Course No. - MED12007A
Care of Vulnerable and Underserved Populations Online Course
Objectives
Describe demographics and other characteristics of immigrant Americans
Review determinants of legal immigrant status
Review health issues facing immigrants
Review challenges to care of immigrant patients
Discuss interventions to improve care
1. Which statement best describes immigration to the United States?
a. It has only recently become an important force in American society.
b. Its patterns are more heavily influenced by external pressures than by national
policies.
c. It reached historic highs in the 1990s.
d. Recent immigrants have always been a small part of the US population.
2. Which statement best describes recent immigrants to the United States?
a. They are at high risk for occupational injury, particularly if they are undocumented
b. They use public health resources at higher rates than individuals born in the United
States.
c. They have higher rates of substance use and dependence than individuals born in
the United States.
d. They are less likely to be caring for children or elders in the home.
3. When traveling to their home countries, immigrants
a. are less likely to get ill than other tourists to that country
b. have a higher risk of contracting illnesses than other tourists to that country
c. are regularly given prophylactic advice, immunizations and medications
d. rarely return back to the United States.
4. Individuals who immigrate to the United States as refugees
a. are the only immigrants with a history of exposure to political trauma and
violence
b. have high rates of post-traumatic stress disorder and depression
c. cannot become United States citizens
d. always have their depression appropriately diagnosed and treated
Course No. - MED12007A
Care of Vulnerable and Underserved Populations Online Course
5.
Mr. K is returning to Uganda to visit his family during his vacation. As his
primary care provider, you should:
a. provide him chemo-prophylaxis for travel to this region based on your
review of CDC guidelines
b. review his immunization and serologic testing history to ensure he is up to
date on recommended vaccines
c. discuss measures for avoiding common infectious diseases, including
sexually transmitted infections if appropriate
d. advise anticipatory purchase of medications and supplies
e. recommend tuberculosis skin testing 3-6 months after his return
f. all of above
6
.Health risk exposure for immigrants can be related to
a. their country of origin
b. their migration experience
c. travel back and forth to their home countries
d. health risks in the United States.
e. all of above
7. Health care providers
a. are required to report undocumented patients to the authorities
b. must be certified as Bureau of Citizenship and Immigration Services Designated
Civil Surgeons to provide health services required for permanent residency and
citizenship applications.
c. should not inquire about a patient’s immigration experience
d. are required to follow national recommendations for the care of immigrants
8.
Practice-level interventions for improving health care delivery to immigrants include:
a. screening for documentation status before rendering treatment
b. requiring that all patients fill out forms and be interviewed in English
c. providing referrals to community based organizations only for health issues
d. improving access to trained interpreters and increasing the number of languageconcordant staff and providers
9. Mrs. Lopez, a recent immigrant from Guatemala, comes to your clinic to establish
primary care. Which of the following may be safe to assume?
a. She has had no medical care in the past.
b. She has had all routine medical screening and immunizations.
c. She will not speak English.
d. Her personal, medical and immigration history are essential to guiding
appropriate care.
Course No. - MED12007A
Care of Vulnerable and Underserved Populations Online Course
10. Patients who are new immigrants to the United States:
a. are at lower risk for developing chronic illnesses such as diabetes
b. are not likely to use alternative medical treatments
c. tend to have lower infant mortality rates, despite their lower socioeconomic
status, than non-immigrant Americans.
d. are more likely to seek help for domestic violence.
12. Mrs. Diaz is a 54 year old woman from Honduras with hypertension and diabetes
who is returning to Honduras to visit her mother. She tells you that she might get dental
work while she is there as it is less expensive. You should
a. advise her against getting her dental work in Honduras
b. ensure that she is immune to hepatitis B – and provide vaccination if she is not
c. ensure that her tetanus immunization is up to date
d. prescribe a sufficient supply of her routine medications to last the duration of her
trip
e. A, B, C
f. B, C, D