d
lOMoARcPSD| 126 567
d 13
TEST BANK FOR ADVANCED HEALTH ASSE
d d d d d
SSMENT & CLINICAL DIAGNOSIS IN PRIMA
d d d d d
RYCARE 6TH EDITIONDAINS ISBN: 9780323
d d d d d
594554
This Test Bank is Directly from The PublisherH
d d d d d d d d
as All Chapters With 100% Correct AnswersIN
d d d d d d d
STANT DOWNLOAD d
, d
lOMoARcPSD| 126 567
d 13
Test Bank for Advanced Health Assessment & Cl
d d d d d d d
inical Diagnosis in Primary C d d d d
are6th Edition Dains d d d
Chapter 1: Clinical Reasoning, Differential Diagnosis, Evidence-
d d d d d d
Based Practice, and Symptom AnalysisMultiple Choice
d d d d d d
Identifydthedchoicedthatdbestdcompletesdthedstatementdordanswersdthedquestion.
d 1. Whichdtypedofdclinicalddecision-makingdisdmostdreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
d 2. Whichdofdthedfollowingdisdfalse?dTodobtaindadequatedhistory,dhealth-caredprovidersdmustdbe:
A. Methodicaldanddsystematic
B. Attentivedtodthedpatient’sdverbaldanddnonverbaldlanguage
C. Abledtodaccuratelydinterpretdthedpatient’sdresponses
D. Adeptdatdreadingdintodthedpatient’sdstatements
d 3. Essentialdpartsdofdadhealthdhistorydincludedalldofdthedfollowingdexcept:
A. Chiefdcomplaint
B. Historydofdthedpresentdillness
C. Currentdvitaldsigns
D. Alldofdthedabovedaredessentialdhistorydcomponents
d 4. Whichdofdthedfollowingdisdfalse?dWhiledperformingdthedphysicald examination,dthedexaminerdmustdbedabledto:
A. Differentiatedbetweendnormaldanddabnormaldfindings
B. Recalldknowledgedofdadrangedofdconditionsdanddtheirdassociateddsignsdanddsymptoms
C. Recognizedhowdcertaindconditionsdaffectdthedresponsedtodotherdconditions
D. Foreseedunpredictabledfindings
d 5. Thedfollowingdisdthedleastdreliabledsourcedofdinformationdforddiagnosticdstatistics:
A. Evidence-baseddinvestigations
B. Primarydreportsdofdresearch
C. Estimationdbaseddondadprovider’sdexperience
D. Publisheddmeta-analyses
d 6. Thedfollowingdcandbeduseddtodassistdindsounddclinicalddecision-making:
A. Algorithmdpublisheddindadpeer-revieweddjournaldarticle
B. Clinicaldpracticedguidelines
C. Evidence-baseddresearch
D. Alldofdthedabove
d 7. Ifdaddiagnosticdstudydhasdhighdsensitivity,d thisdindicatesda:
A. Highdpercentagedofdpersonsdwithdthedgivendconditiondwilldhavedandabnormaldresult
B. Lowdpercentagedofdpersonsdwithdthedgivendconditiondwilldhavedandabnormaldresult
C. Lowdlikelihooddofdnormaldresultdindpersonsdwithoutdadgivendcondition
D. Nonedofdthedabove
d 8. Ifdaddiagnosticdstudydhasdhighdspecificity,d thisdindicatesda:
A. Lowdpercentagedofdhealthydindividualsdwilldshowdadnormaldresult
B. Highdpercentagedofdhealthydindividualsdwilldshowdadnormaldresult
C. Highdpercentagedofdindividualsdwithdaddisorderdwilldshowdadnormaldresult
D. Lowdpercentagedofdindividualsdwithdaddisorderdwilldshowdandabnormaldresult
d 9. Adlikelihoodd ratiodaboved1dindicatesdthatdaddiagnosticdtestdshowingda:
A. Positivedresultdisdstronglydassociateddwithdtheddisease
B. Negativedresultdisdstronglydassociateddwithdabsencedofdtheddisease
C. Positivedresultdisdweaklydassociateddwithdtheddisease
D. Negativedresultdisdweaklydassociateddwithdabsencedofdtheddisease
d 10. Whichdofdthedfollowingdclinicaldreasoningdtoolsdisddefineddasdevidence-baseddresourcedbaseddondmathematicald modeling
todexpressdthedlikelihooddofdadconditiondindselectdsituations,dsettings,dand/ordpatients?
, d
lOMoARcPSD| 126 567
d 13
A. Clinicaldpracticedguideline
B. Clinicalddecisiondrule
C. Clinicaldalgorithm
Chapterd1:dClinicaldreasoning,ddifferentialddiagnosis,devidence-baseddpractice,danddsymptomdana
AnswerdSection
MULTIPLEdCHOICE
1. ANS: B
Croskerryd(2009)ddescribesdtwodmajordtypesdofdclinicalddiagnosticddecision-making:dintuitivedanddanalytical.dIntuitiveddecision-
dmakingd(similardtodAugenblinkddecision-
making)disdbaseddondthedexperiencedanddintuitiondofdthedcliniciandanddisdlessdreliabledanddpaireddwithdfairlydcommonderrors.dIndc
ontrast,danalyticalddecision-makingdisdbaseddondcarefuldconsiderationdanddhasdgreaterdreliabilitydwithdrarederrors.
PTS: 1
2. ANS: D
Todobtaindadequatedhistory,dprovidersdmustdbedwelldorganized,dattentivedtodthedpatient’sdverbaldanddnonverbaldlanguage,danddabled
todaccuratelydinterpretdthedpatient’sdresponsesdtodquestions.dRatherdthandreadingdintodthedpatient’sdstatements,dtheydclarifydanydar
easdofduncertainty.
PTS: 1
3. ANS: C
Vitaldsignsdaredpartdofdthedphysicaldexaminationdportiondofdpatientdassessment,dnotdpartdofdthedhealthdhistory.
PTS: 1
4. ANS: D
Whiledperformingdthedphysicaldexamination,dthedexaminerdmustdbedabledtoddifferentiatedbetweendnormaldanddabnormaldfindings,dr
ecalldknowledgedofdadrangedofdconditions,dincludingdtheirdassociateddsignsdanddsymptoms,drecognizedhowdcertaindconditionsdaffec
tdthedresponsedtodotherdconditions,dandddistinguishdthedrelevancedofdvarieddabnormaldfindings.
PTS: 1
5. ANS: C
Sourcesdforddiagnosticdstatisticsdincludedtextbooks,dprimarydreportsdofdresearch,danddpublisheddmeta-
analyses.dAnotherdsourcedofdstatistics,dthedonedthatdhasdbeendmostdwidelyduseddanddavailabled fordapplicationdtodthedreasoningdproc
ess,disdthedestimationdbaseddondadprovider’sdexperience,dalthoughdthesedaredrarelydaccurate.dOverdthedpastddecade,dthedavailability
dofdevidencedondwhichdtodbasedclinicaldreasoningdisdimproving,d anddtheredisdandincreasingdexpectationdthatdclinicaldreasoningdbedb
aseddondscientificdevidence.
Evidence-baseddstatisticsdaredalsodincreasinglydbeingduseddtoddevelopdresourcesdtodfacilitatedclinicalddecision-making.
PTS: 1
6. ANS: D
Todassistdindclinicalddecision-making,dadnumberdofdevidence-
baseddresourcesdhavedbeenddevelopeddtodassistdthedclinician.dResources,dsuchdasdalgorithmsdanddclinicaldpracticedguidelines,dassis
tdindclinicaldreasoningdwhendproperlydapplied.
PTS: 1
7. ANS: A
Thedsensitivitydofdaddiagnosticdstudydisdthedpercentagedofdindividualsdwithdthedtargetdconditiondwhodshowdandabnormal,dordpositiv
e,dresult.dAdhighdsensitivitydindicatesdthatdadgreaterdpercentagedofdpersonsdwithdthedgivendconditiondwilldhavedandabnormaldresult.
PTS: 1
8. ANS: B
Thedspecificitydofdaddiagnosticdstudydisdthedpercentagedofdnormal,dhealthydindividualsdwhodhavedadnormaldresult.dThedgreaterdt
hedspecificity,dthedgreaterdthedpercentagedofdindividualsdwhodwilldhavednegative,dordnormal,dresultsdifdtheyddodnotdhavedthedtarg
etdcondition.
PTS: 1
9. ANS: A
Thedlikelihooddratiodisdthedprobabilitydthatdadpositivedtestdresultdwilldbedassociateddwithdadpersondwhodhasdthedtargetdconditiondand
dadnegativedresultdwilldbedassociateddwithdadhealthydperson.dAdlikelihooddratiodaboved1dindicatesdthatdadpositivedresultdisdassociated
dwithdtheddisease;dadlikelihooddratiodlessdthand1dindicatesdthatdadnegatived resultdisdassociateddwithdandabsencedofdtheddisease.
, d
lOMoARcPSD| 126 567
d 13
PTS: 1
10. ANS: B
Clinicalddecisiond(ordprediction)drulesdprovidedanotherdsupportdfordclinicaldreasoning.dClinicalddecisiondrulesdaredevidence-
baseddresourcesdthatdprovidedprobabilisticdstatementsdregardingdthedlikelihooddthatdadconditiondexistsdifdcertaindvariablesdaredme
tdwithdregarddtodthedprognosisdofdpatientsdwithdspecificdfindings.dDecisiondrulesdusedmathematicaldmodelsdanddaredspecificdtodc
ertaindsituations,dsettings,dand/ordpatientdcharacteristics.
PTS: 1
lOMoARcPSD| 126 567
d 13
TEST BANK FOR ADVANCED HEALTH ASSE
d d d d d
SSMENT & CLINICAL DIAGNOSIS IN PRIMA
d d d d d
RYCARE 6TH EDITIONDAINS ISBN: 9780323
d d d d d
594554
This Test Bank is Directly from The PublisherH
d d d d d d d d
as All Chapters With 100% Correct AnswersIN
d d d d d d d
STANT DOWNLOAD d
, d
lOMoARcPSD| 126 567
d 13
Test Bank for Advanced Health Assessment & Cl
d d d d d d d
inical Diagnosis in Primary C d d d d
are6th Edition Dains d d d
Chapter 1: Clinical Reasoning, Differential Diagnosis, Evidence-
d d d d d d
Based Practice, and Symptom AnalysisMultiple Choice
d d d d d d
Identifydthedchoicedthatdbestdcompletesdthedstatementdordanswersdthedquestion.
d 1. Whichdtypedofdclinicalddecision-makingdisdmostdreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
d 2. Whichdofdthedfollowingdisdfalse?dTodobtaindadequatedhistory,dhealth-caredprovidersdmustdbe:
A. Methodicaldanddsystematic
B. Attentivedtodthedpatient’sdverbaldanddnonverbaldlanguage
C. Abledtodaccuratelydinterpretdthedpatient’sdresponses
D. Adeptdatdreadingdintodthedpatient’sdstatements
d 3. Essentialdpartsdofdadhealthdhistorydincludedalldofdthedfollowingdexcept:
A. Chiefdcomplaint
B. Historydofdthedpresentdillness
C. Currentdvitaldsigns
D. Alldofdthedabovedaredessentialdhistorydcomponents
d 4. Whichdofdthedfollowingdisdfalse?dWhiledperformingdthedphysicald examination,dthedexaminerdmustdbedabledto:
A. Differentiatedbetweendnormaldanddabnormaldfindings
B. Recalldknowledgedofdadrangedofdconditionsdanddtheirdassociateddsignsdanddsymptoms
C. Recognizedhowdcertaindconditionsdaffectdthedresponsedtodotherdconditions
D. Foreseedunpredictabledfindings
d 5. Thedfollowingdisdthedleastdreliabledsourcedofdinformationdforddiagnosticdstatistics:
A. Evidence-baseddinvestigations
B. Primarydreportsdofdresearch
C. Estimationdbaseddondadprovider’sdexperience
D. Publisheddmeta-analyses
d 6. Thedfollowingdcandbeduseddtodassistdindsounddclinicalddecision-making:
A. Algorithmdpublisheddindadpeer-revieweddjournaldarticle
B. Clinicaldpracticedguidelines
C. Evidence-baseddresearch
D. Alldofdthedabove
d 7. Ifdaddiagnosticdstudydhasdhighdsensitivity,d thisdindicatesda:
A. Highdpercentagedofdpersonsdwithdthedgivendconditiondwilldhavedandabnormaldresult
B. Lowdpercentagedofdpersonsdwithdthedgivendconditiondwilldhavedandabnormaldresult
C. Lowdlikelihooddofdnormaldresultdindpersonsdwithoutdadgivendcondition
D. Nonedofdthedabove
d 8. Ifdaddiagnosticdstudydhasdhighdspecificity,d thisdindicatesda:
A. Lowdpercentagedofdhealthydindividualsdwilldshowdadnormaldresult
B. Highdpercentagedofdhealthydindividualsdwilldshowdadnormaldresult
C. Highdpercentagedofdindividualsdwithdaddisorderdwilldshowdadnormaldresult
D. Lowdpercentagedofdindividualsdwithdaddisorderdwilldshowdandabnormaldresult
d 9. Adlikelihoodd ratiodaboved1dindicatesdthatdaddiagnosticdtestdshowingda:
A. Positivedresultdisdstronglydassociateddwithdtheddisease
B. Negativedresultdisdstronglydassociateddwithdabsencedofdtheddisease
C. Positivedresultdisdweaklydassociateddwithdtheddisease
D. Negativedresultdisdweaklydassociateddwithdabsencedofdtheddisease
d 10. Whichdofdthedfollowingdclinicaldreasoningdtoolsdisddefineddasdevidence-baseddresourcedbaseddondmathematicald modeling
todexpressdthedlikelihooddofdadconditiondindselectdsituations,dsettings,dand/ordpatients?
, d
lOMoARcPSD| 126 567
d 13
A. Clinicaldpracticedguideline
B. Clinicalddecisiondrule
C. Clinicaldalgorithm
Chapterd1:dClinicaldreasoning,ddifferentialddiagnosis,devidence-baseddpractice,danddsymptomdana
AnswerdSection
MULTIPLEdCHOICE
1. ANS: B
Croskerryd(2009)ddescribesdtwodmajordtypesdofdclinicalddiagnosticddecision-making:dintuitivedanddanalytical.dIntuitiveddecision-
dmakingd(similardtodAugenblinkddecision-
making)disdbaseddondthedexperiencedanddintuitiondofdthedcliniciandanddisdlessdreliabledanddpaireddwithdfairlydcommonderrors.dIndc
ontrast,danalyticalddecision-makingdisdbaseddondcarefuldconsiderationdanddhasdgreaterdreliabilitydwithdrarederrors.
PTS: 1
2. ANS: D
Todobtaindadequatedhistory,dprovidersdmustdbedwelldorganized,dattentivedtodthedpatient’sdverbaldanddnonverbaldlanguage,danddabled
todaccuratelydinterpretdthedpatient’sdresponsesdtodquestions.dRatherdthandreadingdintodthedpatient’sdstatements,dtheydclarifydanydar
easdofduncertainty.
PTS: 1
3. ANS: C
Vitaldsignsdaredpartdofdthedphysicaldexaminationdportiondofdpatientdassessment,dnotdpartdofdthedhealthdhistory.
PTS: 1
4. ANS: D
Whiledperformingdthedphysicaldexamination,dthedexaminerdmustdbedabledtoddifferentiatedbetweendnormaldanddabnormaldfindings,dr
ecalldknowledgedofdadrangedofdconditions,dincludingdtheirdassociateddsignsdanddsymptoms,drecognizedhowdcertaindconditionsdaffec
tdthedresponsedtodotherdconditions,dandddistinguishdthedrelevancedofdvarieddabnormaldfindings.
PTS: 1
5. ANS: C
Sourcesdforddiagnosticdstatisticsdincludedtextbooks,dprimarydreportsdofdresearch,danddpublisheddmeta-
analyses.dAnotherdsourcedofdstatistics,dthedonedthatdhasdbeendmostdwidelyduseddanddavailabled fordapplicationdtodthedreasoningdproc
ess,disdthedestimationdbaseddondadprovider’sdexperience,dalthoughdthesedaredrarelydaccurate.dOverdthedpastddecade,dthedavailability
dofdevidencedondwhichdtodbasedclinicaldreasoningdisdimproving,d anddtheredisdandincreasingdexpectationdthatdclinicaldreasoningdbedb
aseddondscientificdevidence.
Evidence-baseddstatisticsdaredalsodincreasinglydbeingduseddtoddevelopdresourcesdtodfacilitatedclinicalddecision-making.
PTS: 1
6. ANS: D
Todassistdindclinicalddecision-making,dadnumberdofdevidence-
baseddresourcesdhavedbeenddevelopeddtodassistdthedclinician.dResources,dsuchdasdalgorithmsdanddclinicaldpracticedguidelines,dassis
tdindclinicaldreasoningdwhendproperlydapplied.
PTS: 1
7. ANS: A
Thedsensitivitydofdaddiagnosticdstudydisdthedpercentagedofdindividualsdwithdthedtargetdconditiondwhodshowdandabnormal,dordpositiv
e,dresult.dAdhighdsensitivitydindicatesdthatdadgreaterdpercentagedofdpersonsdwithdthedgivendconditiondwilldhavedandabnormaldresult.
PTS: 1
8. ANS: B
Thedspecificitydofdaddiagnosticdstudydisdthedpercentagedofdnormal,dhealthydindividualsdwhodhavedadnormaldresult.dThedgreaterdt
hedspecificity,dthedgreaterdthedpercentagedofdindividualsdwhodwilldhavednegative,dordnormal,dresultsdifdtheyddodnotdhavedthedtarg
etdcondition.
PTS: 1
9. ANS: A
Thedlikelihooddratiodisdthedprobabilitydthatdadpositivedtestdresultdwilldbedassociateddwithdadpersondwhodhasdthedtargetdconditiondand
dadnegativedresultdwilldbedassociateddwithdadhealthydperson.dAdlikelihooddratiodaboved1dindicatesdthatdadpositivedresultdisdassociated
dwithdtheddisease;dadlikelihooddratiodlessdthand1dindicatesdthatdadnegatived resultdisdassociateddwithdandabsencedofdtheddisease.
, d
lOMoARcPSD| 126 567
d 13
PTS: 1
10. ANS: B
Clinicalddecisiond(ordprediction)drulesdprovidedanotherdsupportdfordclinicaldreasoning.dClinicalddecisiondrulesdaredevidence-
baseddresourcesdthatdprovidedprobabilisticdstatementsdregardingdthedlikelihooddthatdadconditiondexistsdifdcertaindvariablesdaredme
tdwithdregarddtodthedprognosisdofdpatientsdwithdspecificdfindings.dDecisiondrulesdusedmathematicaldmodelsdanddaredspecificdtodc
ertaindsituations,dsettings,dand/ordpatientdcharacteristics.
PTS: 1
