TEST BANK FOR ADVANCED ASSESSMENT: INTERPRETING
a a a a a a
FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSES
a a a a
a5TH EDITION, MARY JO GOOLSBY, LAURIE GRUBBS ISBN-
a a a a a a a
10; 1719645930 / ISBN-13; 978-1719645935 A+
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Chaptera 1.a Assessmenta anda Clinicala Decision-Making:a Overview
Multiplea Choice
Identifya thea choicea thata besta completesa thea statementa ora answersa thea question.
Whicha typea ofa clinicala decision-makinga isa mosta reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
Whicha ofa thea followinga isa false?a Toa obtaina adequatea history,a health-carea providersa mustabe:
A. Methodicala anda systematic
B. Attentivea toa thea patient’sa verbala anda nonverbala language
C. Ablea toa accuratelya interpreta thea patient’sa responses
D. Adepta ata readinga intoa thea patient’sa statements
Essentiala partsa ofa aa healtha historya includea alla ofa thea followinga except:
A. Chiefa complaint
B. Historya ofa thea presenta illness
C. Currenta vitala signs
D. Alla ofa thea abovea area essentiala historya components
Whicha ofa thea followinga isa false?a Whilea performinga thea physicala examination,a theaexaminera
mustbea ablea to:
A. Differentiatea betweena normala anda abnormala findings
B. Recalla knowledgea ofa aa rangea ofa conditionsa anda theira associateda signsa anda symptoms
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,Createda By:a A
C. Recognizea howa certaina conditionsa affecta thea responsea toa othera conditions
D. Foreseea unpredictablea findings
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,Createda By:a A
Thea followinga isa thea leasta reliablea sourcea ofa informationa fora diagnostica statistics:
A. Evidence-baseda investigations
B. Primarya reportsa ofa research
C. Estimationa baseda ona aa provider’sa experience
D. Publisheda meta-analyses
Thea followinga cana bea useda toa assista ina sounda clinicala decision-making:
A. Algorithma publisheda ina aa peer-revieweda journala article
B. Clinicala practicea guidelines
C. Evidence-baseda research
D. Alla ofa thea above
Ifa aa diagnostica studya hasa higha sensitivity,a thisa indicatesa a:
A. Higha percentagea ofa personsa witha thea givena conditiona willa havea ana abnormala result
B. Lowa percentagea ofa personsa witha thea givena conditiona willa havea ana abnormala result
C. Lowa likelihooda ofa normala resulta ina personsa withouta aa givena condition
D. Nonea ofa thea above
Ifa aa diagnostica studya hasa higha specificity,a thisa indicatesa a:
A. Lowa percentagea ofa healthya individualsa willa showa aa normala result
B. Higha percentagea ofa healthya individualsa willa showa aa normala result
C. Higha percentagea ofa individualsa witha aa disordera willa showa aa normala result
D. Lowa percentagea ofa individualsa witha aa disordera willa showa ana abnormalares
ultaAa likelihooda ratioa abovea 1a indicatesa thata aa diagnostica testa showinga a:
A. Positivea resulta isa stronglya associateda witha thea disease
B. Negativea resulta isa stronglya associateda witha absencea ofa thea disease
C. Positivea resulta isa weaklya associateda witha thea disease
D. Negativea resulta isa weaklya associateda witha absencea ofa thea disease
10.a Whicha ofa thea followinga clinicala reasoninga toolsa isa defineda asa evidence-
a baseda resourcea baseda ona mathematicala modelinga toa expressa thea likelihooda ofa aaconditio
na ina selectsituations,a settings,a and/ora patients?
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, Createda By:a A
A. Clinicala practicea guideline
B. Clinicala decisiona rule
C. Clinicala algorithm
D. Clinicalarecomme
ndationaAnsweraSection
MULTIPLEa CHOICE
1. ANS:a B
Croskerrya (2009)a describesa twoa majora typesa ofa clinicala diagnostica decision-
making:aintuitivea anda analytical.a Intuitivea decision-makinga (similara toa Augenblinka decision-
making)aisa baseda ona thea experiencea anda intuitiona ofa thea cliniciana anda isa lessa reliablea anda pair
eda witha fairlya commona errors.aIna contrast,a analyticala decision-
makinga isa baseda ona carefulaconsiderationa anda hasa greatera reliabilitya witha rarea errors.
PTS: 1
2. ANS:a D
Toa obtaina adequatea history,a providersa musta bea wella organized,a attentivea toa the
patient’saverbalandanonverbalalanguage,aandaableatoaaccuratelyainterpretatheapatient’sarespons
esa toa questions.a Rathera thana readinga intoa thea patient’sa statements,a theya clarifyaanya areasa
ofa uncertainty.
PTS: 1
3. ANS:a C
Vitala signsa area parta ofa thea physicala examinationa portiona ofa patienta assessment,a notaparta
ofa thehealtha history.
PTS: 1
4. ANS:anD
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