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For purposes of the Physician Assistant Jurisprudence Examination:
- The Physician Assistant Act is contained in Title 3, Chapter 204, Texas Occupations Code;
- “Board Rule” refers to the Rules of the Texas Medical Board, 22 Tex. Admin. Code Part 9;
- “Physician Assistant Board” or “Board” means the Texas Physician Assistant Board;
- “§” is an abbreviation for section, “§§” is the plural form;
- “physician assistant” means a person holding a Texas physician assistant license.
Physician Assistant Jurisprudence Examination
The examination you take will be composed of 50 questions, randomly selected
from the questions listed below. You will have 90 minutes to take the exam.
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?
References: 204.153, Occ. Code; Board Rule 185.4(a)
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 (ARC- PA) 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;
Having passed a jurisprudence examination approved by the Physician Assistant Board.
Question:
E
Answer: Successful completion of a four year degree program at an accredited college or university is not a requirement for licensure.
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.
References: Board Rule 185.4(a)(11)
A (1);
B (1) and (2);
C (1), (2) and (3);
D (2) and (3);
None of the above. E
Answer: All three are true.
The state entity that issues physician assistant licenses to applicants who have met all requirements for this license is:
References: 204.101(3), Occ. Code
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;
None of the above.
Question:
E
Answer: The state entity that issues physician assistant licenses to applicants who have met all requirements for this license is the Texas Physician Assistant Board.
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.
References: 204.003, Occ. Code
A (1);
B (2);
C (1) and (2);
D Neither (1) or (2) is true.
E
Answer: 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.
Physician assistants licensed under the Physician Assistant Act must register and pay a fee:
References: Board Rule 185.6(a), (f)
A Biennially;
B Semi-annually;
C Annually on a staggered basis;
D Annually by December 31;
None of the above.
Question:
E
Answer: Physician assistants licensed under the Physician Assistant Act must register and pay a fee annually on a staggered basis.
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.
References: Board Rule 185.6(a), (b)
A (1);
B (2);
C (1) and (2);
D (2) and(3);
(1), (2) and (3). E
Answer: 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.
A physician assistant whose license has expired:
References: 204.156(c), Occ. Code; Board Rule 185.6(g)
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;
None of the above.
Question:
E
Answer: A physician assistant whose license has expired may not practice after the expiration date of the license.
If a physician assistant's license has been cancelled solely for failure to renew within the specified time after its expiration date:
References: Board Rule 185.5, 185.
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;
None of the above. E
Answer: 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.
The amount of continuing medical education (CME) that must be completed and documented for renewal of the physician assistant license is:
References: Board Rule 185.6(b)(1)
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;
None of the above.
Question:
E
Answer: 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.
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.
References: Board Rule 185.6(b)(3)
A (1), (2) and (3);
B (1), (3) and (4);
C (2), (3) and (4);
D (2) and (4);
(1), (2), (3) and (4). E
Answer: A physician assistant may be exempt, subject to approval by the licensure committee of the Board, from the annual minimum continuing medical education requirements in case of catastrophic illness, military service of longer than one year, residence of longer than one year outside of Texas, or for good cause showing that the physician assistant is unable to comply with the requirements.
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)?
References: Board Rule 185.6(b)(1)
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;
Informal self-study.
Question:
E
Answer: 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.
A physician who becomes a supervising physician:
References: 204.204; 157.060, Occ. Code; Board Rule 185.2(17), 185.15, & 193.6(m)
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;
None of the above. E
Answer: 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.
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.
References: 204.205, Occ. Code
A (1);
B (1) and (2);
C (1), (2), and (3);
D (2), (3), and (4);
(1), (2), (3), and (4).
Question:
E
Answer: A physician who has an active license and has never been disciplined by the Texas Medical Board and 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 can be supervising physicians.
A supervising physician must:
References: 204.205, Occ. Code; Board Rule 185.2(17), 185.
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;
None of the above. E
Answer: A supervising physician must notify the Medical Board of the physician's intent to supervise a physician assistant.
If a supervising physician will be unavailable to supervise the physician assistant as required by the Physician Assistant Act and Board rules:
References: Board Rule 185.13(d)
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;
None of the above.
Question:
E
Answer: 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.
Before beginning practice, each physician assistant licensed by the state must notify the Physician Assistant Board. The notice is sufficient:
References: Board Rule 185.
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;
None of the above. E
Answer: 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.
A physician assistant shall notify the Board of changes regarding his or her supervising physician:
References: 204.201, Occ. Code
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;
None of the above.
Question:
E
Answer: 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.
A physician assistant shall inform the Board of address changes:
References: Board Rule 185.6(h)
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;
None of the above. E
Answer: A physician assistant shall inform the Board of address changes within two weeks of the effective date of the address change.
The scope of practice of a physician assistant includes providing:
References: 204.
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;
None of the above.
Question:
E
Answer: 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.
Except for prescribing medications, medical services, if within the scope of practice of the physician assistant, may be performed by a physician assistant:
References: 204.202(c), Occ. Code
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;
None of the above. E
Answer: 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.
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?
(1) a physician assistant may perform medical tasks under the supervision of any physician who is also performing volunteer work in the disaster;
(2) a physician assistant may perform medical tasks without the supervision of a physician; (2a) if a physician is not available to provide supervision; (2b) only if the medical tasks performed by the physician assistant are within the scope of tasks assigned to the physician assistant during his or her regular work hours; (2c) only if the medical tasks performed by the physician assistant are not performed for compensation or other remuneration.
References: 204.2045, Occ. Code
A (1) and (2a);
B (2a) and (2b);
C (1), (2a), and (2b);
D (1), (2a), and (2c);
(1), (2a), (2b), and (2c).
Question:
E
Answer: 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.
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;
None of the above. E
Answer: A dangerous drug includes all drugs, other than controlled substances, that may only be dispensed by prescription under federal or state law.
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
Answer: 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.
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;
None of the above. E
Answer: The authority of a physician assistant: with regard to refills, the refill may only be authorized after consultation with the delegating physician.
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.
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;
None of the above.
Question:
E
Answer: 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.
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.
References: 157.052, 157.054, Occ. Code; Board Rule 185.
A (1);
B (2);
C (1) and (2);
D (1) and (3);
(1), (2) and (3). E
Answer: 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.
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.
References: 157.053, Occ. Code
A (1) and (2);
B (2) and (3);
C (3) and (4);
D (1), (3) and (4);
(1), (2), (3) and (4).
Question:
E
Answer: 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.
