The Texas Medical Jurisprudence Exam a Concise Review Pdf

Took the Texas Jurisprudence Exam a few days ago for Texas licensure.

Nosotros did non take an 'in house' crib sheet at my program for this examination, and I couldn't notice much on the forums, so I decided to put this together to aid those of y'all who demand a bit of guidance with study strategy and resources.

The exam is threescore questions, for which you have 100 minutes. All multiple choice with many including "all of the above" or "none of the above" as a final option. You lot volition schedule the exam with Pearsonvue online. Bathroom breaks are immune, but the clock does not stop, and so pee quickly.

With the following guidelines, I was fortunate to overachieve, finishing the test in virtually 30 minutes and scoring a 98%. If anyone has any corrections or additions, delight experience complimentary to PM me or comment directly in the thread; I volition update as advisable.

Overall thoughts:
The exam is, at its essence, a collection of exceptions, deadlines, and crime classifications. Much of it is non well organized by whatsoever of the resource out there (the TJP tried in i of their updates, but still came up brusk). Equally such, I take included a summary of exceptions, deadlines and crime classifications that I made myself afterwards in this post. The TJP website repeatedly makes the point that knowing specific classification of misdemeanors is non of import, but they test it in their own material, and the classification is definitely on the exam.

Study guides:
Different reviews have different strengths and weaknesses. None is consummate in and of itself. Reviewing them, I constitute several discrepancies betwixt the texts, which I have also summarized afterward in this postal service. The Zerris prep is bachelor on Quizlet, equally are some other high yield notecard sets. In brief:

- UTMB Galveston Texas Jurisprudence Study Guide (3/5) $$ - The text was written by JD/PhDs and is the almost comprehensive resource that I used in prep. This is an outline format report guide which goes through all of Texas police to an insane level of detail. The major strength of the text are the questions at the book finale.

While the volume is about 400 pages, the last seventy are multiple choice questions with the answer central referencing the part of the book text that explains the correct answer. These are incredibly high yield, and resemble most fifty% of test content -- many of them were taken past the TJP website for their own questions. The only style I was able to go through this text without falling comatose too much was by doing the multiple option first, and so retrograde reading the appropriate sections. Afterwards, I quickly skimmed the text antegrade. The major negative, which is pregnant, is that the text is listen numbingly tiresome, with huge sections of text cut-and-paste repeated, and with little shorthand.

-Texasjurisprudenceprep.com (3/5) $$$ - This is a decent resources written and prepared by two Texan ER docs. The course is somewhat plush, and essentially consists of a flash powerpoint presentation with the course creators speaking over the slide followed past 6 short quizzes. Their humor is a scrap annoying (ie. hearing the joke the starting time fourth dimension is beautiful, simply tin can be trying when hearing it again and once more with each review), but they convey their points succinctly.

Regarding the course content, it is decent. The highest yield portions are 1) the last slide of the unabridged presentation which is an overall review and 2) the quizzes, many of which are copied from the UTMB Galveston report guide almost word for word. The authors stress Quizzes 5 and half-dozen, simply all are helpful, and can be done adequately quickly a few times. They patently have done their best to duplicate questions on the test, and they practice a decent job of it, with nearly 30-lx% overlap. With a minimum passing score of 75%, this website can take you much of the fashion there.

-Texas Jurisprudence Study Guide by Zerris and Smith (2/five) $ - This is a bulletpoint question and respond book written past 3 Texan neurosurgeons, one of whom is as well trained as a JD. In that location are two not bad things nigh this study guide and a few bad things. Kickoff, it is bachelor on Kindle. As such, you can quickly go through it on your phone running around the hospital or while in line running errands till the answers are memorized. 2nd, the final affiliate is a summary of several of the dates and misdemeanors that need to be remembered, and is the most useful function of the entire text. I have included most of the information from that department later in this postal service. The negatives of this book are that is has quite a few discrepancies, is out of date, and does not provide much context. Whereas the Galveston study guide is overly detailed, this text is too thin. The book is available for free online via Quizlet (only google Texas Jurisprudence Prep report cards).

Shorthand:
- MHIP = Mental Wellness InPatient
- Galveston = UTMB Galveston Texas Jurisprudence Self Study Guide, 13th edition 2010 (http://imh.utmb.edu/resources/jurisprudence-study-guide)
- Zerris = Texas Jurisprudence Study Guide by Zerris and Smith (available on Amazon)
- TJP = Online review form texasjurisprudenceprep.com
- TJP updates = The TJP website has updated its information a few times and made charts of important deadlines and penalties. These tin be constitute for free (at the time of this post) by googling the pdfs.

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Discrepancies:

1. CME
- Zerris - vi CMEs from volunteering, 12 CME ane category, 24 total
- Galveston - l% from volunteering - 50% of category 2 credit is the correct answer

2. NP/PA supervision
- Zerris - 3 PAs
- Internet and TJP update - 7 PAs - vii is the updated answer

3. Secondary do sites
- Zerris - 60 miles
- Galveston - 75 miles - 75 is the updated answer

iv. How many days can NPs and PA prescribe
- Zerris - 90 days / xxx days
- Galveston - 30 days
- TJP update - 90 days - 90 is the updated answer

5. How many abortions per yr for facility to be licensed
- Zerris - fifty/yr
- Galveston - 100/twelvemonth (p. 346)

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Time:

Firsthand
-Verbal report corruption (professionals/nonprofessionals; professionals accept 48 hours for written report)
-Written report to State Dept re: anthrax, botulism, cholera, smallpox, diphtheria, rabies, polio, plague, typhus, yellowish fever - "outbreak" diagnoses (1 day for tb/pertussis)
-Gunshot and overdose reports
-Notify DFPS about abased infant

1 hour
-Time to evaluate restrained patient equally to need for restraints

iv hours
-Time to spend looking for next of kin with organ donation
-Fourth dimension within which to notify MD of MHIP discharge request and later on which Doc must examine w/i 24hrs

24 hours
-Department of Protective Regulatory Services investigates study of suspected kid/elder corruption
-Notice to pt re: impending abortion
-Fourth dimension to evaluate not restrained patient for involuntary POC/court ordered (12/48 for initial cess/eval of need if just Medico and involuntary) mental wellness access; have till 72 hours for probable crusade, no longer than xc days total
-Inform re: pertussis and tb
-<24 h death of nursing home resident subsequently xfer to hospital has to be reported
-Inform mental health pt of rights (72 h for written bill of rights)

48 hours
-Notice to parents of small-scale re: impending ballgame
-After emergency detention, time for probable cause hearing (MD far less power than courts)
-Written report child abuse
-Length of fourth dimension pt has to hash out psychoactive rx w/doc

3 days
-Pharmacist can prescribe emergency prescription for this long if provider cannot be reached
-Time frame for likely cause hearing after indicate of custody for drug/MHIP; set date of judicial hearing within 14 days from date of courtroom ordered detention (every bit opposed to 12/48 hours and xiv for emergency detention)

4 days
-Time from a sexual assault that victim can still have a useful rape exam (ie. residua)

five days
-Nursing domicile corruption confirmation in writing (oral written report immediately)
-Birth study
-Days within which Medico eval has to be washed for inpatient mental health protective custody hearing; follow upwardly probable cause needs to be westward/i next 3 days

seven days
-Days of Schedule 2-5 rx with which you can belch a patient from hospital
-Time for Doc to mail emergency rx to chemist's shop when it's called in (i.e. aforementioned length of time for which rx can be filled)
-Inform re: infectious disease like gonorrhea, syphilis and salmonella
-Inform DPS of changes to info (strict; 30 days in TJP update)

10 days - Death and taxes
-Death report (by funeral director; by MD it is five days)
-Itemized beak if patient requests (fifteen days for medical records) - per website; vs 30 on Zerris
-Time for pt to pay for requested medical records
-Md has to visit underserved clinic q10 days
-Fourth dimension TMB has to update profile in response to complaint about inaccuracy

xv days
-Written report anesthesia office complication (access to hospital in 24h or expiry in 72h)
-Doc to provide requested medical records (calendar days for hospital; business days for MD)
-Blood banking company to pay for blood
-Time board has to written report on website information given to them almost physician incompetence from infirmary/professional social club
-MD to review lath reported info on first release (then information technology is 30 days within each yearly release)
-Time from petition for indefinite stay petition that hearing must be held
-MD to reply to lath requests for medical records or question responses well-nigh renewal awarding
-Afterwards involuntary admission by protective society custody/court social club, fourth dimension from detention for final judicial hearing in drug corruption/MHIP (14)
-Days before xfer of embryo/sperm that gestational understanding has to be signed (14)

TMB hospital <--> board communication
-Time hospital committee has to report disciplinary medical actions to TMB (for restrictions greater than 30 days) [infirmary:TMB]
-Time board has to requite data to infirmary requesting it [TMB:hospital]

xxx days
-Terminate physician patient relationship / sexual abuse of patient / Time to notify Dept of Health of 3rd trimester abortion / Send itemized pecker to patient afterwards request / initial hearing screening (f/u till 2 yrs; book says during nascence admission)
-Time to take hearing regarding psychoactive rx past MD
-Fourth dimension after third trimester abx for written explanation
-Provide pecker for nursing home inpt (aforementioned amt as time to discharge)

TMB communication license/lawsuits/files/appeals/penalties
-Days prior to expiration of license that TMB notifies you; also how long you can exercise without renewing and however have a license
-Report lawsuits moral turpitude, drug abuse, to TMB
-Fourth dimension to appeal board disciplinary action; pay administrative penalisation, Physician gets file from board
-How long in advance the board tells MD of awaiting hearing
-Time lath has to report to NPDB/MD/medicare intermission/brake of md or malpractice claim (board more time than hospital committee to board; report to hospital of MD next work day)

-TDH needs to update online list of post partum low counselors
-Time frame ahead that two physicians demand to agree before final hearing for chemical dependency eval or courtroom ordered MHIP (but i of MDs has to be w/i 30 days for MHIP)
-PD to tell that someone did not show up for residency (vs 7)
-Police run a "monthly check" on physicians (Zerris)
-After allowing Schedule ii telephone rx in emergency, send written written report to DPS (7 days for rx to pharmacy)

45 days - constabulary and corporate payout
-Time to provide medical records to suing attorney
-Fourth dimension for HMO to pay after receipt of bill from Doctor (either regular nib or workers comp)

60 days
-Age until which ER can have possession of abandoned infant
-Notice for sexual assault charges (longer to write the written report)
-Advanced discover (letter of intent) of lawsuit sent to MD - give time for settlement
-Min time for indefinite commitment hearing for mental health inpatient stay

75 things
-75 days - observe letter extends statute appointment limitation for lawsuit
-75 miles - distance a secondary practice can be from master practice site

90 days
-Length of time for which PA/NPs tin write rx
-Dr. in training has to submit permit ninety days earlier beginning preparation
->this late for child support, suspend license
-30-90 days is temporary mental health involuntary admission; xc-365 is extended stay; need to have re-hearing at sixty days for extended/indefinite
-Pt requested amendments to their record are accepted or denied
-Frequency that DPS checks on physicians
-How often MD updated on complaints filed with TMB

95 days
-Time after workers comp injury that Doctor needs to submit nib to insurance; insurance and then has 45 days to respond; if denied, Md has another 45 days to appeal

120 days
-Skillful findings for liability must exist filed due west/i 120 days of a malpractice claim
-Results of NBME examinations to examinees

half-dozen months
-Board reports disciplinary actions on MDs

270 days
-Time that non licensed Medico can have provisional license while pending licensure, merely but if adept standing license in another state and sponsored by native TX MD

eleven months
-Time to bill patient for services

1 twelvemonth
-DPS license renewal (stricter than DEA; where rx sends Schedule 2 records)
-After license expiration that it is cancelled and requires reapplication
-Update of core credentials on board website (thirty days after publication tin submit correction; fifteen days inside kickoff posting)
-Pharmacy license to prescribe renewal
-Ballgame clinics and private hospitals submit yearly reports to TSDHS
-Private psychiatry hospital written report

ii years
-DPS keeps drug records (increased to iii years per TJP update)
-Keep copies of ads
-Medical license renewal
-Min pt age for which PA/NPs can write rx
-Follow up menstruation for hearing screenings that is covered
-Infirmary queries NPDB q2yrs

three years
-DEA license
-HMOs provide health take a chance assessment to subscribers
-Length of time to keep DPS records (extended from 1 or 2 years - discrepancy between TJP handouts)

4 years
-Time insurance adjuster has time to bring lawsuit for fraud

5 years
-Records of xferred patients
-Fourth dimension limit to cocky written report intemperate apply of drugs/etoh to board and still be considered cocky admission
-Board has to remove complaints from website after 5 years if no action taken on MD license equally a result of complaint

half dozen years
-immunizations paid for by insurance
-<6 yo death leads to inquest with JP or ME
-Fourth dimension to keep record of PHI disclosures

12 years
-Minimum age MR child tin can donate kidney (with consent of ward)

14 years
-Less than this historic period, abuse is classified 'kid abuse' and a criminal crime
-If pt pregnant <14 yo, suspect abuse

xvi years
-Can cocky admit every bit MHIP

17 years
-Donate blood (non compensated till 18)

xviii years
-Min age organ donation

65 years
-Over this age, need 2 physician approving for ECT

100 years
-Time afterward which medical records declassified for historical purposes

--
Fetal historic period:
-16 weeks - until which can do outpatient ballgame
-twenty weeks - after which must study fetal death (or 350 grams)

--
Committees:
- TMB - 9 3 7
- District review committees - iii 1 3 - four full in Texas
- Medical competence iii / three (only physicians)
- Medical disclosure panel vi / 3 (MDs and JDs)
- Rural medical education board 3 / 3 (rural MDs / citizens)

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Felonies and misdemeanors:

Felonies: Kevorkian (encourage pt suicide & successful), malicious kid abuse reporting (not reporting is grade B), kickback repeat offender, industry/auction dangerous drug (possession=class A); practicing without license (third), falsifying birth/death certif (tertiary), xfer kid for $ (3rd), malicious reporting of child abuse, promoting suicide if successful, solicitationx2 (3rd), manufacture/auction of dangerous rx; practicing medicine in violation of MPA (3rd); sexual corruption nursing home pt (2nd); accepting coin that affects care of patient; surgery while drunk (land jail felony); MR sexual assault (2d degree); 2nd time cosmetics violation

Class A Gossiping, unauthorized drug tx program, unlawful possession of dangerous drug, gossiping, cosmetics (second time, felony); moving expressionless body, solicitation/payment for referral, possession of dangerous rx; elder abuse/malicious reporting (except exterior nursing home=B, give the benefit of the dubiousness for kid ratting on parents/grandparents). Secretly tests for HIV before process. violation of Texas FD and cosmetic human action (ie. industry/sale/ad/distribution/dispensing; alteration drug labels). Violation of medical practice deed. Tampering westward medical record (heavy bc almost impossible); tampering with TMB documents. Amending of advanced directive. Operating drug tx programme sans license. Dissect/disturb corpse. Ignore courtroom order to terminate spreading disease. Running drug rehab plan sans license. MPA violation (other than practicing sans license); EMTALA B/A depending on if injury or intentional A/felony (intentional or injury each upgrade it a form); unlawful disclosure of doctor investigation by board; mental health abuse treated like elder abuse not child abuse (form A not B); failure to report MR abuse

Form B Unapproved medical claim; non reporting communicable disease (w/i 7 days). Fake DEA registration or use of suspended DEA registration; kid abuse failure/malicious (per TJP website; Zerris says malicious felony 2nd), illegal autopsy (invalid order); concealing infectious disease exposure or quarantine device/command measures (refusal of entry is class A)

Class C KDS knowingly do not notify of inquest for death; doesn't file death document properly and encourages suicide but fails; prescribes morphine using DEA; consensual sex with his elderly patient; poor nascency study filing (mistaken, not falsified)

Unauthorized release of medical records is "misdemeanor". PHI fines below.

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Fines:
-EMTALA = 50k
-Anti-kickback = Civil $50k/Criminal $25k + 5 years jail
* Violation Kickback = 10k per violation
* Up to 250k/physician or 500k/hospital
-Civil Fake claim $10k / Criminal False Claim $25k 5y / Fraud Statement $250k 5 yrs / Rico $25k 20 years in prison
-Violation of MPA class act $5k
-Abortion on minor without calling $10k
-HIPAA - negligent violations $100/violation upwards to $25k
-PHI 50k/1 yr for violating
-$100k/5 yrs if committed under fake pretenses
-$250k/ten yrs if for profit
-Fraud $50 - 500 - 1.5k - 20k - 100k - 200k - Course A misdemeanor to 1st degree felony; if multiple crimes, get upgraded a degree from the most serious of them

--
Misc:
-48 CME can be carried forrard, 24 CME applied retrograde
-Diseases that need firsthand report to TSDHS: Anthrax/SARS, xanthous fever/plague/rabies, pertussis/measles/smallpox, polio, hepatitis, diphtheria
-Microbiology immediate report to TSDHS: VRSA, VRE, Neisseria, HIV
-Toe tagging: AIDS, anthrax, avian flu, brucellosis, cholera, CJD, hanta, hepatitis, plague, Q fever, rabies, relapsing fever, RMSF, SARS, smallpox, tb, tularemia, viral hemorrhagic fever (ie. dengue)

-Dangerous drugs non in sched 1-5: procaine
-Schedule I: LSD, heroin, quaaludes
-Schedule II: Codeine, demerol, cocaine, amphetamines, barbiturates
-Schedule III: Anabolic steroids, tylenol #three
-Schedule IV: Valium chlordiazeoxide clonazepam (klonopin)
-Schedule V: antitussive anti-diarrheal

-Kid vaccines MMR DTP + Hep A and strep
-Organ donation allowed for xplant, hospital research, forensic plan at college

The exam is essentially rote memorization, equivalent to about 1-2 days of medical school. Outset with TJP online and this text on your telephone. If you want to be completely prophylactic, buy the Galveston review, but exercise the questions in back first and then retrograde read the text based on the page numbers in the answer fundamental. Do all of that, and you lot should be gilded. Good luck!

PS. I am selling my UTMB Galveston study guide. The text is in used condition, only has appropriate highlighting based on the TJP website. Questions in back are untouched (aside from errata amendments from Galveston that I updated in the answer key).

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Source: https://forums.studentdoctor.net/threads/how-to-pass-the-texas-jurisprudence-exam-for-state-licensure.1171678/

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