TEST BANK FOR Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses 4th Edition Goolsby |All Chapters (1 - 22) | Updated Version A+

TEST BANK FOR Advanced Assessment Interpreting
Findings and Formulating Differential Diagnoses
4th Edition Goolsby Chapters 1 - 22 | Complete

, TABLE OF CONTENTS
J J



 ChapterJ1.JAssessmentJandJClinicalJDecisionJMaking:JAnJOverview
 ChapterJ2.JGenomicJAssessment:JInterpretingJFindingsJandJFormulatingJDifferentialJDiagnoses
 ChapterJ3.JSkin
 ChapterJ4.JHead,JFace,JandJNeck
 ChapterJ5.JTheJEye
 ChapterJ6.JEar,JNose,JMouth,JandJThroat
 ChapterJ7.JCardiacJandJPeripheralJVascularJSystems
 ChapterJ8.JRespiratoryJSystem
 ChapterJ9.JBreasts
 ChapterJ10.JAbdomen
 ChapterJ11.JGenitourinaryJSystem
 ChapterJ12.JMaleJReproductiveJSystem
 ChapterJ13.JFemaleJReproductiveJSystem
 ChapterJ14.JMusculoskeletalJSystem
 ChapterJ15.JNeurologicalJSystem
 ChapterJ16.JNonspecificJComplaints
 ChapterJ17.JPsychiatricJMentalJHealth
 ChapterJ18.JPediatricJPatients
 ChapterJ19.JPregnantJPatients
 ChapterJ20.JAssessmentJofJtheJTransgenderJorJGenderJDiverseJAdult
 ChapterJ21.JOlderJPatients
 ChapterJ22.JPersonsJWithJDisabilities

,  Chapter 1. Assessment and Clinical Decision Making: An Overview
J J J J J J J J




MultipleJ Choice
IdentifyJtheJchoiceJthatJbestJcompletesJtheJstatementJorJanswersJtheJquestion.

J 1. WhichJtypeJofJclinicalJdecision-makingJisJmostJreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick

J 2. WhichJofJtheJfollowingJisJfalse?JToJobtainJadequateJhistory,Jhealth-careJprovidersJmustJbe:
A. MethodicalJandJsystematic
B. AttentiveJtoJtheJpatient‘sJverbalJandJnonverbalJlanguage
C. AbleJtoJaccuratelyJinterpretJtheJpatient‘sJresponses
D. AdeptJatJreadingJintoJtheJpatient‘sJstatements

J 3. EssentialJpartsJofJaJhealthJhistoryJincludeJallJofJtheJfollowingJexcept:
A. ChiefJcomplaint
B. HistoryJofJtheJpresentJillness
C. CurrentJvitalJsigns
D. AllJofJtheJaboveJareJessentialJhistoryJcomponents

J 4. WhichJofJtheJfollowingJisJfalse?JWhileJperformingJtheJphysicalJexamination,JtheJexaminerJmustJbeJableJto:
A. DifferentiateJbetweenJnormalJandJabnormalJfindings
B. RecallJknowledgeJofJaJrangeJofJconditionsJandJtheirJassociatedJsignsJandJsymptoms
C. RecognizeJhowJcertainJconditionsJaffectJtheJresponseJtoJotherJconditions
D. ForeseeJunpredictableJfindings

J 5. TheJfollowingJisJtheJleastJreliableJsourceJofJinformationJforJdiagnosticJstatistics:
A. Evidence-basedJinvestigations
B. PrimaryJreportsJofJresearch
C. EstimationJbasedJonJaJprovider‘sJexperience
D. PublishedJmeta-analyses

J 6. TheJfollowingJcanJbeJusedJtoJassistJinJsoundJclinicalJdecision-making:
A. AlgorithmJpublishedJinJaJpeer-reviewedJjournalJarticle
B. ClinicalJpracticeJguidelines
C. Evidence-basedJresearch
D. AllJofJtheJabove

J 7. IfJaJdiagnosticJstudyJhasJhighJsensitivity,J thisJindicatesJa:
A. HighJpercentageJofJpersonsJwithJtheJgivenJconditionJwillJhaveJanJabnormalJresult
B. LowJpercentageJofJpersonsJwithJtheJgivenJconditionJwillJhaveJanJabnormalJresult
C. LowJlikelihoodJofJnormalJresultJinJpersonsJwithoutJaJgivenJcondition
D. NoneJofJtheJabove

J 8. IfJaJdiagnosticJstudyJhasJhighJspecificity,J thisJindicatesJa:
A. LowJpercentageJofJhealthyJindividualsJwillJshowJaJnormalJresult
B. HighJpercentageJofJhealthyJindividualsJwillJshowJaJnormalJresult
C. HighJpercentageJofJindividualsJwithJaJdisorderJwillJshowJaJnormalJresult
D. LowJpercentageJofJindividualsJwithJaJdisorderJwillJshowJanJabnormalJresult

J 9. AJlikelihoodJratioJaboveJ1JindicatesJthatJaJdiagnosticJtestJshowingJa:
A. PositiveJresultJisJstronglyJassociatedJwithJtheJdisease
B. NegativeJresultJisJstronglyJassociatedJwithJabsenceJofJtheJdisease
C. PositiveJresultJisJweaklyJassociatedJwithJtheJdisease
D. NegativeJresultJisJweaklyJassociatedJwithJabsenceJofJtheJdisease

,J 10. WhichJofJtheJfollowingJclinicalJreasoningJtoolsJisJdefinedJasJevidence-basedJresourceJbasedJonJmathematicalJmodeling
toJexpressJtheJlikelihoodJofJaJconditionJinJselectJsituations,Jsettings,Jand/orJpatients?

, A. ClinicalJpracticeJguideline
B. ClinicalJdecisionJrule
C. ClinicalJalgorithm
ChapterJ1:JClinicalJreasoning,JdifferentialJdiagnosis,Jevidence-basedJpractice,JandJsymptomJana
AnswerJSection

MULTIPLEJCHOICE

1. ANS: B
CroskerryJ(2009)JdescribesJtwoJmajorJtypesJofJclinicalJdiagnosticJdecision-making:JintuitiveJandJanalytical.JIntuitiveJdecision-
JmakingJ(similarJtoJAugenblinkJdecision-
making)JisJbasedJonJtheJexperienceJandJintuitionJofJtheJclinicianJandJisJlessJreliableJandJpairedJwithJfairlyJcommonJerrors.JInJco
ntrast,JanalyticalJdecision-makingJisJbasedJonJcarefulJconsiderationJandJhasJgreaterJreliabilityJwithJrareJerrors.

PTS: 1
2. ANS: D
ToJobtainJadequateJhistory,JprovidersJmustJbeJwellJorganized,JattentiveJtoJtheJpatient‘sJverbalJandJnonverbalJlanguage,JandJabl
eJtoJaccuratelyJinterpretJtheJpatient‘sJresponsesJtoJquestions.JRatherJthanJreadingJintoJtheJpatient‘sJstatements,JtheyJclarifyJanyJa
reasJofJuncertainty.

PTS: 1
3. ANS: C
VitalJsignsJareJpartJofJtheJphysicalJexaminationJportionJofJpatientJassessment,JnotJpartJofJtheJhealthJhistory.

PTS: 1
4. ANS: D
WhileJperformingJtheJphysicalJexamination,JtheJexaminerJmustJbeJableJtoJdifferentiateJbetweenJnormalJandJabnormalJfindings,Jre
callJknowledgeJofJaJrangeJofJconditions,JincludingJtheirJassociatedJsignsJandJsymptoms,JrecognizeJhowJcertainJconditionsJaffectJt
heJresponseJtoJotherJconditions,JandJdistinguishJtheJrelevanceJofJvariedJabnormalJ findings.

PTS: 1
5. ANS: C
SourcesJforJdiagnosticJstatisticsJincludeJtextbooks,JprimaryJreportsJofJresearch,JandJpublishedJmeta-
analyses.JAnotherJsourceJofJstatistics,JtheJoneJthatJhasJbeenJmostJwidelyJusedJandJavailableJforJapplicationJtoJtheJreasoningJproce
ss,JisJtheJestimationJbasedJonJaJprovider‘sJexperience,JalthoughJtheseJareJrarelyJaccurate.JOverJtheJpastJdecade,JtheJavailabilityJo
fJevidenceJonJwhichJtoJbaseJclinicalJreasoningJisJimproving,J andJthereJisJanJincreasingJexpectationJthatJclinicalJreasoningJbeJbase
dJonJscientificJevidence.
Evidence-basedJstatisticsJareJalsoJincreasinglyJbeingJusedJtoJdevelopJresourcesJtoJfacilitateJclinicalJdecision-making.

PTS: 1
6. ANS: D
ToJassistJinJclinicalJdecision-making,JaJnumberJofJevidence-
basedJresourcesJhaveJbeenJdevelopedJtoJassistJtheJclinician.JResources,JsuchJasJalgorithmsJandJclinicalJpracticeJguideline
s,JassistJinJclinicalJreasoningJwhenJproperlyJapplied.

PTS: 1
7. ANS: A
TheJsensitivityJofJaJdiagnosticJstudyJisJtheJpercentageJofJindividualsJwithJtheJtargetJconditionJwhoJshowJanJabnormal,JorJpositive,Jr
esult.JAJhighJsensitivityJindicatesJthatJaJgreaterJpercentageJofJpersonsJwithJtheJgivenJconditionJwillJhaveJanJabnormalJresult.

PTS: 1
8. ANS: B
TheJspecificityJofJaJdiagnosticJstudyJisJtheJpercentageJofJnormal,JhealthyJindividualsJwhoJhaveJaJnormalJresult.JTheJgreaterJth
eJspecificity,JtheJgreaterJtheJpercentageJofJindividualsJwhoJwillJhaveJnegative,JorJnormal,JresultsJifJtheyJdoJnotJhaveJtheJtargetJ
condition.

PTS: 1
9. ANS: A
TheJlikelihoodJratioJisJtheJprobabilityJthatJaJpositiveJtestJresultJwillJbeJassociatedJwithJaJpersonJwhoJhasJtheJtargetJconditionJandJ
aJnegativeJresultJwillJbeJassociatedJwithJaJhealthyJperson.JAJlikelihoodJratioJaboveJ1JindicatesJthatJaJpositiveJresultJisJassociatedJ
withJtheJdisease;JaJlikelihoodJratioJlessJthanJ1JindicatesJthatJaJnegativeJresultJisJassociatedJwithJanJabsenceJofJtheJdisease.

, PTS: 1
10. ANS: B
ClinicalJdecisionJ(orJprediction)JrulesJprovideJanotherJsupportJforJclinicalJreasoning.JClinicalJdecisionJrulesJareJevidence-
basedJresourcesJthatJprovideJprobabilisticJstatementsJregardingJtheJlikelihoodJthatJaJconditionJexistsJifJcertainJvariablesJareJmet
JwithJregardJtoJtheJprognosisJofJpatientsJwithJspecificJfindings.JDecisionJrulesJuseJmathematical JmodelsJandJareJspecificJtoJcert
ainJsituations,Jsettings,Jand/orJpatientJcharacteristics.

PTS: 1