Page 37 - FPGEE Management Q&A Book

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2. State-based Medicaid prescription drug coverage
(for those who were dually eligible for Medicare 52.(c) Dysarthria is difficult, poorly pronounced
and Medicaid), speech, such as slurring, whereas aphasia is a
problem with expressing or understanding written
3. Privately administered Medigap insurance or spoken language. Dysarthria is occasionally
policies, confused with aphasia.

4. The health care programs of the Department of It is important to distinguish between difficulties in
Defense and Veterans Administration, pronunciation of words, as opposed to a problem
with the production of language, as these have
5. The Federal Employees Health Benefits Program different causes.
(FEHBP), and
Dysarthria is generally apparent in daily
6. State Pharmacy Assistance Programs. conversation where there is difficulty expressing
certain sounds or words. This condition may be
Among these, retiree health care coverage was the caused by taking excess medications such as
primary source of prescription drug coverage for narcotics, phenytoin, or carbamazepine. Alcohol
Medicare beneficiaries before the enactment of intoxication causes dysarthria.
Part D.
Degenerative neurological (nervous system)
Before Part D began, many low-income individuals disorders affecting the cerebellum, basal ganglia, or
who were not eligible for Medicaid relied on brainstem (all are important parts of the brain) can
manufacturer patient assistance programs to help also cause dysarthria.
them obtain their prescription medications.
Stroke that affects the brainstem or cerebellar
49.(a) There are three general types of physical regions can also cause dysarthria. Any facial
impairment that can occur singly or in combination weakness, such as Bell’s palsy or tongue weakness
with one another. Conductive hearing impairment can cause dysarthria.
results when something blocks the conduction of
sound into the ear’s sensory nerve centers. Aphasia is loss of communication skills that were
previously learned. It commonly occurs following
Sensorineural hearing impairment occurs when the strokes, or in people with brain tumors or
problem is situated in the sensory center of the degenerative diseases that affect the language
inner ear, whereas central hearing impairment areas of the brain. This term does not apply to
occurs when the nerve centers that are within the children who have never developed communication
brain are affected. The use of a hearing aid is skills. In some cases of aphasia, the problem
helpful in conductive hearing problems, but is less eventually corrects itself, but in others the
effective in sensorineural impairment and is condition is irreversible.
ineffective in central loss.
53.(b) Title XIX of the Federal Social Security Act is
50.(c) The medically needy program in Texas covers also known as Medicaid. It was amended in 1965.
only the “mandatory” medically needy groups. It This program was specifically introduced to provide
does not cover the aged, blind or disabled. medical services to the poor, disabled or medically
in need patients. It is funded by federal and state
51.(b) If a pharmacist cannot fill the partial supply governments.
of controlled II drugs within 72 hours, he/she must
notify the prescriber. 54. (b) General member satisfaction can be
measured by qualitative and quantitative

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