Test Bank for Advanced Assessment Interpreting Findings and Formulatingr Differential r Diagnoses, r 5th Edition Mary JoGoolsby, Laurier Grubbs Chapter 1- 22| Complete

Test Bank for Advanced Assessment: Interpreting Findings
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and Formulating Differential Diagnoses, 5th Edition, Mary JoGo
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olsby, Laurie GrubbsChapter 1 - 22 | Complete
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,Chapter 1. Assessment and Clinical Decision-Making: Overview
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MultiplerChoice
Identifyrtherchoicerthatrbestrcompletesrtherstatementrorranswersrtherquestion.

r 1. Whichrtyperofrclinicalrdecision-makingrisrmostrreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick

r 2. Whichrofrtherfollowingrisrfalse?rTorobtainradequaterhistory,rhealth-carerprovidersrmustrbe:
A. Methodicalrandrsystematic
B. Attentivertortherpatient’srverbalrandrnonverbalrlanguage
C. Ablertoraccuratelyrinterpretrtherpatient’srresponses
D. Adeptratrreadingrintortherpatient’srstatements
Essentialrpartsrofrarhealthrhistoryrincluderallrofrtherfollowingrexcept:
r 3. A. Chiefrcomplaint
B. Historyrofrtherpresentrillness
C. Currentrvitalrsigns
D. Allrofrtheraboverareressentialrhistoryrcomponents
Whichrofrtherfollowingrisrfalse?rWhilerperformingrtherphysicalrexamination,rtherexaminerrmustrberab
r 4. lerto:
A. Differentiaterbetweenrnormalrandrabnormalrfindings
B. Recallrknowledgerofrarrangerofrconditionsrandrtheirrassociatedrsignsrandrsymptoms
C. Recognizerhowrcertainrconditionsraffectrtherresponsertorotherrconditions
D. Foreseerunpredictablerfindings
Therfollowingrisrtherleastrreliablersourcerofrinformationrforrdiagnosticrstatistics:
r 5. A. Evidence-basedrinvestigations
B. Primaryrreportsrofrresearch
C. Estimationrbasedronrarprovider’srexperience
D. Publishedrmeta-analyses
Therfollowingrcanrberusedrtorassistrinrsoundrclinicalrdecision-making:
r 6. A. Algorithmrpublishedrinrarpeer-reviewedrjournalrarticle
B. Clinicalrpracticerguidelines
C. Evidence-basedrresearch
D. Allrofrtherabove
Ifrardiagnosticrstudyrhasrhighrsensitivity,rthisrindicatesra:
A. Highrpercentagerofrpersonsrwithrthergivenrconditionrwillrhaveranrabnormalrresult
r 7. B. Lowrpercentagerofrpersonsrwithrthergivenrconditionrwillrhaveranrabnormalrresult
C. Lowrlikelihoodrofrnormalrresultrinrpersonsrwithoutrargivenrcondition
D. Nonerofrtherabove

,r 8. Ifrardiagnosticrstudyrhasrhighrspecificity,rthisrindicatesra:
A. Lowrpercentagerofrhealthyrindividualsrwillrshowrarnormalrresult
B. Highrpercentagerofrhealthyrindividualsrwillrshowrarnormalrresult
C. Highrpercentagerofrindividualsrwithrardisorderrwillrshowrarnormalrresult
D. Lowrpercentagerofrindividualsrwithrardisorderrwillrshowranrabnormalrresult

r 9. Arlikelihoodrratiorabover1rindicatesrthatrardiagnosticrtestrshowingra:
A. Positiverresultrisrstronglyrassociatedrwithrtherdisease
B. Negativerresultr isrstronglyrassociatedrwithrabsencerofrtherdisease
C. Positiverresultrisrweaklyrassociatedrwithrtherdisease
D. Negativerresultr isrweaklyrassociatedrwithrabsencerofrtherdisease
r rrr 10.rWhichrofrtherfollowingrclinicalrreasoningrtoolsrisrdefinedrasrevidence-
basedrresourcerbasedronrmathematicalrmodelingrtorexpressrtherlikelihoodrofrarconditionrinrselectrsit
uations,rsettings,rand/orrpatients?
A. Clinicalrpracticerguideliner
B. ClinicalrdecisionrrulerClini
C. calr algorithmrClinicalrreco
D. mmendation

, Chapter 1. Assessment and Clinical Decision-Making: Overview
r r r r r r

Answer Section
r




MULTIPLErCHOICE

1. ANS:r B
Croskerryr(2009)rdescribesrtwormajorrtypesrofrclinicalrdiagnosticrdecision-
making:rintuitiverandranalytical.rIntuitiverdecision-makingr(similarrtorAugenblinkrdecision-
making)risrbasedronrtherexperiencerandrintuitionrofrtherclinicianrandrisrlessrreliablerandrpairedrwithrf
airlyrcommonrerrors.rInrcontrast,ranalyticalrdecision-
makingrisrbasedronrcarefulrconsiderationrandrhasrgreaterrreliabilityrwithrrarererrors.

PTS: 1
2. ANS:r D
Torobtainradequaterhistory,rprovidersrmustrberwellrorganized,rattentivertortherpatient’srverbalrandrn
onverbalrlanguage,randrablertoraccuratelyrinterpretrtherpatient’srresponsesrtorquestions.rRatherrth
anrreadingrintortherpatient’srstatements,rtheyrclarifyranyrareasrofruncertainty.

PTS: 1
3. ANS:r C
Vitalrsignsrarerpartrofrtherphysicalrexaminationrportionrofrpatientrassessment,rnotrpartrofrtherhealthrhistor
y.

PTS: 1
4. ANS:r D
Whilerperformingrtherphysicalrexamination,rtherexaminerrmustrberablertordifferentiaterbetweenrnor
malrandrabnormalrfindings,rrecallrknowledgerofrarrangerofrconditions,rincludingrtheirrassociatedrsig
nsrandrsymptoms,rrecognizerhowrcertainrconditionsraffectrtherresponsertorotherrconditions,randrdis
tinguishrtherrelevancerofrvariedrabnormalrfindings.

PTS: 1
5. ANS:r C
Sourcesrforrdiagnosticrstatisticsrincludertextbooks,rprimaryrreportsrofrresearch,randrpublishedrmet
a-
analyses.rAnotherrsourcerofrstatistics,rtheronerthatrhasrbeenrmostrwidelyrusedrandravailablerforrap
plicationrtortherreasoningrprocess,risrtherestimationrbasedronrarprovider’srexperience,ralthoughrth
eserarerrarelyraccurate.rOverrtherpastrdecade,rtheravailabilityrofrevidenceronrwhichrtorbaserclinicalrr
easoningrisrimproving,randrthererisranrincreasingrexpectationrthatrclinicalrreasoningrberbasedronrsci
entificrevidence.rEvidence-
basedrstatisticsrareralsorincreasinglyrbeingrusedrtordeveloprresourcesrtorfacilitaterclinicalrdecision-
making.

PTS: 1
6. ANS:r D
Torassistrinrclinicalrdecision-making,rarnumberrofrevidence-
basedrresourcesrhaverbeenrdevelopedrtorassistrtherclinician.rResources,rsuchrasralgorithmsrandrclini
calrpracticerguidelines,rassistrinrclinicalrreasoningrwhenrproperlyrapplied.



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