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NBME 6, block 1 - r111010
#1
Q5
A healthy 28 yr old single mother of 3 healthy children recently started employment as a secretary at a local corporation. She has a variety of health care plans from which to choose. Which of the following plans is most likely to have the lowest out of pocket cost for this patient and her family.
A) Fee for service
B)HMO
C)Personal tax exempt health care account
D)Point of service
E)PPO

B or E ??

Q29
A 32 yr old woman and her 31 yr old husband come to the physician because they want to have baby but are concerned about the impact this will have on the wife's emotional state.She has had three major depressive episodes and numerous panic attacks within past 10 yrs. She discontinued her anti depressant medication 6 month ago and has been asymptomatic for the past year. She is concerned that she may become depressed while pregnant and will be unable to take any medication because of the pregnancy. Which is the most appropriate response for the physician.
A)The depression associated with pregnancy is unrelated to major depression, therefore you are not at greater risk of being depressed while pregnant.
B)The risk for depression is greatest after delivery and depression during pregnancy can often be treated safely.
C)The risk for depression is greatest during pregnancy, but electroconvulsive therapy is quite safe.
D)Since you have been symptom free for the past year, you should not be at greater risk for depression then the normal population.
E)We will need to follow you closely since the suicide rate is higher for women who are pregnant than for women who are not pregnant.

Q42
this is a graph, asking abount relationship between PaCo2 and VA
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#2
29 is B.. post partum dep is common..
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#3
q5==== HMO
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#4
thanks pankyash and letsallget99
what for Q42----D or E ??
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#5
..
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#6
Q5 answer is E and not B. HMO cost patients lots of money (deductibles and others). PPO is the best coverage you can have. It is 100% coverage with no annual deductible. Copayment may be more than HMO but costs you less if you get it thru your employer.

I hope this help
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#7
Neverlate I assumed the same thing after taking this test and then talked to family members who are in health care industry....After doing some research it's actually HMO's....Look at the question they are not asking better coverage just stating which has the least out of pocket expenses...HMO's you don't pay copay's etc....HMO is less expensive to have... Research it...


http://www.solveyourproblem.com/health-i...-HMO.shtml
http://www.epinions.com/content_1229430916
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#8
thanks neverlate and letsallget99

can you pl. ans and explain Q42?
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#9
why not D for q29?
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#10
being symptom free does not mean she got cured completely.. she is more likely to have depressive episodes in the future obviously..
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