Test Bank for Advanced Assessment: Interpreting Findings and
h h h h h h h h
Formulating Differential Diagnoses, 5th Edition, Mary Jo
h h h h h h h
Goolsby, Laurie Grubbs Chapter 1 - 22 | Complete
h h h h h h h h
,Chapter 1. Assessment and Clinical Decision-Making: Overview
h h h h h h
MultiplehChoice
Identifyhthehchoicehthathbesthcompleteshthehstatementhor2answershthehquestion.
h 1. Whichhtypehofhclinicalhdecision-makinghishmosthreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
h 2. Whichhofhthe2followinghishfalse?hTohobtainhadequatehhistory,hhealth-carehprovidershmust2be:
A. Methodicalhand2systematic
B. Attentivehtohthehpatient’shverbalhandhnonverbalhlanguage
C. Able2tohaccuratelyhinterpreththehpatient’shresponses
D. Adepthathreadinghintohthehpatient’shstatements
h 3. Essentialhpartshofhahhealthhhistoryhincludehallhofhthehfollowinghexcept:
A. Chiefhcomplaint
B. Historyhofhthe2presenthillness
C. Currenthvitalhsigns
D. Allhofhthehaboveharehessentialhhistoryhcomponents
h 4. Whichhofhthehfollowinghishfalse?hWhilehperforming2thehphysical2examination,hthehexaminerhmusthbeahbl
ehto:
A. Differentiatehbetweenhnormalhandhabnormal2findings
B. Recallhknowledgehofhahrangehofhconditionshandhtheirhassociatedhsignshandhsymptoms
C. Recognizehhowhcertainhconditionshaffecththehresponse2to2otherhconditions
D. Foreseehunpredictablehfindings
h 5. Thehfollowinghishthehleasthreliablehsourcehof2informationhforhdiagnostichstatistics:
A. Evidence-basedhinvestigations
B. Primaryhreportshof2research
C. Estimationhbased2on2ahprovider’s2experience
D. Publishedhmeta-analyses
h 6. Thehfollowing2canhbehusedhto2assisthinhsound2clinicalhdecision-making:
A. Algorithm2publishedhin2a2peer-reviewedhjournalharticle
B. Clinical2practicehguidelines
C. Evidence-based2research
D. Allhofhthehabove
h 7. Ifhahdiagnostic2studyhhashhighhsensitivity,hthishindicatesha:
A. Highhpercentage2ofhpersonshwithhthehgivenhconditionhwillhhavehanhabnormalhresult
B. Lowhpercentagehofhpersonshwithhthehgivenhconditionhwillhhavehanhabnormalhresult
C. Lowhlikelihoodhofhnormalhresulthinhpersonshwithouthahgivenhcondition
D. Nonehofhthehabove
,h 8. Ifhahdiagnostichstudyhhashhighhspecificity,hthishindicatesha:
A. Lowhpercentagehofhhealthyhindividualshwillhshowhahnormalhresult
B. Highhpercentagehofhhealthyhindividualshwillhshowhahnormalhresult
C. Highhpercentage2ofhindividualshwithhahdisorderhwillhshowhahnormalhresult
D. Lowhpercentagehofhindividualshwithhahdisorderhwillhshowhanhabnormalhresult
h 9. Ahlikelihoodhratiohaboveh1hindicateshthathahdiagnostichtesthshowing2a:
A. Positivehresulthishstronglyhassociatedhwithhthehdisease
B. Negativehresulthishstronglyhassociated2withhabsencehofhthehdisease
C. Positivehresulthishweaklyhassociatedhwithhthehdisease
D. Negativehresulthishweaklyhassociatedhwithhabsencehofhthe2disease
h hhh 10.hWhichhofhthehfollowing2clinicalhreasoninghtoolshishdefinedhashevidence-
basedhresourcehbasedhonhmathematicalhmodelinghtohexpresshthehlikelihoodhofhahconditionhinhselecthsithuation
s,hsettings,hand/orpatients?
A. Clinicalhpracticehguidelineh
B. ClinicalhdecisionhrulehClin
C. icalhalgorithmhClinicalhrec
D. ommendation
, Chapter 1. Assessment and Clinical Decision-Making: Overview
h h h h h h
Answer Section
h
MULTIPLEhCHOICE
1. ANS:h B
Croskerryh(2009)hdescribeshtwo2majorhtypeshofhclinicalhdiagnostichdecision-
making:hintuitivehandhanalytical.hIntuitivehdecision-makingh(similarhtohAugenblinkhdecision-
hmaking)hishbasedhonhthehexperiencehandhintuitionhofhthehclinician2andhishlesshreliablehandhpairedhwithhfa
irlyhcommonherrors.hInhcontrast,hanalyticalhdecision-
makinghishbased2onhcarefulhconsiderationhandhhashgreaterhreliabilitywithhrareherrors.
PTS: 1
2. ANS:h D
Tohobtainhadequatehhistory,hprovidershmusthbehwellhorganized,hattentivehto2thehpatient’shverbal2andnohn
verbalhlanguage,handhable2tohaccuratelyhinterpreththe2patient’shresponses2tohquestions.2Ratherhthanhrhea
dinghintohthehpatient’shstatements,htheyhclarifyhanyhareashofhuncertainty.
PTS: 1
3. ANS:h C
Vitalhsignsharehparthofhthehphysicalhexaminationhportion2of2patienthassessment,hnothparthofhthehhealthhishtory.
PTS: 1
4. ANS:h D
Whilehperforminghthehphysicalhexamination,hthehexaminerhmusthbehablehtohdifferentiatehbetweennorh
malhandhabnormalhfindings,hrecallhknowledgehofhahrange2ofhconditions,hincluding2theirhassociatedhsighn
shandhsymptoms,hrecognizehhow2certainhconditions2affecththehresponsehtohotherhconditions,handhdistihng
uishhthehrelevancehofhvaried2abnormalhfindings.
PTS: 1
5. ANS:h C
Sourceshforhdiagnostic2statisticshinclude2textbooks,hprimaryhreportshofhresearch,handhpublishedhmetha
-
analyses.hAnotherhsource2ofhstatistics,hthehonehthathhashbeenhmosthwidelyhusedhandhavailablehforhapphli
cationhto2the2reasoninghprocess,hishthehestimationhbasedhonhahprovider’shexperience,halthoughhtheshehar
ehrarelyhaccurate.hOver2the2pasthdecade,hthehavailabilityhofhevidence2onhwhichhtohbasehclinicalhrehasoni
ng2ishimproving,2andhtherehishanhincreasinghexpectationhthathclinicalhreasoningbehbasedhonhsciehntifich
evidence.2Evidence-
basedhstatistics2are2alsohincreasinglyhbeinghusedhtohdevelophresourceshtohfacilitatehclinicalhdecision-
hmaking.
PTS: 1
6. ANS:h D
Tohassisthinhclinicalhdecision-making,hahnumberhofhevidence-
based2resourceshhavehbeenhdevelopedtohassisththehclinician.hResources,hsuchhashalgorithmshandhclinicha
lhpracticehguidelines,hassisthinhclinicalhreasoninghwhenhproperlyhapplied.
Thish study2sourceh wash downloadedh byh100000826342158h fromh CourseHero.comh onh05-25-2021h21:32:19h GMTh -05:00
Downloadedh by:h Stuviaaah |h essayguruh@gmail.c
ohm
h h h h h h h h
Formulating Differential Diagnoses, 5th Edition, Mary Jo
h h h h h h h
Goolsby, Laurie Grubbs Chapter 1 - 22 | Complete
h h h h h h h h
,Chapter 1. Assessment and Clinical Decision-Making: Overview
h h h h h h
MultiplehChoice
Identifyhthehchoicehthathbesthcompleteshthehstatementhor2answershthehquestion.
h 1. Whichhtypehofhclinicalhdecision-makinghishmosthreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
h 2. Whichhofhthe2followinghishfalse?hTohobtainhadequatehhistory,hhealth-carehprovidershmust2be:
A. Methodicalhand2systematic
B. Attentivehtohthehpatient’shverbalhandhnonverbalhlanguage
C. Able2tohaccuratelyhinterpreththehpatient’shresponses
D. Adepthathreadinghintohthehpatient’shstatements
h 3. Essentialhpartshofhahhealthhhistoryhincludehallhofhthehfollowinghexcept:
A. Chiefhcomplaint
B. Historyhofhthe2presenthillness
C. Currenthvitalhsigns
D. Allhofhthehaboveharehessentialhhistoryhcomponents
h 4. Whichhofhthehfollowinghishfalse?hWhilehperforming2thehphysical2examination,hthehexaminerhmusthbeahbl
ehto:
A. Differentiatehbetweenhnormalhandhabnormal2findings
B. Recallhknowledgehofhahrangehofhconditionshandhtheirhassociatedhsignshandhsymptoms
C. Recognizehhowhcertainhconditionshaffecththehresponse2to2otherhconditions
D. Foreseehunpredictablehfindings
h 5. Thehfollowinghishthehleasthreliablehsourcehof2informationhforhdiagnostichstatistics:
A. Evidence-basedhinvestigations
B. Primaryhreportshof2research
C. Estimationhbased2on2ahprovider’s2experience
D. Publishedhmeta-analyses
h 6. Thehfollowing2canhbehusedhto2assisthinhsound2clinicalhdecision-making:
A. Algorithm2publishedhin2a2peer-reviewedhjournalharticle
B. Clinical2practicehguidelines
C. Evidence-based2research
D. Allhofhthehabove
h 7. Ifhahdiagnostic2studyhhashhighhsensitivity,hthishindicatesha:
A. Highhpercentage2ofhpersonshwithhthehgivenhconditionhwillhhavehanhabnormalhresult
B. Lowhpercentagehofhpersonshwithhthehgivenhconditionhwillhhavehanhabnormalhresult
C. Lowhlikelihoodhofhnormalhresulthinhpersonshwithouthahgivenhcondition
D. Nonehofhthehabove
,h 8. Ifhahdiagnostichstudyhhashhighhspecificity,hthishindicatesha:
A. Lowhpercentagehofhhealthyhindividualshwillhshowhahnormalhresult
B. Highhpercentagehofhhealthyhindividualshwillhshowhahnormalhresult
C. Highhpercentage2ofhindividualshwithhahdisorderhwillhshowhahnormalhresult
D. Lowhpercentagehofhindividualshwithhahdisorderhwillhshowhanhabnormalhresult
h 9. Ahlikelihoodhratiohaboveh1hindicateshthathahdiagnostichtesthshowing2a:
A. Positivehresulthishstronglyhassociatedhwithhthehdisease
B. Negativehresulthishstronglyhassociated2withhabsencehofhthehdisease
C. Positivehresulthishweaklyhassociatedhwithhthehdisease
D. Negativehresulthishweaklyhassociatedhwithhabsencehofhthe2disease
h hhh 10.hWhichhofhthehfollowing2clinicalhreasoninghtoolshishdefinedhashevidence-
basedhresourcehbasedhonhmathematicalhmodelinghtohexpresshthehlikelihoodhofhahconditionhinhselecthsithuation
s,hsettings,hand/orpatients?
A. Clinicalhpracticehguidelineh
B. ClinicalhdecisionhrulehClin
C. icalhalgorithmhClinicalhrec
D. ommendation
, Chapter 1. Assessment and Clinical Decision-Making: Overview
h h h h h h
Answer Section
h
MULTIPLEhCHOICE
1. ANS:h B
Croskerryh(2009)hdescribeshtwo2majorhtypeshofhclinicalhdiagnostichdecision-
making:hintuitivehandhanalytical.hIntuitivehdecision-makingh(similarhtohAugenblinkhdecision-
hmaking)hishbasedhonhthehexperiencehandhintuitionhofhthehclinician2andhishlesshreliablehandhpairedhwithhfa
irlyhcommonherrors.hInhcontrast,hanalyticalhdecision-
makinghishbased2onhcarefulhconsiderationhandhhashgreaterhreliabilitywithhrareherrors.
PTS: 1
2. ANS:h D
Tohobtainhadequatehhistory,hprovidershmusthbehwellhorganized,hattentivehto2thehpatient’shverbal2andnohn
verbalhlanguage,handhable2tohaccuratelyhinterpreththe2patient’shresponses2tohquestions.2Ratherhthanhrhea
dinghintohthehpatient’shstatements,htheyhclarifyhanyhareashofhuncertainty.
PTS: 1
3. ANS:h C
Vitalhsignsharehparthofhthehphysicalhexaminationhportion2of2patienthassessment,hnothparthofhthehhealthhishtory.
PTS: 1
4. ANS:h D
Whilehperforminghthehphysicalhexamination,hthehexaminerhmusthbehablehtohdifferentiatehbetweennorh
malhandhabnormalhfindings,hrecallhknowledgehofhahrange2ofhconditions,hincluding2theirhassociatedhsighn
shandhsymptoms,hrecognizehhow2certainhconditions2affecththehresponsehtohotherhconditions,handhdistihng
uishhthehrelevancehofhvaried2abnormalhfindings.
PTS: 1
5. ANS:h C
Sourceshforhdiagnostic2statisticshinclude2textbooks,hprimaryhreportshofhresearch,handhpublishedhmetha
-
analyses.hAnotherhsource2ofhstatistics,hthehonehthathhashbeenhmosthwidelyhusedhandhavailablehforhapphli
cationhto2the2reasoninghprocess,hishthehestimationhbasedhonhahprovider’shexperience,halthoughhtheshehar
ehrarelyhaccurate.hOver2the2pasthdecade,hthehavailabilityhofhevidence2onhwhichhtohbasehclinicalhrehasoni
ng2ishimproving,2andhtherehishanhincreasinghexpectationhthathclinicalhreasoningbehbasedhonhsciehntifich
evidence.2Evidence-
basedhstatistics2are2alsohincreasinglyhbeinghusedhtohdevelophresourceshtohfacilitatehclinicalhdecision-
hmaking.
PTS: 1
6. ANS:h D
Tohassisthinhclinicalhdecision-making,hahnumberhofhevidence-
based2resourceshhavehbeenhdevelopedtohassisththehclinician.hResources,hsuchhashalgorithmshandhclinicha
lhpracticehguidelines,hassisthinhclinicalhreasoninghwhenhproperlyhapplied.
Thish study2sourceh wash downloadedh byh100000826342158h fromh CourseHero.comh onh05-25-2021h21:32:19h GMTh -05:00
Downloadedh by:h Stuviaaah |h essayguruh@gmail.c
ohm
