, Test Bank (Download Only) for Advanced Assessment: Interpreting Findings and
Formulating Differential Diagnoses 4th Edition Mary Jo Goolsby Laurie Grubbs
ISBN-13: 9780803668942
Chapter 1. Assessment and Clinical Decision Making: An Overview
MULTIPLE CHOICE
1. Which type of clinical decision making is most reliable?
A. Analytical I
B. Augenblink
C. Experiential
D. Intuitive
ANS: A
Croskerry (2009) describes two major types of clinical diagnostic decision making: intuitive
and analytical. Intuitive decision making (similar to Augenblink decision making) is based
on the experience and intuition of the clinician and is less reliable and paired with fairly
common errors. In contrast, analytical decision making is based on careful consideration and
has greater reliability with rare errors.
PTS: 1
,
2. You are using the PQRST approach while completing the history of present illness for a
patient complaining of pain. Which of the following questions is relevant to the “P” portion
of this approach?
A. How would you describe your pain?
B. Can you point to the area of most severe pain?
C. How has your pain changed since you first noticed it?
D. What makes the pain worse or better?
ANS: D
In the PQRST model, “P” refers to exploring precipitating and palliative factors. Identify
factors that make the symptom worse and/or better, any previous self-treatment or
prescribed treatment, and response.
PTS: 1
3. Essential parts of a health history include all of the following except:
A. Chief complaint
B. Current vital signs
C. History of the present illness
D. Review of systems
ANS: B
Vital signs are part of the physical examination portion of patient assessment, not part of the
health history.
PTS: 1
4. While reading an article on hypothyroidism, you find a helpful graphic depiction of the
decision-making process recommended by the authors to find a definitive diagnosis. This
graphic is an example of:
A. A clinical prediction tool
B. Clinical guidelines
C. A decision tree
Formulating Differential Diagnoses 4th Edition Mary Jo Goolsby Laurie Grubbs
ISBN-13: 9780803668942
Chapter 1. Assessment and Clinical Decision Making: An Overview
MULTIPLE CHOICE
1. Which type of clinical decision making is most reliable?
A. Analytical I
B. Augenblink
C. Experiential
D. Intuitive
ANS: A
Croskerry (2009) describes two major types of clinical diagnostic decision making: intuitive
and analytical. Intuitive decision making (similar to Augenblink decision making) is based
on the experience and intuition of the clinician and is less reliable and paired with fairly
common errors. In contrast, analytical decision making is based on careful consideration and
has greater reliability with rare errors.
PTS: 1
,
2. You are using the PQRST approach while completing the history of present illness for a
patient complaining of pain. Which of the following questions is relevant to the “P” portion
of this approach?
A. How would you describe your pain?
B. Can you point to the area of most severe pain?
C. How has your pain changed since you first noticed it?
D. What makes the pain worse or better?
ANS: D
In the PQRST model, “P” refers to exploring precipitating and palliative factors. Identify
factors that make the symptom worse and/or better, any previous self-treatment or
prescribed treatment, and response.
PTS: 1
3. Essential parts of a health history include all of the following except:
A. Chief complaint
B. Current vital signs
C. History of the present illness
D. Review of systems
ANS: B
Vital signs are part of the physical examination portion of patient assessment, not part of the
health history.
PTS: 1
4. While reading an article on hypothyroidism, you find a helpful graphic depiction of the
decision-making process recommended by the authors to find a definitive diagnosis. This
graphic is an example of:
A. A clinical prediction tool
B. Clinical guidelines
C. A decision tree
