Texas Medical Board (TMB) Exam Preparation Guide: Key Requirements and Regulations, Exams of Nursing

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TEXAS JP EXAM 2024/2025 WITH 100% ACCURATE

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Time to report ot TMB in general - Precise Answer ✔✔30 days Time to report child abuse to TMB - Precise Answer ✔✔48hrs Time to issue birth certificate - Precise Answer ✔✔5 days Time to issue death certificate - Precise Answer ✔✔10 days Time to report communicable diseases - Precise Answer ✔✔7 days TIme to supply requested medical records - Precise Answer ✔✔15 days TMB is ___ people appointed for ____ terms by ___ - Precise Answer ✔✔19 people (12 docs, 7 non-doc); 6 year terms; governor. Docs must have been in practice 5 years MPA covers which providers - Precise Answer ✔✔Doctors only; TMB only licenses docs too

For a texas license ___ hrs college, ___ degree, passed USMLE within ____ years, completed ___ post-grad years - Precise Answer ✔✔60; MD/DO, 7 years, intern year (PGY1). Also must be at least 21 years old. License renewal is due every _____ - Precise Answer ✔✔2 years Late license renewal fines are ___ for <30 days, ___ for <90 days, ___ for < 365 days. After 1 year you must ____, and if it has been > ___ years you must start over! - Precise Answer ✔✔$0; $75; $145. Pay complete reprocessing fee. 3 years Pracice on a license expired for >___ days is a ____ ____ ___ - Precise Answer ✔✔30 days; third degree felony ____ hrs of CMA are required every 2 years; ___% formal and must include ___ medical ethics hours - Precise Answer ✔✔48; 50%, 2 hours. May carry forward up to 48 hrs for 2 years. ___ days to report name/address changes to TMB - Precise Answer ✔✔ 30 Medical malpractice insurance is/isn't required - Precise Answer ✔✔is NOT. If you have it and are sued insurance reports, otherwise you have 30 days to report

Credentialing by hospitals is determined by _____ - Precise Answer ✔✔Competancy Texas telemedicine requirements - Precise Answer ✔✔JP exam, license in good standing in another state, board certification in specialty, NOT physically practicing in TX Home health and hospice orders from ______ don't require a telemedicine licence - Precise Answer ✔✔OK, AK, LA, NM (contiguous states) You do/don't need a permit or license to provide expert opinion to other docs/for education within or across state lines - Precise Answer ✔✔do NOT Additional licensure is required for ______ or radioactive materials - Precise Answer ✔✔production, use, transport In order to eval and bill for worker's comp you need a _____ and be on the ____ list - Precise Answer ✔✔certificate of registaration; Texas dept of insurance (TDI) PITs are institution specific and you have ___ days to apply for a new one before switching institutions - Precise Answer ✔✔90 days

Process for podiatry admission - Precise Answer ✔✔needs an MD or DO Delegated medical acts/consequences are teh responsibility of the supervising phyisican. This is known as - Precise Answer ✔✔Vicarious liability Standing delegated medical orders are acceptable provided that they don't require _____ - Precise Answer ✔✔idependent medical judgement MDs may delegate outpatient rx authority to ___ midlevel full-time providers - Precise Answer ✔✔7 (or 14 if half-time). No limit if in hospital or medically underserved area In medically underserved/remote areas when a midlevel is caring for patient, doc must visit every ___ - Precise Answer ✔✔10 days Midlevels can rx schedule ___ but NOT schedule ___ - Precise Answer ✔✔III and IV. NOT II Triplicates are required for schedule ___ meds - Precise Answer ✔✔II (norco, vicodin, morphine, ritalin) If you are indicted for a felony, your license is ___, if convicted, it is ___ - Precise Answer ✔✔suspended, revoked (forever)

Medical practice withOUT a licence is this type of offence - Precise Answer ✔✔3rd degree felony Things that can licensing denial, reprimand, suspension - Precise Answer ✔✔lying, drugs/EtOH, felony conviction, metal health issues, false advertising, malpractice, dangerous rx'ing, unprofessional conduct, MPA violation _____ ____: guilty plea/verdict that is only on record temporarily - Precise Answer ✔✔Deferred adjudication. You still have to report to TMB but can petition to have documentation removed from website onced adjudication complete Rehab for self-reported drug/EtOH issues is ______ - Precise Answer ✔✔confidential. Unless it endangerd/hurt someone Crimes that need reporting to TMB in 30 days - Precise Answer ✔✔Felony convictions, drug violations, insurance fraud, misdemeanors involving moral turpitude Automatic review of license if ___ lawsuits in 5 years - Precise Answer ✔✔3 or more You must report colleagues who pose a _______ - Precise Answer ✔✔continuing threat to public welfare (if in good faith, you are immune from civil liability for reporting)

TMB notifys hospitals in ___ days if your license is restricted or suspended - Precise Answer ✔✔1 day Your license may be suspended withOUT notice or hearing if ____ - Precise Answer ✔✔concern for immediate danger to public welfare. Formal hearing must follow. You have 30 days to appeal tickets, jay-walking, speeding are ________ - Precise Answer ✔✔infractions _____: less than 1 year jail-time, no effect on civil liberties. - Precise Answer ✔✔misdemeanors. A is worst (up to 1 year prison at $4000), then B (up to 180 days and $2000), then C (no time, $500) Severity of felonies - Precise Answer ✔✔Capital (life in prison) > 1st degree (5-99 years; $10 000) > 2nd degree (2-20 years) > 3rd degree (2- 10 years) > state jail felony (180 days- 2 years;10 if deadly weapon or prior felony. Served in state jail instead of prison). Medical practice without a license: _________ felony - Precise Answer ✔✔third degree felony Selling a child: ____ felony - Precise Answer ✔✔third degree felony Sexual abuse of a nursing home patient: ____ felony - Precise Answer ✔✔second degree felony

Failure to report elder abuse: _____ misdemeanor - Precise Answer ✔✔Class A misdemeanor Failure to report child abuse: ____ misdemeanor - Precise Answer ✔✔Class B misdemeanor Violating the MPA (i.e. dangerous rx'ing): ____ misdemeanor - Precise Answer ✔✔Class A misdemeanor Soliciting/recieving kickbacks: ____ misdemeanor - Precise Answer ✔✔Class A misdemeanor Promoting a suicide: ____ offence - Precise Answer ✔✔State jail felony if patient morbidity/mortality, class C misdemeanor if no harm to patient 4 components for malpractice claim - Precise Answer ✔✔1. Duty existed, 2. Duty breached, 3. Pt harmed, 4. Breach caused harm (foreseeable and causal=proximate cause; cause in fact) Exceptions to good Samaritan law - Precise Answer ✔✔compensation received, gross negligence, cause of emergency, within scope of practice (i.e. at the hospital) You must provide at least ____ of written notice to terminate doc-pt relationship, otherwise it is termed ________. - Precise Answer ✔✔ 30

days; abandonment. Must provide written notification, set termination date, help finding new doc, offer to transfer records. It is NOT acceptable to terminate doc-pt relationship if _____ or ______

• Precise Answer ✔✔only doc available, in the typical follow-up period All malpractice claims require expert witness except in these two cases - Precise Answer ✔✔amputation of wrong leg, criminal laws broken Malpractice payments related to injury, medical care, loss of wages are called ____ damaged and are capped at $______ - Precise Answer ✔✔Compensatory. NOT capped Non-economic damages are capped at $______ - Precise Answer ✔✔$750,0000 ($250 K for individual docs, $250 K per facility up to 500K) Exemplary/punitive damages capped to $______ - Precise Answer ✔✔$750 K (max, or $200K or 2x econ damages to $750K). Percentage of liability of individuals proportional to liability _____ ______ - Precise Answer ✔✔proportionate responsibility. Damages are awarded so long as patient responsibility is <50%

Statue of limitations for malpractice - Precise Answer ✔✔2 years adults, 2 years after age 18 for kids starting from when harm is discovered up to 10 years from date of injury. Filing a malpractice claim extends the statue of limitations by _____ days. Notice of impending lawsuit extends by ____ days. - Precise Answer ✔✔60; 75. ER requirements to screen, stabilize, deliver babies, transfer iff benefit > risk is covered by _______ - Precise Answer ✔✔EMTALA (Emergency Medical Treatment and Active Labor Act). EMTALA violations are punishable by fines up to $____, loss of _____ reimbursement, although civic liability is limited to _____ only - Precise Answer ✔✔$50K. Medicare/Medicaid. Hospitals (i.e. can's sue doc, only facility). Unconsented surgery = _____. Unwanted treatment = _____. Unwanted exam = ____. - Precise Answer ✔✔assault and battery. assault. battery Consent without full disclosure is known as ______. List ___ procedures include local anesthetic administration and don't require specific disclosure - Precise Answer ✔✔Simple (vs. informed). Insufficient alone in most cases except emergencies; List B.

Hysterectomy, ECT and radiation therapy require ____ consent - Precise Answer ✔✔statutory (includes state standardized risk disclosure and forms). Minor consent exception - Precise Answer ✔✔active military duty, 16 and emancipated, STD tx, substance abuse tx, abuse/suicide, pregnancy tx Minor surrogate consent hierarchy - Precise Answer ✔✔parents > grandparents > adult sib > aunt/uncle > school with written auth > adult with written auth > court with pending case > peace officer Adult surrogate consent hierarchy - Precise Answer ✔✔spouse > adult child > majority adult child > parents > adult sib > designee > nearest relative > clergy Docs infected with HIV, HepB, Hep C can only perform exposure prone (i.e. surgery) procedures if approved by ____ and ______ - Precise Answer ✔✔expert review panel and patient consents. No restriction/obligation for non-exposure procedures if use universal precautions Exceptions to consent for HIV testing - Precise Answer ✔✔needle stick, suspected rapist, surgery, patient needle stick risk with high risk behavior

All needle sticks impose required testing for _______ - Precise Answer ✔✔HIV, Hep B, Hep C (no consent required) Guardians can "volunteer" their wards for psych admit until age ____ - Precise Answer ✔✔16. 16-18 years need both child and guardian to agree Involuntary psych admit requirements - Precise Answer ✔✔OPC (order of protective custody, requested by doc) or APOWW (Apprehension by a Peace Officer Without Warrant, per police, doc must examine w/in 48 hrs)) Order of protective Custody (OPC) duration: ____. Patient can request probably cause hearing within ____ hrs. - Precise Answer ✔✔30 days. Afterward may file for 90 day temporary commitment. After 60 days may file for indefinite commitment ECT may not be used in patients < ____ years. Consent must be obtained _____. - Precise Answer ✔✔16 years. Consent of patient before every session. ONLY acception is court appointed guardian. In Texas there is no duty to warn third parties of potential harm because is not a "______ _____" - Precise Answer ✔✔Tarsoff State. Breach of confidentiality to tell directly although may inform police

Application for court ordered substance abuse treatment can be filed by _____. Prior to hearing, patient must be evaluated by ______. - Precise Answer ✔✔Any adult. Two docs STDs that must be tested for at first PNC visit and at delivery - Precise Answer ✔✔HIV, syphilis, Hep B Parents may opt out of NBS iff - Precise Answer ✔✔religious objection and paperwork complete Parents of minors <17 years seeking abortion must be notified >____ prior and must consent. Exceptions include ______ and ______. Patients must wait at least ___ hrs after receiving state info. - Precise Answer ✔✔48 hours. Judge says you don't have to; they only have until 5pm the following day to say no. Imminent emergency. Fathers names appear on birth certificate iff - Precise Answer ✔✔married to mother, father agrees to fatherhood, paternity established by court order Pregnancy that occurs after ineffective sterilization is called ___ _____. Child born with birth defects in the event that genetic counseling that could have prompted termination is called ____ _____. - Precise Answer ✔✔Wrongful pregnancy; wrongful birth. All deaths under ____ years must be reported - Precise Answer ✔✔ 6 years

Patient privacy is waived in cases of ______ - Precise Answer ✔✔criminal proceedings (with exception of mental health) HIV positive results may be shared with: - Precise Answer ✔✔spouse, partner notification program, potentially exposed personnel, local/state heath depts Medical records can only be withheld in cases of ___ ____ - Precise Answer ✔✔therapeutic privilege (doc feels that info is harmful to pt_ Outpatient medical records must be kept for _____years for adults; ___ for minors - Precise Answer ✔✔7; 7 or up until age 21 years (whichever is longer). Inpatient medical records must be kept for _____years for adults; ___ for minors - Precise Answer ✔✔10; 10 or up to age 20 years (whichever is longer). Advance directives (including DNR and MPOA) require _______. - Precise Answer ✔✔two witnesses. One that is neither treating nor family. OK for verbal, no expiry. Can revoke even if crazy If no family or MPOA, life-sustaining tx is at discretion of _____ and ______ - Precise Answer ✔✔treating physician and uninvolved 2nd doc

Birth certificate within ___ days, death within ___ days, otherwise class _____ misdemeanor - Precise Answer ✔✔5; 10; Class C Death due to these communicable diseases must be reported - Precise Answer ✔✔AIDS, anthrax, plague, rabies, TB, syphilis Organ donor consent hierarchy - Precise Answer ✔✔patient > spouse > adult child > parent > adult sib Fetal death certificates are required for > ____g or > ___ wks - Precise Answer ✔✔350g; 20 weeks gestation SIDS deaths apply to all unexplained deaths < ___ yr - Precise Answer ✔✔1 year. Autopsy required Malicious child abuse reports are ____ felonies - Precise Answer ✔✔state jail. Although not reporting is a class B misdemeanor Prenatal drug exposure and permission for child to use drugs constitute - Precise Answer ✔✔child abuse Reportable stuff outside of abuse - Precise Answer ✔✔STDs (7 days), TB (1 day), terrorist threats (immediately), unexplained death, suicide, ODs, gunshots, spinal cord injuries, TBI, submersion injuries

Heroin, LSD, pot are schedule _____ - Precise Answer ✔✔I (no accepted medical use, high potential for abuse) Cocaine, opiates, stimulants are schedule ____ - Precise Answer ✔✔II (must be physically evaluated, triplicate req, filled in 1 week, up to 3X 30-day rx's per visit) No refills. Can't rx by midlevels. Tylenol 3, codeine, ketamine, testosterone are schedule ___ - Precise Answer ✔✔III Muscle relaxers, Bezos, sleep meds, tramadol are schedule ___ - Precise Answer ✔✔IV Controlled substances require ______ numbers - Precise Answer ✔✔DEA (q3 year renewal; Fed) and DPS (annual renewal; state) Can schedule II rx be called in? - Precise Answer ✔✔Yes but only in emergency, must mail script w/in 7 days Schedule III/IV meds can be refilled up to ____ times. Scripts are valid for ___ months - Precise Answer ✔✔5; 6. Pharmacists may refill schedule III/IV meds for upto ___ days - Precise Answer ✔✔ 3

Methadone and buprenorphine require ______ for rx - Precise Answer ✔✔special permit Docs may not function as pharmacies unless - Precise Answer ✔✔rural setting (pop <5K, nearest pharmacy >15 miles) Sole proprietors, parterships and professional associations that employ docs have this requirement - Precise Answer ✔✔all owners must be docs (Corporate Practice of Med Act that prohibits non-doc owned businesses from profiting). Non-profits an be owned by majority docs and non- docs Laws against self referral are known as ___ laws - Precise Answer ✔✔Starke (1 for labs, 2 for everyone else). Refers to having a financial interest in referral You can't call patients to ask if they want your services. This is called _______ - Precise Answer ✔✔Barratry No telemedicine/special licence required if consulting doc is in the same _____ - Precise Answer ✔✔State TMB must provide written renewal notification ____ days before licence expiry - Precise Answer ✔✔30 days

Convictions may be reported at time of renewal to TMB unless they are felony convictions, or ________. These must be reported within _____. - Precise Answer ✔✔Class A, B, C misdemeanors with moral turpitude; 30 days No reinvoked licence re-instatement before ___ year(s) - Precise Answer ✔✔1 year The deceptive trade practices-consumer protection act enables patient to recover ____ and ___ resulting from deception. - Precise Answer ✔✔attorney fees and court costs. Damages from failure to provide a guaranteed service constitutes a _____ of ____ - Precise Answer ✔✔Breach of warranty (under the Texas Deceptive Trade Practices Act Plantiff must file intent to sue letters at least ___ days prior to suit - Precise Answer ✔✔ 60 Civil cases require this level of evidence - Precise Answer ✔✔preponderance of evidence (vs. beyond reasonable doubt in criminal cases_ Plaintifs have ____ days to identify expert witnesses and file their reports - Precise Answer ✔✔120 days.

Standard of care in lawsuit claims established by expert in same _____ and same ______ - Precise Answer ✔✔specialty and locality Past/future physical pain, disability, medical expenses and loss of earnings = _____ damages - Precise Answer ✔✔actual or compensatory