Advanced Health Assessment & Clinical Diagnosis in Primary Care 6th Edition Dains Test Bank

ADVANCED HEALTH ASSESSMENT & CLINICAL DIAGNOSIS IN
PRIMARY CARE 6TH EDITION - DAINS TEST BANK

Advanced Health Assessment & Clinical Diagnosis
6th Edition By Dains – Test Bank

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Advanced Health Assessment & Clinical Diagnosis 6th Edition By Dains
– Test Bank
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Sample Questions




Chapter 1: Clinical reasoning, differential diagnosis, evidence-based practice, and symptom ana

Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which type of clinical decision-making is most reliable?

A.

Intuitive

1. Analytical
2. Experiential
D.Augenblick

____ 2. Which of the following is false? To obtain adequate history, health-care providers must be:

A.

Methodical and systematic

1. Attentive to the patient’s verbal and nonverbal language
2. Able to accurately interpret the patient’s responses
D.Adept at reading into the patient’s statements

____ 3. Essential parts of a health history include all of the following except:

,A.

Chief complaint

1. History of the present illness
2. Current vital signs
D.All of the above are essential history components

____ 4. Which of the following is false? While performing the physical examination, the examiner
must be able to:

A.

Differentiate between normal and abnormal findings

1. Recall knowledge of a range of conditions and their associated signs and
symptoms
2. Recognize how certain conditions affect the response to other conditions
D.Foresee unpredictable findings

____ 5. The following is the least reliable source of information for diagnostic statistics:

A.

Evidence-based investigations

1. Primary reports of research
2. Estimation based on a provider’s experience
D.Published meta-analyses

____ 6. The following can be used to assist in sound clinical decision-making:

1. Algorithm published in a peer-reviewed journal article
2. Clinical practice guidelines
3. Evidence-based research
4. All of the above
____ 7. If a diagnostic study has high sensitivity, this indicates a:

A.

High percentage of persons with the given condition will have an abnormal result

1. Low percentage of persons with the given condition will have an abnormal result
2. Low likelihood of normal result in persons without a given condition
D.None of the above

____ 8. If a diagnostic study has high specificity, this indicates a:

A Low percentage of healthy individuals will show a normal result

,.

1. High percentage of healthy individuals will show a normal result
2. High percentage of individuals with a disorder will show a normal result
D.Low percentage of individuals with a disorder will show an abnormal result

____ 9. A likelihood ratio above 1 indicates that a diagnostic test showing a:

1. Positive result is strongly associated with the disease
2. Negative result is strongly associated with absence of the disease
3. Positive result is weakly associated with the disease
4. Negative result is weakly associated with absence of the disease
____ 10. Which of the following clinical reasoning tools is defined as evidence-based resource
based on mathematical modeling

to express the likelihood of a condition in select situations, settings, and/or patients?

A.Clinical practice guideline

1. Clinical decision rule
2. Clinical algorithm


Chapter 2. Evidence-based health screening
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The first step in the genomic assessment of a patient is obtaining information regarding:

A.

Family history

1. Environmental exposures
2. Lifestyle and behaviors
D.Current medications

____ 2. An affected individual who manifests symptoms of a particular condition through whom a
family with a genetic

disorder is ascertained is called a(n):

A.

Consultand

1. Consulband
2. Index patient
D.Proband

, ____ 3. An autosomal dominant disorder involves the:

A.

X chromosome

1. Y chromosome
2. Mitochondrial DNA
D.Non-sex chromosomes

____ 4. To illustrate a union between two second cousin family members in a pedigree, draw:

A.

Arrows pointing to the male and female

1. Brackets around the male and female
2. Double horizontal lines between the male and female
D.Circles around the male and female

____ 5. To illustrate two family members in an adoptive relationship in a pedigree:

A.

Arrows are drawn pointing to the male and female

1. Brackets are drawn around the male and female
2. Double horizontal lines are drawn between the male and female
D.Circles are drawn around the male and female

____ 6. When analyzing the pedigree for autosomal dominant disorders, it is common to see:

1. Several generations of affected members
2. Many consanguineous relationships
3. More members of the maternal lineage affected than paternal
4. More members of the paternal lineage affected than maternal
____ 7. In autosomal recessive (AR) disorders, individuals need:

A.Only one mutated gene on the sex chromosomes to acquire the disease

1. Only one mutated gene to acquire the disease
2. Two mutated genes to acquire the disease
D Two mutated genes to become carriers

.

____ 8. In autosomal recessive disorders, carriers have:

A.Two mutated genes; one from each parent that cause disease