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A laboratory company offered and paid remuneration to physicians to induce the ordering of pharmacogenetic tests, in exchange for laboratory referrals for pharmacogenetic testing and for furnishing and billing for tests paid for, in part, by Federal health programs, that were not medically necessary, purportedly in return for their participation in a clinical trial.

REQUIRED ACADEMIC INTEGRITY AGREEMENT: UST Academic Integrity Policy Honesty and trust among students and between students and faculty are essential for a strong, functioning academic community.  Consequently, students are expected to do their own work on all academic assignments, tests, projects and research/term papers.  Academic dishonesty, whether cheating, plagiarism or some other form of dishonest conduct related to academic coursework and listed in the Student Policy Book under “Discipline: Rules of Conduct” will automatically result in failure for the work involved. This open textbook (Perry & Thompson) / open note / open Canvas exam, but no outside research (including no use of Google / ChatGPT, other AI or search engine etc) is allowed.  By clicking below you are agreeing to the terms and conditions of this exam.  You are further agreeing that you will not talk with anyone else about the exam, either during or after the exam and that you will not copy of any part of this exam at any time.   This specifically includes not taking pictures of your screen with any device. YOU MUST AGREE TO COMPLY WITH THIS POLICY IN ORDER TO TAKE THIS EXAM.  INDICATE YOUR AGREEMENT BY CLICKING “I AGREE” BELOW.

PART 1:  Multiple-Answer Choice (Total – 34 points) For the given scenarios, identify the health care legal issues and/or overarching ethical considerations (covered in 2nd part of the course) that may require significant attention by the relevant health care organizations or provider/s. The first three questions are worth 3 points each (choose best answer for these), the next five are worth 5 points each (there may be multiple answers for these).

Which hematologic complication is associated with chronic kidney disease (CKD) due to decreased erythropoietin production?

Select the statement that best describes the pathophysiology of acute appendicitis?

The executive director of a food bank seeks out the data of how many pounds of food were distributed in the last year. This is an example of: 

Select the statement that best describes the underlying pathophysiology of Genitourinary Syndrome of Menopause (GSM)?

A 65-year-old woman presents to the emergency department with progressive dysphagia. Initially she had trouble with ingestion of bulky food, later with soft food, and now with difficulty on thin liquids and excessive salivation. What must be included in the differential diagnosis?

Which subtype of primary constipation is most common in older adults?

Which of the following is a consideration you should make when deciding on a neighborhood to buy a house in (according to the text)?