Test Bank for Advanced Assessment: Interpreting Findings
b& b& b& b& b& b& b&
and Formulating Differential Diagnoses, 5th Edition, Mary Jo
b& b& b& b& b& b& b& &
b
Goolsby, Laurie Grubbs Chapter 1 - 22 | Complete
b& b& &
b b& b& b& b& b&
,Chapter 1. Assessment and Clinical Decision-Making: Overview
b& b& b& b& b& b&
Multiple Choice
b&
Identify the choice that best completes the statement or answers the question.
b& b& b& b& b& b& b& b& b& b& b&
b& 1. Which type of clinical decision-making is most reliable?
b& b& b& b& b& b& b&
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
b& 2. Which of the following is false? To obtain adequate history, health-care providers must be:
b& b& b& b& b& b& b& b& b& b& b& b& b&
A. Methodical and systematic b& b&
B. Attentive to the patient’s verbal and nonverbal language
b& b& b& b& b& b& b&
C. Able to accurately interpret the patient’s responses
b& b& b& b& b& b&
D. Adept at reading into the patient’s statements
b& b& b& b& b& b&
Essential parts of a health history include all of the following except:
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b& 3. A. Chief complaint b&
B. History of the present illness b& b& b& b&
C. Current vital signs b& b&
D. All of the above are essential history components
b& b& b& b& b& b& b&
Which of the following is false? While performing the physical examination, the examiner m
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b& 4. ust beable to:
b& &
b b&
A. Differentiate between normal and abnormal findings b& b& b& b& b&
B. Recall knowledge of a range of conditions and their associated signs and symptoms
b& b& b& b& b& b& b& b& b& b& b& b&
C. Recognize how certain conditions affect the response to other conditions
b& b& b& b& b& b& b& b& b&
D. Foresee unpredictable findings b& b&
The following is the least reliable source of information for diagnostic statistics:
b& b& b& b& b& b& b& b& b& b& b&
b& 5. A. Evidence-based investigations b&
B. Primary reports of research b& b& b&
C. Estimation based on a provider’s experience b& b& b& b& b&
D. Published meta-analyses b&
The following can be used to assist in sound clinical decision-making:
b& b& b& b& b& b& b& b& b& b&
b& 6. A. Algorithm published in a peer-reviewed journal article
b& b& b& b& b& b&
B. Clinical practice guidelines b& b&
C. Evidence-based research b&
D. All of the aboveb& b& b&
If a diagnostic study has high sensitivity, this indicates a:
b& b& b& b& b& b& b& b& b&
A. High percentage of persons with the given condition will have an abnormal result
b& b& b& b& b& b& b& b& b& b& b& b&
b& 7. B. Low percentage of persons with the given condition will have an abnormal result
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C. Low likelihood of normal result in persons without a given condition
b& b& b& b& b& b& b& b& b& b&
D. None of the above b& b& b&
,b& 8. If a diagnostic study has high specificity, this indicates a:
b& b& b& b& b& b& b& b& b&
A. Low percentage of healthy individuals will show a normal result
b& b& b& b& b& b& b& b& b&
B. High percentage of healthy individuals will show a normal result
b& b& b& b& b& b& b& b& b&
C. High percentage of individuals with a disorder will show a normal result
b& b& b& b& b& b& b& b& b& b& b&
D. Low percentage of individuals with a disorder will show an abnormal result
b& b& b& b& b& b& b& b& b& b& b&
b& 9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
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A. Positive result is strongly associated with the disease
b& b& b& b& b& b& b&
B. Negative result is strongly associated with absence of the disease
b& b& b& b& b& b& b& b& b&
C. Positive result is weakly associated with the disease
b& b& b& b& b& b& b&
D. Negative result is weakly associated with absence of the disease
b& b& b& b& b& b& b& b& b&
b& b&b&b & 10. Which of the following clinical reasoning tools is defined as evidence-
b& b& b& b& b& b& b& b& b& b& b&
based resource based on mathematical modeling to express the likelihood of a condition in
b& b& b& b& b& b& b& b& b& b& b& b& b& b&
select situations, settings, and/orpatients?
b& b& b& &
b
A. Clinical practice guidelin b& b&
B. eClinical decision rule C
b& b& b& b&
C. linical algorithm Clinical b& b&
D. recommendation
b&
, Chapter 1. Assessment and Clinical Decision-
b& b& b& b& b&
Answer Section
Making: Overview
b& b&
MULTIPLE CHOICE
b&
1. ANS: B b &
Croskerry (2009) describes two major types of clinical diagnostic decision-
b& b& b& b& b& b& b& b& b&
making: intuitive and analytical. Intuitive decision-making (similar to Augenblink decision-
b& b& b& b& b& b& b& b& b&
making) is based on the experience and intuition of the clinician and is less reliable and pa
b& b& b& b& b& b& b& b& b& b& b& b& b& b& b& b&
ired with fairly common errors. In contrast, analytical decision-
b& b& b& b& b& b& b& b&
making is based on careful consideration and has greater reliabilitywith rare errors.
b& b& b& b& b& b& b& b& b& &
b b& b&
PTS: 1
2. ANS: D b &
To obtain adequate history, providers must be well organized, attentive to the patient’s verb
b& b& b& b& b& b& b& b& b& b& b& b& b&
al andnonverbal language, and able to accurately interpret the patient’s responses to questi
b& &
b b& b& b& b& b& b& b& b& b& b& b&
ons. Rather than reading into the patient’s statements, they clarify any areas of uncertainty
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.
PTS: 1
3. ANS: C b &
Vital signs are part of the physical examination portion of patient assessment, not part of the he
b& b& b& b& b& b& b& b& b& b& b& b& b& b& b& b&
althhistory. &
b
PTS: 1
4. ANS: D b &
While performing the physical examination, the examiner must be able to differentiate betw
b& b& b& b& b& b& b& b& b& b& b& b&
eennormal and abnormal findings, recall knowledge of a range of conditions, including their
&
b b& b& b& b& b& b& b& b& b& b& b& b&
associated signs and symptoms, recognize how certain conditions affect the response to ot
b& b& b& b& b& b& b& b& b& b& b& b& b&
her conditions, and distinguish the relevance of varied abnormal findings.
b& b& b& b& b& b& b& b& b&
PTS: 1
5. ANS: C b &
Sources for diagnostic statistics include textbooks, primary reports of research, and publish
b& b& b& b& b& b& b& b& b& b& b&
ed meta- b&
analyses. Another source of statistics, the one that has been most widely used and availa
b& b& b& b& b& b& b& b& b& b& b& b& b& b&
ble for application to the reasoning process, is the estimation based on a provider’s exper
b& b& b& b& b& b& b& b& b& b& b& b& b& b&
ience, although these are rarely accurate. Over the past decade, the availability of evidenc
b& b& b& b& b& b& b& b& b& b& b& b& b&
e on which to base clinical reasoning is improving, and there is an increasing expectation t
b& b& b& b& b& b& b& b& b& b& b& b& b& b& b&
hat clinical reasoningbe based on scientific evidence. Evidence-
b& b& &
b b& b& b& b& b&
based statistics are also increasingly being used to develop resources to facilitate clinical d
b& b& b& b& b& b& b& b& b& b& b& b& b&
ecision-making.
PTS: 1
6. ANS: D b &
To assist in clinical decision-making, a number of evidence-
b& b& b& b& b& b& b& b&
based resources have been developedto assist the clinician. Resources, such as algorithms a
b& b& b& b& &
b b& b& b& b& b& b& b& b&
nd clinical practice guidelines, assist in clinical reasoning when properly applied.
b& b& b& b& b& b& b& b& b& b&
Downloadedb&by:b&Stuviaaab&|b&essayguruh@gmail.c
om
Distributionb&ofb&thisb&documentb&isb&illegal
b& b& b& b& b& b& b&
and Formulating Differential Diagnoses, 5th Edition, Mary Jo
b& b& b& b& b& b& b& &
b
Goolsby, Laurie Grubbs Chapter 1 - 22 | Complete
b& b& &
b b& b& b& b& b&
,Chapter 1. Assessment and Clinical Decision-Making: Overview
b& b& b& b& b& b&
Multiple Choice
b&
Identify the choice that best completes the statement or answers the question.
b& b& b& b& b& b& b& b& b& b& b&
b& 1. Which type of clinical decision-making is most reliable?
b& b& b& b& b& b& b&
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
b& 2. Which of the following is false? To obtain adequate history, health-care providers must be:
b& b& b& b& b& b& b& b& b& b& b& b& b&
A. Methodical and systematic b& b&
B. Attentive to the patient’s verbal and nonverbal language
b& b& b& b& b& b& b&
C. Able to accurately interpret the patient’s responses
b& b& b& b& b& b&
D. Adept at reading into the patient’s statements
b& b& b& b& b& b&
Essential parts of a health history include all of the following except:
b& b& b& b& b& b& b& b& b& b& b&
b& 3. A. Chief complaint b&
B. History of the present illness b& b& b& b&
C. Current vital signs b& b&
D. All of the above are essential history components
b& b& b& b& b& b& b&
Which of the following is false? While performing the physical examination, the examiner m
b& b& b& b& b& b& b& b& b& b& b& b& b&
b& 4. ust beable to:
b& &
b b&
A. Differentiate between normal and abnormal findings b& b& b& b& b&
B. Recall knowledge of a range of conditions and their associated signs and symptoms
b& b& b& b& b& b& b& b& b& b& b& b&
C. Recognize how certain conditions affect the response to other conditions
b& b& b& b& b& b& b& b& b&
D. Foresee unpredictable findings b& b&
The following is the least reliable source of information for diagnostic statistics:
b& b& b& b& b& b& b& b& b& b& b&
b& 5. A. Evidence-based investigations b&
B. Primary reports of research b& b& b&
C. Estimation based on a provider’s experience b& b& b& b& b&
D. Published meta-analyses b&
The following can be used to assist in sound clinical decision-making:
b& b& b& b& b& b& b& b& b& b&
b& 6. A. Algorithm published in a peer-reviewed journal article
b& b& b& b& b& b&
B. Clinical practice guidelines b& b&
C. Evidence-based research b&
D. All of the aboveb& b& b&
If a diagnostic study has high sensitivity, this indicates a:
b& b& b& b& b& b& b& b& b&
A. High percentage of persons with the given condition will have an abnormal result
b& b& b& b& b& b& b& b& b& b& b& b&
b& 7. B. Low percentage of persons with the given condition will have an abnormal result
b& b& b& b& b& b& b& b& b& b& b& b&
C. Low likelihood of normal result in persons without a given condition
b& b& b& b& b& b& b& b& b& b&
D. None of the above b& b& b&
,b& 8. If a diagnostic study has high specificity, this indicates a:
b& b& b& b& b& b& b& b& b&
A. Low percentage of healthy individuals will show a normal result
b& b& b& b& b& b& b& b& b&
B. High percentage of healthy individuals will show a normal result
b& b& b& b& b& b& b& b& b&
C. High percentage of individuals with a disorder will show a normal result
b& b& b& b& b& b& b& b& b& b& b&
D. Low percentage of individuals with a disorder will show an abnormal result
b& b& b& b& b& b& b& b& b& b& b&
b& 9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
b& b& b& b& b& b& b& b& b& b& b&
A. Positive result is strongly associated with the disease
b& b& b& b& b& b& b&
B. Negative result is strongly associated with absence of the disease
b& b& b& b& b& b& b& b& b&
C. Positive result is weakly associated with the disease
b& b& b& b& b& b& b&
D. Negative result is weakly associated with absence of the disease
b& b& b& b& b& b& b& b& b&
b& b&b&b & 10. Which of the following clinical reasoning tools is defined as evidence-
b& b& b& b& b& b& b& b& b& b& b&
based resource based on mathematical modeling to express the likelihood of a condition in
b& b& b& b& b& b& b& b& b& b& b& b& b& b&
select situations, settings, and/orpatients?
b& b& b& &
b
A. Clinical practice guidelin b& b&
B. eClinical decision rule C
b& b& b& b&
C. linical algorithm Clinical b& b&
D. recommendation
b&
, Chapter 1. Assessment and Clinical Decision-
b& b& b& b& b&
Answer Section
Making: Overview
b& b&
MULTIPLE CHOICE
b&
1. ANS: B b &
Croskerry (2009) describes two major types of clinical diagnostic decision-
b& b& b& b& b& b& b& b& b&
making: intuitive and analytical. Intuitive decision-making (similar to Augenblink decision-
b& b& b& b& b& b& b& b& b&
making) is based on the experience and intuition of the clinician and is less reliable and pa
b& b& b& b& b& b& b& b& b& b& b& b& b& b& b& b&
ired with fairly common errors. In contrast, analytical decision-
b& b& b& b& b& b& b& b&
making is based on careful consideration and has greater reliabilitywith rare errors.
b& b& b& b& b& b& b& b& b& &
b b& b&
PTS: 1
2. ANS: D b &
To obtain adequate history, providers must be well organized, attentive to the patient’s verb
b& b& b& b& b& b& b& b& b& b& b& b& b&
al andnonverbal language, and able to accurately interpret the patient’s responses to questi
b& &
b b& b& b& b& b& b& b& b& b& b& b&
ons. Rather than reading into the patient’s statements, they clarify any areas of uncertainty
b& b& b& b& b& b& b& b& b& b& b& b& b&
.
PTS: 1
3. ANS: C b &
Vital signs are part of the physical examination portion of patient assessment, not part of the he
b& b& b& b& b& b& b& b& b& b& b& b& b& b& b& b&
althhistory. &
b
PTS: 1
4. ANS: D b &
While performing the physical examination, the examiner must be able to differentiate betw
b& b& b& b& b& b& b& b& b& b& b& b&
eennormal and abnormal findings, recall knowledge of a range of conditions, including their
&
b b& b& b& b& b& b& b& b& b& b& b& b&
associated signs and symptoms, recognize how certain conditions affect the response to ot
b& b& b& b& b& b& b& b& b& b& b& b& b&
her conditions, and distinguish the relevance of varied abnormal findings.
b& b& b& b& b& b& b& b& b&
PTS: 1
5. ANS: C b &
Sources for diagnostic statistics include textbooks, primary reports of research, and publish
b& b& b& b& b& b& b& b& b& b& b&
ed meta- b&
analyses. Another source of statistics, the one that has been most widely used and availa
b& b& b& b& b& b& b& b& b& b& b& b& b& b&
ble for application to the reasoning process, is the estimation based on a provider’s exper
b& b& b& b& b& b& b& b& b& b& b& b& b& b&
ience, although these are rarely accurate. Over the past decade, the availability of evidenc
b& b& b& b& b& b& b& b& b& b& b& b& b&
e on which to base clinical reasoning is improving, and there is an increasing expectation t
b& b& b& b& b& b& b& b& b& b& b& b& b& b& b&
hat clinical reasoningbe based on scientific evidence. Evidence-
b& b& &
b b& b& b& b& b&
based statistics are also increasingly being used to develop resources to facilitate clinical d
b& b& b& b& b& b& b& b& b& b& b& b& b&
ecision-making.
PTS: 1
6. ANS: D b &
To assist in clinical decision-making, a number of evidence-
b& b& b& b& b& b& b& b&
based resources have been developedto assist the clinician. Resources, such as algorithms a
b& b& b& b& &
b b& b& b& b& b& b& b& b&
nd clinical practice guidelines, assist in clinical reasoning when properly applied.
b& b& b& b& b& b& b& b& b& b&
Downloadedb&by:b&Stuviaaab&|b&essayguruh@gmail.c
om
Distributionb&ofb&thisb&documentb&isb&illegal
