Deck 8: CVPM

Question 1

In regards to the health of employees and volunteers in a Veterinary Hospital, the Occupational Safety and Health Administration (OSHA) tasks Veterinary owners and managers with which of the following responsibilities?

A)The creation and implementation of a written plan that describes compliance with OSHA hazard communication regulations
B)The design and implementation of a verbal communication that complies with OSHA hazard communication standards
C)The creation and inspection of state Veterinary legislation to ensure compliance with federal law
D)The implementation of the Pregnancy Discrimination Act, Title VII, and state statutes, which specifically regulate maternity leave policies.

Answer 1

The creation and implementation of a written plan that describes compliance with OSHA hazard communication regulations

Question 2

When considering the job hazards that may affect the health of employees or volunteers in the veterinary practice in which they are employed, which three categories of hazards are recognized and mandated by federal law?

A)Biological, zoonotic, and chemical
B)Physical, chemical, and biological
C)Environmental, physical, and chemical
D)Teratogenic, biological, and zoonotic

Answer 2

Physical, chemical, and biological

Question 3

When considering compliance with the Occupation Safety and Health Administration regulations, it is essential for employers to conduct and document which of the following two steps in employee management?

A)Orientation and training
B)Training and documentation
C)Indoctrination (training) and counseling during high-risk situations
D)Training and injury and illness reports

Answer 3

Indoctrination (training) and counseling during high-risk situations

Question 4

Which of the following tasks are considered to be an administrative control by the Occupational Safety and Health Administration (OSHA), as an approach for reducing worker exposure to waste gases (other than through the use of engineering controls, work practices, or personal protective equipment)?

A)Institute a program of routine inspection and regular maintenance of equipment
B)Implement a monitoring program to measure airborne levels of waste gases in the breathing zone or immediate work area
C)Encourage or promote the use of scavenging systems in all anesthetizing locations where inhaled agents are used
D)All of the above

Question 5

Where large accidental spills of a halogenated anesthetic agent occurs and there is insufficient ventilation to adequately reduce airborne levels of the halogenated agent, which of the following choices represents a type of personal protective equipment that should be provided for use during cleanup?

A)Any type C supplied-air respirator
B)Gloves and goggles
C)Face shields, and chemical protective clothing
D)All of the above

Question 6

Which federal act is responsible for the enforcement and regulation of the manufacturing, distribution, dispensing, and delivery of veterinary drugs that have the potential for abuse of causing physical dependence in humans?

A)The Federal Legend Drug Act
B)The Federal Controlled Substances Act
C)The Federal Veterinary Chemical Dependence Act
D)The Federal Drug Enforcement Act

Question 7

Material Data Safety Sheets are produced by which of the following organizations?

A)Occupational Safety and Health Administration
B)The Federal Drug Administration
C)Veterinary hospitals
D)Chemical and drug manufacturers

Question 8

Which of the following situations constitutes veterinary extra-label drug use?

A)The use of amoxicillin in a cat with an upper respiratory infection, that is labeled for use it cats
B)The use of Baytril in a dog with bite wounds, which is labeled for small animal use only
C)The use of ivermectin in a swine with chronic diarrhea, which is labeled for use on livestock
D)The use of Amitraz for treating demadex mange on a dog, which is labeled for use on cattle

Question 9

Under the Food, Drug, and Cosmetic Act, regulatory action will be taken against anyone (including farmers treating their own animals) whose extra-label use of a drug results in tissue residue in the food chain, unless which of the following conditions has been met?

A)A veterinarian deems that the life of the animal is immediately threatened
B)A permit is acquired through the Food and Drug Administration
C)The use is reported to the United States Department of Agriculture and withdrawal times are observed
D)The use is reported to the market in which the food animal is being sold or slaughtered

Question 10

Which of the following is a basic way that a Veterinary approved drug can be placed in the Food and Drug Administration's category of prohibited drugs for use in food producing animals?

A)A veterinary complaint of adverse reaction from the ingestion or handling of a drug
B)No means of determining tissue residue levels exist and the residue may be harmful to humans
C)Consistent and long term extra-label use of a drug by Veterinary practitioners
D)No field testing or FDA compliance exists and safety to humans may be an issue

Question 11

In the past few years, the Food and Drug Administration has taken action against large animal practitioners for the extra-label use of Chloramphenicol in food producing animals. As a drug that is known to cause a type of fatal blood dycrasia in humans, what federal act is this action directly in violation of?

A)The Federal Trade Commission Act
B)Sherman Act
C)Food, Drug, and Cosmetic Act
D)Criminal Fines Act of 1984

Question 12

Who is responsible for monitoring and enforcing the control and operations of surgical laser hazards?

A)Veterinary Practice Manager (VPM)
B)Lead Technician
C)Laser Safety Officer (LSO)
D)Surgeon

Question 13

What types of Veterinary products are not subject to Federal regulation under the Food, Drug, and Cosmetic (FD&C) Act?

A)Grooming products used for cleaning animals
B)Any therapeutic product that is used topically only
C)Antibiotic products used for treating infection
D)Systemic fungicides used for treating various mycoses

Question 14

Which of the following best describes a characteristic of a legend drug?

A)Requires a special form (DEA) to be completed prior to ordering
B)May only be used by or under the supervision of a licensed Veterinarian
C)A current controlled substance license number must be on file with the vendor when an order is placed
D)May be used or prescribed in any manner that a licensed Veterinarian deems appropriate

Question 15

During a surgical procedure that utilizes an electrosurgical unit, which of the following is a unique hazard that hospital employees may encounter?

A)Skin rash
B)Eye and lung irritation
C)Nerve damage
D)Paralysis

Question 16

The Code of Federal Regulations requires that the manufacturing label of any prescription drug contain which of the following?

A)The name of the plant where it was manufactured
B)The clients full name
C)The name of the veterinary hospital dispensing the drug
D)A control or lot number

Question 17

The Food and Drug Administration's Center for Veterinary Medicine is responsible for regulating most animal health products and what else?

A)Animal feeds
B)Animal pesticides
C)Animal husbandry laws
D)Food animal meat quality

Question 18

The United States Department of Agriculture has primary authority over the regulation of which division of animal health products?

A)Insecticides
B)Biologicals
C)White goods
D)Pharmaceuticals

Question 19

Which of the following options is the correct term for the legal principle by which judges, in a court of law, are obliged to respect the legal precedents established by prior decisions?

A)Moral standards
B)Stare decisis
C)Ethics law
D)Duty to render

Question 20

How does the Occupational Safety and Health Administration's (OSHA) Blood borne Pathogens Standard apply to traditional veterinary hospitals?

A)It does not apply at all because animal blood is not covered by the rule
B)It requires the reporting of employee exposure to blood from an animal that is infected with a contagious or communicable disease
C)It mandates that employees must be notified in writing of exposure to blood borne pathogens that they have been exposed to and seek medical care within 24 hours of exposure
D)It imposes serious fines on practices that do not provide proper protective clothing to prevent the risk of spreading blood borne communicable disease

Question 21

What level of emergency care are veterinary practices legally obligated to provide on an injured animal presented to an emergency care facility?

A)Level 1 trauma
B)Level 2 trauma
C)Level 3 trauma
D)None

Question 22

In practice of veterinary medicine, which states have passed legislation addressing the issue of the allowing veterinarians to euthanatize a perfectly healthy animal upon client request?

A)All 50 states
B)Florida, Mane, Georgia, Alabama, California
C)Main, Alabama, South Carolina, Virginia
D)Florida and California

Question 23

In all 50 states, criminal law defines the boundaries of a legal relationship between two categories of entities. Which of the following choices accurately reflects the two categories of relationships that are applied to criminal law?

A)State Representation and Business Organization
B)Individual and Society
C)Society and Public Welfare
D)Business organization and Individual

Question 24

In the United States, civil law has two major subdivisions that govern veterinary practices. These laws are used to charge criminals and set examples within our court systems. What are they?

A)Criminal law and civil law
B)Contract law and criminal law
C)Contract law and tort law
D)Tort law and personal property law

Question 25

Contract law deals with duties set by individuals because of a contractual agreement; whether on paper, a handshake or oral. A failure to fulfill this agreement, such as when a client refuses to pay the charges rendered for veterinary care, can create the potential breaching of duty. Under what law could a veterinary practice file a lawsuit against a client for non-payment of services?

A)Criminal law
B)Ethics law
C)Real estate law
D)Civil law.

Question 26

The Hazard Communication Standard requires the practice leadership to maintain what type of document on file for each hazardous substance on their hazardous materials list?

A)Toxic Drug Safety Sheets (TDSS)
B)Hazard Communication Standard Sheets (HCSS)
C)Material Data Safety Sheets (MSDS)
D)Hazardous Materials Sheets (HMS)

Question 27

Barksalot has been elected to serve on the state veterinary board for licensing. He is enthusiastic about providing a great service to his community. What will Dr. Barksalot's primary responsibility be when serving on this board?

A)To write new laws governing state practices
B)To uphold veterinary minimum standards
C)To find a new golf partner
D)To file lawsuits for the Human society

Question 28

Mandy has worked at Dr. Houndog's practice for years. Although she is not a licensed veterinary professional, she has learned a lot about the field of veterinary medicine. Mandy has been instructed to give a vaccination to a patient, while Dr. Houndog is on the premise. What level of supervision is present in the scenario that would make it legally permissible for Mandy to vaccinate a client's animal?

A)Instrumental supervision
B)Standard supervision
C)Direct supervision
D)Premise supervision

Question 29

Which vaccine is mandated by law in every state, due to the increasing concerns for the public's health and safety?

A)Distemper
B)Necrotizing Staphylococcus
C)Parvovirus
D)Rabies

Question 30

What area does a practice manager frequently deal in, that involves policies, procedures, and risk management?

A)Administration of practice
B)Organization of practice
C)Client retention
D)Revenue maximization

Question 31

In the legal case heading "Brown v. The Board of Education", what does the v stand for?

A)Versus
B)Virus
C)Verse
D)Venture

Question 32

Which of the following choices is a part of The American Veterinary Medical Association Model Practice Act's definition of veterinarian-client-patient-relationship?

A)A diagnosis, which must be permanently entered into the patient medical record
B)The veterinarian has recently seen or is acquainted with the keeping and care of the animal(s)
C)A written treatment plan, which must include all recommendations and medications
D)All of the above

Question 33

Both the Federal government and the Food and Drug administration are serious about the veterinarian's duty to assure that prescription drugs are dispensed properly and only in the presence of a valid veterinarian-client-patient-relationship. Which law provides for fines, upwards of $100,000, for veterinarians found guilty of violating the FD&C Act?

A)FD&C Penalty Act of 1992
B)Veterinary Felony Act of 1987
C)Criminal Fines Act of 1984
D)Fraudulent Prescription Act of 1996

Question 34

Which of the following are recommended techniques when dealing with the angry or irate client?

A)Remove the client from the waiting room to a private area
B)Ask the client not to return, essentially "fire" the client
C)Never acknowledge the clients anger
D)Give the client advice, and if it is safe to do so, touch the client in a way that projects understanding

Question 35

Which of the following represents a reason that it is difficult to predict the outcome of case law proceedings pertaining to veterinary cases?

A)Case law is based on appellate law
B)Case law is based on fact only
C)Case law is based on legal opinion and subject to interpretation
D)Case law is based on which party the judge finds the most credible

Question 36

When considering veterinary negligence and malpractice disputes, case law and precedents are set at which of the following trail levels of the court system?

A)Criminal level
B)Civil level
C)Appellate level
D)Public level

Question 37

In the United States, which court is the highest in the land?

A)Circuit court
B)Chancery court
C)Magistrates court
D)Supreme court

Question 38

In which United States court are most veterinary lawsuits heard?

A)County court
B)Justice of the Peace
C)Appellate court
D)Traffic court

Question 39

If you are a managing a veterinary practice, and wish to file a lawsuit against a client for unpaid services under $5000.00, in which court would your case go to trial?

A)Appellate court
B)Court of appeals
C)County court
D)Special court

Question 40

Client walk-ins have the potential to throw an appointment schedule into disarray; however, the walk-in client is important to the practice. What protocol is most appropriate to follow in the event of an unscheduled walk-in?

A)A walk-in client should be shown into an exam room, and seen at the first available opportunity
B)The veterinarian can shorten time from a filled appointment, in order to steal time for the walk-in
C)The walk-in should be scheduled to come back for an appointment
D)A walk-in client should never be taken before a client who is waiting for a scheduled appointment and they should be advised of the wait

Question 41

Under the current law, which of the following choices represents a veterinarians greatest risk for legal liability?

A)Injury to an employee
B)Injury to a client
C)Medical malpractice
D)Disability

Question 42

Which of the following is a consideration when training front desk staff to place a telephone caller on hold?

A)The hold button should be accompanied by a recorded message giving the caller a chance to leave a voicemail
B)No caller should ever be placed on hold without first being able to state the purpose of their call
C)A caller should never be placed on hold; an extra person should be assigned to answer telephoned during busy times
D)The greeting and hold request should be short and to the point

Question 43

According to Black's Law Dictionary, what is the correct definition of negligence?

A)The doing of an act that a person without normal prudence would find offensive in the exact same circumstances
B)The doing of an act that a person of normal prudence would not have done under similar circumstances
C)The doing of an act that an extraordinary person of abnormal prudence would have done under the exact same circumstances
D)The doing of an act that a person of normal prudence would have done under similar circumstances

Question 44

When considering the law of negligence, how does it pertain to professional behavior?

A)It pertains to the way a professional handles a malpractice suit
B)It pertains to all aspects of a professional's life and business
C)It pertains to the way professionals run their businesses
D)It pertains to the way professionals run their lives

Question 45

A client presents a patient for emergency care and is unable to pay for the necessary medical care. Which option below best represents the ramifications of denying emergency medical care to this patient?

A)Revocation of American Animal Hospital Association certification
B)Medical malpractice suit
C)State Veterinary Board disciplinary action
D)Moral indignation and bad public relations

Question 46

Which of the following is NOT an example of omission in a veterinary malpractice lawsuit?

A)Failure to utilize a cardiac monitor
B)Failure to perform vaginal cultures on a herd of cattle
C)Failure to perform a urinalysis
D)Failure to properly file the patient medical record

Question 47

In order to ensure the highest level of client service, the telephone at the reception desk should always be answered within how many rings?

A)3
B)1
C)5
D)10

Question 48

In the process of a veterinary lawsuit, what are the most common expenses that a client may seek an award for?

A)Pain and suffering
B)Veterinary bills
C)Time lost from work
D)Personal expenses

Question 49

The purpose of federal and state antitrust legislation is to preserve the underlying principle that our nation shall function under which of the following?

A)The article of free speech
B)A monopolized business environment
C)A competitive business economy
D)All of the above

Question 50

In the event of a violation of antitrust laws, the Department of Justice initiates most legal proceedings under which of the following?

A)First Amendment
B)State law
C)Second Amendment
D)Federal law

Question 51

In addition to the antitrust division of the Department of Justice, who else may initiate action under federal antitrust statutes?

A)Private litigants
B)Public affairs
C)Federal Bureau of Investigation
D)ASPCA

Question 52

The Federal Trade Commission and the courts are responsible for the interpretation and application of the competitive objectives of which of the following?

A)Congress
B)Antitrust laws
C)Federal government
D)Local municipality

Question 53

Assume that a client has called regarding a patient that has had an episode of diarrhea. The client asks the receptionist what they can do at home to treat their pet. Which of the following is an appropriate response to this type of inquiry?

A)Inform the client that they need to bring in a stool sample
B)Inform the client that they can administer any over the counter anti diarrhea medication ONCE, and if it does not improve within 24 hours to call back
C)Inform the client to withhold food for 24 hours and call back if there is no improvement
D)Inform the client that there are many causes of diarrhea and the best thing to do is to bring the patient in for an examination

Question 54

What are the four main types of moral problems that veterinary medical professionals face?

A)Peers, clients, animals, society
B)Peers, family, clients, animals
C)Family, clients, society, animals
D)Coworkers, family, society, animals

Question 55

When a licensed veterinarian is considering moving to another state, they must consider in which states their license to practice medicine will reciprocate to. How many states offer reciprocity, without an exam?

A)5
B)6
C)7
D)9

Question 56

When a veterinarian applies for a state license to practice veterinary medicine for the first time, how many states will waive the state portion of the examination?

A)6
B)5
C)1
D)None

Question 57

If a client's dog is confiscated by animal control for chasing cars alongside the interstate, what term of animal confinement would be used to describe this situation?

A)Hot Dog on I-4
B)Animal control
C)Animal confinement
D)Running at large

Question 58

Which of the following choices is an example of social media marketing in the veterinary practice?

A)Yellow pages
B)Facebook
C)State veterinary medical association newsletter
D)Reminder cards

Question 59

Which two United States courts, in which veterinary cases may be heard, are classified as trail courts?

A)County court and special court
B)Intermediate court and juvenile court
C)County court and district court
D)State court and magistrates' court

Question 60

When a veterinarian applies for a veterinary license for the first time, which of the following three items is required?

A)Application, diploma, and passport
B)Application, diploma, and certification of graduation
C)Application, copy of driver's license, diploma
D)Application, license, diploma

Question 61

According to most state laws, who may administer a Rabies vaccine to a domesticated animal?

A)The animal owner
B)Anyone with proper medical training
C)A licensed veterinarian only
D)All of the above

Question 62

Which of the following best describes a condition that afflicts veterinary health care staff in a manner that causes a decrease in productivity, the inability to focus, and the development of new feelings of incompetency and self-doubt, due to dealing with the emotional aspects of working with animals?

A)Compassion fatigue
B)Post-traumatic stress disorder
C)Human-companion animal bond
D)Acute stress reaction

Question 63

Which of the following choices represents a valid legal concern, regarding the use of computerized pet medical records in a veterinary practice?

A)Alteration of records
B)Breech of client confidentiality
C)Loss of data
D)Inaccurate entries

Question 64

In order to alleviate concerns should a veterinary malpractice suit arise, what protective measure can a practice take in order to generally satisfy a court of law that the electronic patient records are trustworthy?

A)Creating backup tapes or disks that are kept on the veterinary premises
B)Placing backup tapes or disks into an escrow account
C)Maintaining a journal of alterations as they occur
D)Institute a hospital wide policy prohibiting alterations to the patient record

Question 65

Which of the following choices represents the goal of a practice manager when performing a medical record audit and peer review?

A)Ascertain medical service compliance
B)Determine receptionist compliance
C)Evaluate the completeness of physical examination findings
D)All of the above

Question 66

For the purpose of recording transactions into financial accounts, how is amortization expense different from depreciation expense?

A)It is the cost allocation of leased equipment versus purchased equipment
B)It is the cost allocation of credit card transactions versus equipment
C)It is the cost allocation of loan interest versus amount of principle
D)It is the cost allocation of intangible versus tangible property.

Question 67

If a Veterinary staff member makes a mistake when recording information on a hand-written patient medical record, which of the following is the correct way in which to make an alteration?

A)Crossed out, dated, initialed, and an explanation recorded
B)Erased, initialed, an explanation recorded
C)Crossed out and initialed
D)The incorrect information must be left on the chart, and the correct information recorded underneath it

Question 68

When evaluating patient medical records during an audit, which of the following is a common mistake made by associate veterinarians?

A)Incomplete physical examination finding
B)Missed services either not offered or not documented
C)Incomplete medical record
D)Over-documenting commentary

Question 69

Providing a client with informed consent for procedures that will be performed on a pet is an important step in an organized Veterinary practice. What information should be included on procedural consent forms?

A)Client and patient information, procedure to be performed, and risk
B)Prognosis and risk
C)Risk, alternatives, prognosis, and potential complications
D)Risk and potential complications

Question 70

The American Animal Hospital Association (AAHA) is the only voluntary certifying organization for veterinary hospitals in the United States. What is the mission of AAHA?

A)Educate veterinarians on the latest trends and medical advancements
B)Meet the needs of veterinarians in order to provide research into controversial issues surrounding the practice of veterinary medicine
C)Educate the public as to what a high standard of veterinary medical care is
D)Meet public needs and enhance the veterinarians' ability to provide a high level of medical care, and maintain facilities with a high standard of excellence

Question 71

Non-electronic (paper) patient medical records are file either alphabetically or numerically. What advantage does a numeric filing system have for veterinary practices with a large volume of patient medical records?

A)Eliminates misfiling mistakes caused by employee spelling errors
B)Allows for a cross reference database of client names and client numbers
C)Allows for quick access when pulling patient medical records
D)Eliminates the need for purchasing a color coding system for each letter of alphabet

Question 72

From a business management perspective, what is the reason that procedural logs (radiograph, surgery, etc…) are beneficial to a veterinary practice?

A)Quality control
B)Record audits for capturing lost charges
C)Determine the amount of labor expended in each service area
D)All of the above

Question 73

Which of the following statements is TRUE regarding patient prognosis?

A)The prognosis is a final opinion and does not change during the course of treatment
B)Patient prognosis helps a client decide what level of veterinary service to engage for the patient
C)The prognosis is charted just prior to patient discharge
D)The prognosis does not affect the medical recommendation

Question 74

When establishing a new medical record system, whether manual or electronic, which of the following choices represents criteria that must be adhered to?

A)The language that is used to document information should be a personal code that cannot be easily interpreted by those outside the practice
B)A group medical record must be kept for multiple animals in the same household
C)The record must be composed as a legal document that will be admissible in a court of law
D)All medical records must be retained for a period of ten years

Question 75

For an incorporated veterinary practice, what are the retained earnings that are recorded in the liabilities section of the American Animal Hospital Association's (AAHA) chart of accounts?

A)The amount paid to partners during any given reporting period
B)The cumulative amount of net profit or net loss that has not been distributed to owners
C)The cumulative amount of the corporation's net losses and net income
D)The amount of money obtained by a corporation on the issuance of its own stock

Question 76

What type of patient medical record links all recorded information to various patient health problems as they arise?

A)Problem Oriented Patient Medical Record (POMR)
B)Electronic (paperless) medical record system (EMRS)
C)Source Oriented Patient Medical Record (SOMR)
D)Combination of SOMR, POMR, and EMRS

Question 77

When utilizing the Problem-Oriented Patient Medical Record (POMR) format, in which section are "SOAP" notes recorded?

A)Major / minor problem section
B)Progress section
C)The defined database section
D)The plan section

Question 78

Repairs and building maintenance are recorded into which financial account, based on the American Animal Hospital Association's (AAHA) chart of accounts?

A)Building depreciation expense
B)Occupancy expenses
C)Other expenses
D)Cost of goods and services

Question 79

If an employee wanted to find the most recent information for client communication regarding a specific patient, under which section of the patient medical record would they look?

A)The "S" section of SOAP
B)The "O" section of SOAP
C)The "A" section of SOAP
D)The "P" section of SOAP

Question 80

When combining the SOMR and POMR medical record format, what elements should be present in order to ensure accuracy and continuity of information?

A)Major problem list, vaccine history, and exam findings organized into SOAP format
B)Medical history, vaccine history, and chief complaint on leading page
C)Major problem list, vaccine history, and exam findings organized into ADR format
D)Client and patient data on leading page