Test Bank for Advanced Health
Assessment & Clinical Diagnosis in
Primary Care 7th Edition
by Joyce E. Dains, Linda C. Baumann &
Pamela Scheibel
100% Expert Verified Answers| A+
Answers at the Back of Every Chapter
1n|nPnangne
, Chaptern1:nClinicalnreasoning,ndifferentialndiagnosis,nevidence-
basednpractice,nandnsymptomnanalysis
MultiplenChoice
Identifynthenchoicenthatnbestncompletesnthenstatementnornanswersnthenquestion.
1. Whichntypenofnclinicalndecision-makingnisnmostnreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Whichnofnthenfollowingnisnfalse?nTonobtainnadequatenhistory,nhealth-carenprovidersnmustnbe:
A. Methodicalnandnsystematic
B. Attentiventonthenpatient‘snverbalnandnnonverbalnlanguage
C. Ablentonaccuratelyninterpretnthenpatient‘snresponses
D. Adeptnatnreadingnintonthenpatient‘snstatements
3. Essentialnpartsnofnanhealthnhistorynincludenallnofnthenfollowingnexcept:
A. Chiefncomplaint
B. Historynofnthenpresentnillness
C. Currentnvitalnsigns
D. Allnofnthenabovenarenessentialnhistoryncomponents
4. Whichnofnthenfollowingnisnfalse?nWhilenperformingnthenphysicalnexamination,nthenmustnbenablento:
A. Differentiatenbetweennnormalnandnabnormalnfindings
B. Recallnknowledgenofnanrangenofnconditionsnandntheirnassociatednsignsnandnsymptoms
C. Recognizenhowncertainnconditionsnaffectnthenresponsentonothernconditions
D. Foreseenunpredictablenfindings
2n|nPnangne
,5. Thenfollowingnisnthenleastnreliablensourcenofninformationnforndiagnosticnstatistics:
A. Evidence-basedninvestigations
B. Primarynreportsnofnresearch
C. Estimationnbasednonnanprovider‘snexperience
D. Publishednmeta-analyses
6. Thenfollowingncannbenusedntonassistninnsoundnclinicalndecision-making:
A. Algorithmnpublishedninnanpeer-reviewednjournalnarticle
B. Clinicalnpracticenguidelines
C. Evidence-basednresearch
D. Allnofnthenabove
7. Ifnandiagnosticnstudynhasnhighnsensitivity,nthisnindicatesna:
A. Highnpercentagenofnpersonsnwithnthengivennconditionnwillnhavenannabnormalnresult
B. Lownpercentagenofnpersonsnwithnthengivennconditionnwillnhavenannabnormalnresult
C. Lownlikelihoodnofnnormalnresultninnpersonsnwithoutnangivenncondition
D. Nonenofnthenabove
8. Ifnandiagnosticnstudynhasnhighnspecificity,nthisnindicatesna:
A. Lownpercentagenofnhealthynindividualsnwillnshownannormalnresult
B. Highnpercentagenofnhealthynindividualsnwillnshownannormalnresult
C. Highnpercentagenofnindividualsnwithnandisordernwillnshownannormalnresult
D. Lownpercentagenofnindividualsnwithnandisordernwillnshownannabnormalnresult
9. Anlikelihoodnrationaboven1nindicatesnthatnandiagnosticntestnshowingna:
A. Positivenresultnisnstronglynassociatednwithnthendisease
3n|nPnangne
, B. Negativenresultnisnstronglynassociatednwithnabsencenofnthendisease
C. Positivenresultnisnweaklynassociatednwithnthendisease
D. Negativenresultnisnweaklynassociatednwithnabsencenofnthendisease
10. Whichnofnthenfollowingnclinicalnreasoningntoolsnisndefinednasnevidence-
basednresourcenbasednonnmathematicalnmodelingntonexpressnthenlikelihoodnofnanconditionninnsele
ctnsituations,nsettings,nand/ornpatients?
A. Clinicalnpracticenguideline
B. Clinicalndecisionnrule
C. Clinicalnalgorithm
Chaptern1:nClinicalnreasoning,ndifferentialndiagnosis,nevidence-
basednpractice,nandnsymptomnanalysis
AnswernSectionnMULTIP
LEnCHOICE
1. ANS:nB
Croskerryn(2009)ndescribesntwonmajorntypesnofnclinicalndiagnosticndecision-
making:nintuitivenandnanalytical.nIntuitivendecision-nmakingn(similarntonAugenblinkndecision-
making)nisnbasednonnthenexperiencenandnintuitionnofnthencliniciannandnisnlessnreliablenandnpairednwithnf
airlyncommonnerrors.nInncontrast,nanalyticalndecision-
makingnisnbasednonncarefulnconsiderationnandnhasngreaternreliabilitynwithnrarenerrors.
PTS: 1
2. ANS:nD
Tonobtainnadequatenhistory,nprovidersnmustnbenwellnorganized,nattentiventonthenpatient‘snverbalnandnno
nverbalnlanguage,nandnablentonaccuratelyninterpretnthenpatient‘snresponsesntonquestions.nRathernthannrea
dingnintonthenpatient‘snstatements,ntheynclarifynanynareasnofnuncertainty.
PTS: 1
3. ANS:nC
4n|nPnangne
Assessment & Clinical Diagnosis in
Primary Care 7th Edition
by Joyce E. Dains, Linda C. Baumann &
Pamela Scheibel
100% Expert Verified Answers| A+
Answers at the Back of Every Chapter
1n|nPnangne
, Chaptern1:nClinicalnreasoning,ndifferentialndiagnosis,nevidence-
basednpractice,nandnsymptomnanalysis
MultiplenChoice
Identifynthenchoicenthatnbestncompletesnthenstatementnornanswersnthenquestion.
1. Whichntypenofnclinicalndecision-makingnisnmostnreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Whichnofnthenfollowingnisnfalse?nTonobtainnadequatenhistory,nhealth-carenprovidersnmustnbe:
A. Methodicalnandnsystematic
B. Attentiventonthenpatient‘snverbalnandnnonverbalnlanguage
C. Ablentonaccuratelyninterpretnthenpatient‘snresponses
D. Adeptnatnreadingnintonthenpatient‘snstatements
3. Essentialnpartsnofnanhealthnhistorynincludenallnofnthenfollowingnexcept:
A. Chiefncomplaint
B. Historynofnthenpresentnillness
C. Currentnvitalnsigns
D. Allnofnthenabovenarenessentialnhistoryncomponents
4. Whichnofnthenfollowingnisnfalse?nWhilenperformingnthenphysicalnexamination,nthenmustnbenablento:
A. Differentiatenbetweennnormalnandnabnormalnfindings
B. Recallnknowledgenofnanrangenofnconditionsnandntheirnassociatednsignsnandnsymptoms
C. Recognizenhowncertainnconditionsnaffectnthenresponsentonothernconditions
D. Foreseenunpredictablenfindings
2n|nPnangne
,5. Thenfollowingnisnthenleastnreliablensourcenofninformationnforndiagnosticnstatistics:
A. Evidence-basedninvestigations
B. Primarynreportsnofnresearch
C. Estimationnbasednonnanprovider‘snexperience
D. Publishednmeta-analyses
6. Thenfollowingncannbenusedntonassistninnsoundnclinicalndecision-making:
A. Algorithmnpublishedninnanpeer-reviewednjournalnarticle
B. Clinicalnpracticenguidelines
C. Evidence-basednresearch
D. Allnofnthenabove
7. Ifnandiagnosticnstudynhasnhighnsensitivity,nthisnindicatesna:
A. Highnpercentagenofnpersonsnwithnthengivennconditionnwillnhavenannabnormalnresult
B. Lownpercentagenofnpersonsnwithnthengivennconditionnwillnhavenannabnormalnresult
C. Lownlikelihoodnofnnormalnresultninnpersonsnwithoutnangivenncondition
D. Nonenofnthenabove
8. Ifnandiagnosticnstudynhasnhighnspecificity,nthisnindicatesna:
A. Lownpercentagenofnhealthynindividualsnwillnshownannormalnresult
B. Highnpercentagenofnhealthynindividualsnwillnshownannormalnresult
C. Highnpercentagenofnindividualsnwithnandisordernwillnshownannormalnresult
D. Lownpercentagenofnindividualsnwithnandisordernwillnshownannabnormalnresult
9. Anlikelihoodnrationaboven1nindicatesnthatnandiagnosticntestnshowingna:
A. Positivenresultnisnstronglynassociatednwithnthendisease
3n|nPnangne
, B. Negativenresultnisnstronglynassociatednwithnabsencenofnthendisease
C. Positivenresultnisnweaklynassociatednwithnthendisease
D. Negativenresultnisnweaklynassociatednwithnabsencenofnthendisease
10. Whichnofnthenfollowingnclinicalnreasoningntoolsnisndefinednasnevidence-
basednresourcenbasednonnmathematicalnmodelingntonexpressnthenlikelihoodnofnanconditionninnsele
ctnsituations,nsettings,nand/ornpatients?
A. Clinicalnpracticenguideline
B. Clinicalndecisionnrule
C. Clinicalnalgorithm
Chaptern1:nClinicalnreasoning,ndifferentialndiagnosis,nevidence-
basednpractice,nandnsymptomnanalysis
AnswernSectionnMULTIP
LEnCHOICE
1. ANS:nB
Croskerryn(2009)ndescribesntwonmajorntypesnofnclinicalndiagnosticndecision-
making:nintuitivenandnanalytical.nIntuitivendecision-nmakingn(similarntonAugenblinkndecision-
making)nisnbasednonnthenexperiencenandnintuitionnofnthencliniciannandnisnlessnreliablenandnpairednwithnf
airlyncommonnerrors.nInncontrast,nanalyticalndecision-
makingnisnbasednonncarefulnconsiderationnandnhasngreaternreliabilitynwithnrarenerrors.
PTS: 1
2. ANS:nD
Tonobtainnadequatenhistory,nprovidersnmustnbenwellnorganized,nattentiventonthenpatient‘snverbalnandnno
nverbalnlanguage,nandnablentonaccuratelyninterpretnthenpatient‘snresponsesntonquestions.nRathernthannrea
dingnintonthenpatient‘snstatements,ntheynclarifynanynareasnofnuncertainty.
PTS: 1
3. ANS:nC
4n|nPnangne
