Which is a sign and symptom of an acoustic neuroma?
a. External ear pain
b. Bilateral hearing loss
c. Increased hearing sensitivity
d. Mild vertigo
ANS: D
An acoustic neuroma is a slow-growing, encapsulated, benign tumor of the eighth cranial (acoustic) nerve. It originates in the neural sheath in the internal auditory canal but grows to involve nerve fibers in the posterior fossa. Initially the patient experiences unilateral hearing loss and disturbances, especially tinnitus, and equilibrium problems such as mild vertigo.
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In general, prospective payment systems establish reimbursement for
a. resources already used b. services already provided c. bundled services d. costs incurred in the delivery of services
Which of the following statements describes location as an enabling factor of utilization?
A. As travel time increases to hospitals and clinics, there are lower levels of utilization. B. Location influences beliefs and customs about how and when health care services are consumed. C. Location is a function of what region of the country patients live in and whether they are in an urban or rural area. D. All of the above