including a health care facility, the entity shares the legal
responsibility for the physician assistant's acts or omissions with the physician assistant's supervising physician.

Back 90

In relation to a physician assistant's patient care activities, each supervising physician retains legal
responsibility for a physician assistant's patient care activities, including the provision of care and
treatment to a patient in a health care facility and if a physician assistant is employed by an entity,
including a health care facility, the entity shares the legal responsibility for the physician assistant's
acts or omissions with the physician assistant's supervising physician.

Front 91

With regard to patient billing, which of the following are true?
References: Board Rule 185.16(b)
A The physician assistant is responsible for the accuracy of billing by the physician assistant for any
independent services;
B The physician assistant may not independently bill patients for the services provided by the physician
assistant except where provided by law;
C The supervising physician remains responsible for the accuracy of billing of patients independently
billed by the physician assistant;
D The supervising physician and the physician assistant are both responsible for the accuracy of billing
of patients independently billed by the physician assistant;
E None of the above.

Back 91

With regard to patient billing, the physician assistant may not independently bill patients for the
services provided by the physician assistant except where provided by law.

Front 92

A physician assistant shall report relevant information to the Physician Assistant Board related to the acts of
another physician assistant in this state:
References: 204.208, Occ. Code
A If the information relates to the use of alcohol or dangerous drugs by the other physician assistant;
B If the information relates to prescribing practices of the other physician assistant;
C If the information relates to the quality of care given to patients by the other physician assistant;
D If, in the physician assistant’s opinion, the other physician assistant poses a continuing threat to the
public welfare through practice as a physician assistant;
E A physician assistant may report information as provided above, but is not under a duty or
requirement to do so.

Back 92

A physician assistant shall report relevant information to the Physician Assistant Board related to
the acts of another physician assistant in this state if, in the physician assistant's opinion, the other
physician assistant poses a continuing threat to the public welfare through practice as a physician
assistant.

Front 93

Each physician assistant and the physician assistant's supervising physician are required to ensure which of the
following?
(1) that the hours of practice of the physician assistant are agreed to by the physician and the physician assistant,
subject to emergencies or other designated situations;
(2) that the relationship between the physician assistant and the supervising physician and the access of the
physician assistant to the supervising physician are defined;
(3) that a process is established for evaluating the physician assistant's performance.

Back 93

Each physician assistant and the physician assistant's supervising physician are required to
ensure that the relationship between the physician assistant and the supervising physician and the
access of the physician assistant to the supervising physician are defined and that a process is
established for evaluating the physician assistant's performance.

Front 94

Each physician assistant and the physician assistant's supervising physician are required to ensure which of the
following?
(1) that the physician assistant's scope of function is identified;
(2) that delegation of medical tasks is appropriate to the physician assistant's level of competence;
(3) that the hours of practice of the physician assistant are posted at the practice site at least one week in
advance.

Back 94

Each physician assistant and the physician assistant's supervising physician are required to
ensure that the physician assistant's scope of function is identified and that delegation of medical
tasks is appropriate to the physician assistant's level of competence.

Front 95

A physician assistant:
References: 204.203, Occ. Code; Board Rule 185.12
A Shall, when engaged in the physician assistant's professional activities, wear a name tag;
B Shall, when engaged in the physician assistant's professional activities, wear a name tag identifying
him or her as a physician assistant;
C Shall, when engaged in the physician assistant's professional activities, wear a white lab coat with a
name tag identifying him or her as a physician assistant;
D Need not wear a name tag;
E None of the above.

Back 95

A physician assistant shall, when engaged in the physician assistant's professional activities, wear
a name tag identifying him or her as a physician assistant.

Front 96

A physician assistant shall:
References: 204.203, Occ. Code; Board Rule 185.12
A Post his or her physician assistant license in a prominent place at the physician assistant's primary
place of business;
B Post his or her physician assistant license in a prominent place at the physician assistant's primary
place of business and keep a legible photocopy of the license available for inspection at each
practice location of the physician assistant;
C Keep the physician assistant's license available for inspection at the physician assistant's primary
place of business;
D Keep the physician assistant's license in a secure place that may be accessed by the supervising
physician during business hours;
E None of the above.

Back 96

A physician assistant shall keep the physician assistant's license available for inspection at the
physician assistant's primary place of business.