Your patient is morbidly obese and cannot sit on a bicycle or walk a treadmill. She
also has marked and severe emphysema. You need to make an assessment of the
risk of significant CAD and your patient’s family says that their relative had their
diagnosis based on an ultrasound echocardiography. What facts would influence
your decision regarding the family request for echo assessment?
Student Answer: Specificity would be increased because of obesity
Sensitivity would be reduced because of obesity and lung disease (Sensitivity
would be reduced because of obesity and lung disease.)
Sensitivity would be increased because of lung disease
Specificity would be reduced because of obesity and lung disease
2. Question :
Medicaid is mandated to be provided by each state through federal codes. Each
state must offer Medicaid exactly as the federal government prescribes. True or
false?
Student Answer: False (Medicaid is mandated to be provided by each state, however, Mediciad
is not required to be delivered by any certain formula. Each state has autonomy to
deliver Mediciad services under its own guidelines, provided that each state meets
the federal guidelines for Medicaid coverage. )