TEST BANK FOR ADVANCED ASSESSMENT: INTERPRETING
n n n n n
n FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSE
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S 5TH EDITION, MARY JO GOOLSBY, LAURIE GRUBBS ISBN
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10; 1719645930 / ISBN-13; 978-1719645935 A+
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Chaptern 1.n Assessmentn andn Clinicaln Decision-Making:n Overview
Multiplen Choice
Identifyn then choicen that n best n completesn then statement n orn answersn then question.
Whichn typen of n clinicaln decision-makingn isn most n reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
Whichn of n then followingn isn false?n Ton obtainn adequaten history,n health-
caren providersn must n be:
A. Methodicaln and n systematic
B. Attentiven ton then patient’sn verbaln and n nonverbaln language
C. Ablen ton accuratelyn interpret n then patient’sn responses
D. Adept n at n readingn inton then patient’sn statements
Essentialn partsn of n an healthn historyn includen alln of n then followingn except:
A. Chief n complaint
B. Historyn of n then present n illness
C. Current n vitaln signs
D. Alln of n then aboven aren essentialn historyn components
Whichn of n then followingn isn false?n Whilen performingn then physicaln examination,n then examiner
n mustben ablen to:
A. Differentiaten betweenn normaln and n abnormaln findings
B. Recalln knowledgen of n an rangen of n conditionsn and n theirn associated n signsn and n symptoms
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C. Recognizen how n certainn conditionsn affect n then responsen ton othern conditions
D. Foreseen unpredictablen findings
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Then followingn isn then least n reliablen sourcen of n informationn forn diagnosticn statistics:
A. Evidence-based n investigations
B. Primaryn reportsn of n research
C. Estimationn based n onn an provider’sn experience
D. Published n meta-analyses
Then followingn cann ben used n ton assist n inn sound n clinicaln decision-making:
A. Algorithmn published n inn an peer-reviewed n journaln article
B. Clinicaln practicen guidelines
C. Evidence-based n research
D. Alln of n then above
If n an diagnosticn studyn hasn highn sensitivity,n thisn indicatesn a:
A. Highn percentagen of n personsn withn then givenn conditionn willn haven ann abnormaln result
B. Low n percentagen of n personsn withn then givenn conditionn willn haven ann abnormaln result
C. Low n likelihood n of n normaln result n inn personsn without n an givenn condition
D. Nonen of n then above
If n an diagnosticn studyn hasn highn specificity,n thisn indicatesn a:
A. Low n percentagen of n healthyn individualsn willn show n an normaln result
B. Highn percentagen of n healthyn individualsn willn show n an normaln result
C. Highn percentagen of n individualsn withn an disordern willn show n an normaln result
D. Low n percentagen of n individualsn withn an disordern willn shown ann abnormaln re
sult nAn likelihood n ration aboven 1n indicatesn that n an diagnosticn test n showingn a:
A. Positiven result n isn stronglyn associated n withn then disease
B. Negativen result n isn stronglyn associated n withn absencen of n then disease
C. Positiven result n isn weaklyn associated n withn then disease
D. Negativen result n isn weaklyn associated n withn absencen of n then disease
10.n Whichn of n then followingn clinicaln reasoningn toolsn isn defined n asn evidence-
n based n resourcen based n onn mathematicaln modelingn ton expressn then likelihood n ofn an conditi
onn inn selectsituations,n settings,n and/orn patients?
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A. Clinicaln practicen guideline
B. Clinicaln decisionn rule
C. Clinicaln algorithm
D. Clinicaln recomme
ndationnAnswern Section
MULTIPLEn CHOICE
1. ANS:n B
Croskerryn (2009)n describesn twon majorn typesn of n clinicaln diagnosticn decision-
making:n intuitiven and n analytical.n Intuitiven decision-makingn (similarn ton Augenblinkn decision-
making)n isn based n onn then experiencen and n intuitionn ofn then cliniciann and n isn lessn reliablen and n pai
red n withn fairlyn commonn errors.nInn contrast,n analyticaln decision-
makingn isn based n onn carefuln considerationn and n hasn greatern reliabilityn withn raren errors.
PTS: 1
2. ANS:n D
Ton obtainn adequaten history,n providersn must n ben welln organized,n attentiven ton the
patient’sn verbaland n nonverbaln language,n and n ablenton accuratelyn interpretn then patient’sn respon
sesn ton questions.n Rathern thann readingn inton then patient’sn statements,n theyn clarifyn anyn area
sn of n uncertainty.
PTS: 1
3. ANS:n C
Vitaln signsn aren part n of n then physicaln examinationn portionn ofn patient n assessment,n notn part
n of n thehealthn history.
PTS: 1
4. ANS:nn D
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