1.Explain why all managed care plans require the permission of the primary care physician before a patient visits an emergency room?  Under what circumstances is this permission not required?2.If a particular change that reaches you is of such an urgent nature that you have no time to explain in detail to employees or sell them on what must be done, how would you proceed?3.Why is it stated that career development must largely be self-development?4. Why is it said that accountability or ultimate responsibility cannot be delegated?these are the four questions the book i am using is Umikers management Skills if you google the question and put the book name at the end it will come up