Test Bank Complete_
Advanced Assessment: Interpreting Findings And Formulating
Differential Diagnoses 5th Edition (2022),
By Mary Jo Goolsby & Laurie Grubbs
All Chapters 1-23| 3 Units| Latest Edition With Well Detailed Answers| Rated A+
From: [Bestmaxsolutions.Stuvia
,PART I: THE ART OF ASSESSMENT AND CLINICAL DECISION MAKING ---------------------------------- 4
Chapter 1. Clinical Decision Making: Assessment And Differential Diagnosis --------------------------------4
Chapter 1. Answer Section With Rationale ------------------------------------------------------------------------------------- 7
Chapter 2. Diagnostic Studies ------------------------------------------------------------------------------------------- 10
Chapter 2. Answer Section With Rationale ----------------------------------------------------------------------------------- 17
Chapter 3. Genomic Assessment: Interpreting Findings And Formulating Differential Diagnoses ---- 22
Chapter 3. Answer Section With Rationale ----------------------------------------------------------------------------------- 28
PART II: ADVANCED ASSESSMENT AND DIFFERENTIAL DIAGNOSIS BY BODY REGIONS AND
SYSTEMS -------------------------------------------------------------------------------------------------------------- 34
Chapter 4. Skin -------------------------------------------------------------------------------------------------------------- 34
Chapter 4. Answer Section With Rationale ----------------------------------------------------------------------------------- 41
Chapter 5. Head, Face, And Neck -------------------------------------------------------------------------------------- 48
Chapter 5. Answer Section With Rationale ----------------------------------------------------------------------------------- 54
Chapter 6. The Eye --------------------------------------------------------------------------------------------------------- 60
Chapter 6. Answer Section With Rationale ----------------------------------------------------------------------------------- 66
Chapter 7. Ear, Nose, Mouth, And Throat --------------------------------------------------------------------------- 72
Chapter 7. Answer Section With Rationale ----------------------------------------------------------------------------------- 79
Chapter 8. Cardiac And Peripheral Vascular Systems ------------------------------------------------------------- 88
Chapter 8. Answer Section With Rationale ---------------------------------------------------------------------------------- 100
Chapter 9. Respiratory System --------------------------------------------------------------------------------------- 117
Chapter 9. Answer Section With Rationale ---------------------------------------------------------------------------------- 123
Chapter 10. Breasts ------------------------------------------------------------------------------------------------------ 131
Chapter 10. Answer Section With Rationale -------------------------------------------------------------------------------- 135
Chapter 11. Abdomen --------------------------------------------------------------------------------------------------- 140
Chapter 11. Answer Section With Rationale -------------------------------------------------------------------------------- 151
Chapter 12. Genitourinary System----------------------------------------------------------------------------------- 166
Chapter 12. Answer Section With Rationale -------------------------------------------------------------------------------- 172
Chapter 13. Male Reproductive System ---------------------------------------------------------------------------- 179
Chapter 13. Answer Section With Rationale -------------------------------------------------------------------------------- 185
Chapter 14. Female Reproductive System ------------------------------------------------------------------------- 193
Chapter 14. Answer Section With Rationale -------------------------------------------------------------------------------- 204
Chapter 15. Musculoskeletal System ------------------------------------------------------------------------------- 219
Chapter 15. Answer Section With Rationale -------------------------------------------------------------------------------- 229
Chapter 16. Neurological System ------------------------------------------------------------------------------------ 241
Chapter 16. Answer Section With Rationale ---------------------------------------------------------------------------------- 249
Chapter 17. Nonspecific Complaints -------------------------------------------------------------------------------- 259
Chapter 17. Answer Section With Rationale -------------------------------------------------------------------------------- 269
Chapter 18. Psychiatric Mental Health ----------------------------------------------------------------------------- 280
, Chapter 18. Answer Section With Rationale -------------------------------------------------------------------------------- 287
PART III: ASSESSMENT AND DIFFERENTIAL DIAGNOSIS IN SPECIAL PATIENT POPULATIONS- 299
Chapter 19. Pediatric Patients ---------------------------------------------------------------------------------------- 299
Chapter 19. Answer Section With Rationale -------------------------------------------------------------------------------- 307
Chapter 20. Pregnant Patients ---------------------------------------------------------------------------------------- 319
Chapter 20. Answer Section With Rationale -------------------------------------------------------------------------------- 328
Chapter 21. Assessment Of The Transgender Or Gender-Diverse Adult ----------------------------------- 346
Chapter 21. Answers Section With Rationale ------------------------------------------------------------------------------- 355
Chapter 22. Older Patients--------------------------------------------------------------------------------------------- 364
Chapter 22. Answer Section With Rationale -------------------------------------------------------------------------------- 370
Chapter 23. Persons With Disabilities------------------------------------------------------------------------------- 380
Chapter 23. Answers Section With Rationale ------------------------------------------------------------------------------- 390
,PART I: THE ART OF ASSESSMENT AND CLINICAL DECISION MAKING
Chapter 1. Clinical Decision Making: Assessment And Differential Diagnosis
Mary Jo Goolsby: Advanced Assessment: Interpreting Findings and Formulating Differential Diagnoses 5th Edition, (2022) TB.
MULTIPLE CHOICE
Identify The Choice That Best Completes The Statement Or Answers The Question.
1. Which Type Of Clinical Decision-Making Is Most Reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which Of The Following Is False? To Obtain Adequate History, Health-Care
Providers Must Be:
A. Methodical And Systematic
B. Attentive To The Patient’s Verbal And Nonverbal Language
C. Able To Accurately Interpret The Patient’s Responses
D. Adept At Reading Into The Patient’s Statements
3. Essential Parts Of A Health History Include All Of The Following Except:
A. Chief Complaint
B. History Of The Present Illness
C. Current Vital Signs
D. All Of The Above Are Essential History Components
,4. Which Of The Following Is False? While Performing The Physical Examination, The
Examiner Must Be Able To:
A. Differentiate Between Normal And Abnormal Findings
B. Recall Knowledge Of A Range Of Conditions And Their Associated Signs And
Symptoms
C. Recognize How Certain Conditions Affect The Response To Other Conditions
D. Foresee Unpredictable Findings
5. The Following Is The Least Reliable Source Of Information For Diagnostic Statistics:
A. Evidence-Based Investigations
B. Primary Reports Of Research
C. Estimation Based On A Provider’s Experience
D. Published Meta-Analyses
6. The Following Can Be Used To Assist In Sound Clinical Decision-Making:
A. Algorithm Published In A Peer-Reviewed Journal Article
B. Clinical Practice Guidelines
C. Evidence-Based Research
D. All Of The Above
7. If A Diagnostic Study Has High Sensitivity, This Indicates A:
A. High Percentage Of Persons With The Given Condition Will Have An Abnormal
Result
B. Low Percentage Of Persons With The Given Condition Will Have An Abnormal
Result
C. Low Likelihood Of Normal Result In Persons Without A Given Condition
D. None Of The Above
,8. If A Diagnostic Study Has High Specificity, This Indicates A:
A. Low Percentage Of Healthy Individuals Will Show A Normal Result
B. High Percentage Of Healthy Individuals Will Show A Normal Result
C. High Percentage Of Individuals With A Disorder Will Show A Normal Result
D. Low Percentage Of Individuals With A Disorder Will Show An Abnormal Result
9. A Likelihood Ratio Above 1 Indicates That A Diagnostic Test Showing A:
A. Positive Result Is Strongly Associated With The Disease
B. Negative Result Is Strongly Associated With Absence Of The Disease
C. Positive Result Is Weakly Associated With The Disease
D. Negative Result Is Weakly Associated With Absence Of The Disease
10. Which Of The Following Clinical Reasoning Tools Is Defined As Evidence-Based
Resource Based On Mathematical Modeling To Express The Likelihood Of A Condition
In Select Situations, Settings, And/Or Patients?
A. Clinical Practice Guideline
B. Clinical Decision Rule
C. Clinical Algorithm
D. Clinical Recommendation
,Chapter 1. Answer Section With Rationale
Mary Jo Goolsby: Advanced Assessment: Interpreting Findings and Formulating Differential Diagnoses 5th Edition, (2022) TB.
MULTIPLE CHOICE
1. ANS: B
Croskerry (2009) Describes Two Major Types Of Clinical Diagnostic Decision-Making:
Intuitive And Analytical. Intuitive Decision-Making (Similar To Augenblink Decision-
Making) Is Based On The Experience And Intuition Of The Clinician And Is Less
Reliable And Paired With Fairly Common Errors. In Contrast, Analytical Decision-
Making Is Based On Careful Consideration And Has Greater Reliability With Rare
Errors.
PTS: 1
2. ANS: D
To Obtain Adequate History, Providers Must Be Well Organized, Attentive To The
Patient’s Verbal And Nonverbal Language, And Able To Accurately Interpret The
Patient’s Responses To Questions. Rather Than Reading Into The Patient’s Statements,
They Clarify Any Areas Of Uncertainty.
PTS: 1
3. ANS: C
Vital Signs Are Part Of The Physical Examination Portion Of Patient Assessment, Not
Part Of The Health History.
PTS: 1
4. ANS: D
While Performing The Physical Examination, The Examiner Must Be Able To
Differentiate Between Normal And Abnormal Findings, Recall Knowledge Of A Range
Of Conditions, Including Their Associated Signs And Symptoms, Recognize How
,Certain Conditions Affect The Response To Other Conditions, And Distinguish The
Relevance Of Varied Abnormal Findings.
PTS: 1
5. ANS: C
Sources For Diagnostic Statistics Include Textbooks, Primary Reports Of Research, And
Published Meta-Analyses. Another Source Of Statistics, The One That Has Been Most
Widely Used And Available For Application To The Reasoning Process, Is The
Estimation Based On A Provider’s Experience, Although These Are Rarely Accurate.
Over The Past Decade, The Availability Of Evidence On Which To Base Clinical
Reasoning Is Improving, And There Is An Increasing Expectation That Clinical
Reasoning Be Based On Scientific Evidence. Evidence-Based Statistics Are Also
Increasingly Being Used To Develop Resources To Facilitate Clinical Decision-Making.
PTS: 1
6. ANS: D
To Assist In Clinical Decision-Making, A Number Of Evidence-Based Resources Have
Been Developed To Assist The Clinician. Resources, Such As Algorithms And Clinical
Practice Guidelines, Assist In Clinical Reasoning When Properly Applied.
PTS: 1
7. ANS: A
The Sensitivity Of A Diagnostic Study Is The Percentage Of Individuals With The Target
Condition Who Show An Abnormal, Or Positive, Result. A High Sensitivity Indicates
That A Greater Percentage Of Persons With The Given Condition Will Have An
Abnormal Result.
PTS: 1
8. ANS: B
The Specificity Of A Diagnostic Study Is The Percentage Of Normal, Healthy
Individuals Who Have A Normal Result. The Greater The Specificity, The Greater The
, Percentage Of Individuals Who Will Have Negative, Or Normal, Results If They Do Not
Have The Target Condition.
PTS: 1
9. ANS: A
The Likelihood Ratio Is The Probability That A Positive Test Result Will Be Associated
With A Person Who Has The Target Condition And A Negative Result Will Be
Associated With A Healthy Person. A Likelihood Ratio Above 1 Indicates That A
Positive Result Is Associated With The Disease; A Likelihood Ratio Less Than 1
Indicates That A Negative Result Is Associated With An Absence Of The Disease.
PTS: 1
10. ANS: B
Clinical Decision (Or Prediction) Rules Provide Another Support For Clinical Reasoning.
Clinical Decision Rules Are Evidence-Based Resources That Provide Probabilistic
Statements Regarding The Likelihood That A Condition Exists If Certain Variables Are
Met With Regard To The Prognosis Of Patients With Specific Findings. Decision Rules
Use Mathematical Models And Are Specific To Certain Situations, Settings, And/Or
Patient Characteristics.
PTS: 1
Advanced Assessment: Interpreting Findings And Formulating
Differential Diagnoses 5th Edition (2022),
By Mary Jo Goolsby & Laurie Grubbs
All Chapters 1-23| 3 Units| Latest Edition With Well Detailed Answers| Rated A+
From: [Bestmaxsolutions.Stuvia
,PART I: THE ART OF ASSESSMENT AND CLINICAL DECISION MAKING ---------------------------------- 4
Chapter 1. Clinical Decision Making: Assessment And Differential Diagnosis --------------------------------4
Chapter 1. Answer Section With Rationale ------------------------------------------------------------------------------------- 7
Chapter 2. Diagnostic Studies ------------------------------------------------------------------------------------------- 10
Chapter 2. Answer Section With Rationale ----------------------------------------------------------------------------------- 17
Chapter 3. Genomic Assessment: Interpreting Findings And Formulating Differential Diagnoses ---- 22
Chapter 3. Answer Section With Rationale ----------------------------------------------------------------------------------- 28
PART II: ADVANCED ASSESSMENT AND DIFFERENTIAL DIAGNOSIS BY BODY REGIONS AND
SYSTEMS -------------------------------------------------------------------------------------------------------------- 34
Chapter 4. Skin -------------------------------------------------------------------------------------------------------------- 34
Chapter 4. Answer Section With Rationale ----------------------------------------------------------------------------------- 41
Chapter 5. Head, Face, And Neck -------------------------------------------------------------------------------------- 48
Chapter 5. Answer Section With Rationale ----------------------------------------------------------------------------------- 54
Chapter 6. The Eye --------------------------------------------------------------------------------------------------------- 60
Chapter 6. Answer Section With Rationale ----------------------------------------------------------------------------------- 66
Chapter 7. Ear, Nose, Mouth, And Throat --------------------------------------------------------------------------- 72
Chapter 7. Answer Section With Rationale ----------------------------------------------------------------------------------- 79
Chapter 8. Cardiac And Peripheral Vascular Systems ------------------------------------------------------------- 88
Chapter 8. Answer Section With Rationale ---------------------------------------------------------------------------------- 100
Chapter 9. Respiratory System --------------------------------------------------------------------------------------- 117
Chapter 9. Answer Section With Rationale ---------------------------------------------------------------------------------- 123
Chapter 10. Breasts ------------------------------------------------------------------------------------------------------ 131
Chapter 10. Answer Section With Rationale -------------------------------------------------------------------------------- 135
Chapter 11. Abdomen --------------------------------------------------------------------------------------------------- 140
Chapter 11. Answer Section With Rationale -------------------------------------------------------------------------------- 151
Chapter 12. Genitourinary System----------------------------------------------------------------------------------- 166
Chapter 12. Answer Section With Rationale -------------------------------------------------------------------------------- 172
Chapter 13. Male Reproductive System ---------------------------------------------------------------------------- 179
Chapter 13. Answer Section With Rationale -------------------------------------------------------------------------------- 185
Chapter 14. Female Reproductive System ------------------------------------------------------------------------- 193
Chapter 14. Answer Section With Rationale -------------------------------------------------------------------------------- 204
Chapter 15. Musculoskeletal System ------------------------------------------------------------------------------- 219
Chapter 15. Answer Section With Rationale -------------------------------------------------------------------------------- 229
Chapter 16. Neurological System ------------------------------------------------------------------------------------ 241
Chapter 16. Answer Section With Rationale ---------------------------------------------------------------------------------- 249
Chapter 17. Nonspecific Complaints -------------------------------------------------------------------------------- 259
Chapter 17. Answer Section With Rationale -------------------------------------------------------------------------------- 269
Chapter 18. Psychiatric Mental Health ----------------------------------------------------------------------------- 280
, Chapter 18. Answer Section With Rationale -------------------------------------------------------------------------------- 287
PART III: ASSESSMENT AND DIFFERENTIAL DIAGNOSIS IN SPECIAL PATIENT POPULATIONS- 299
Chapter 19. Pediatric Patients ---------------------------------------------------------------------------------------- 299
Chapter 19. Answer Section With Rationale -------------------------------------------------------------------------------- 307
Chapter 20. Pregnant Patients ---------------------------------------------------------------------------------------- 319
Chapter 20. Answer Section With Rationale -------------------------------------------------------------------------------- 328
Chapter 21. Assessment Of The Transgender Or Gender-Diverse Adult ----------------------------------- 346
Chapter 21. Answers Section With Rationale ------------------------------------------------------------------------------- 355
Chapter 22. Older Patients--------------------------------------------------------------------------------------------- 364
Chapter 22. Answer Section With Rationale -------------------------------------------------------------------------------- 370
Chapter 23. Persons With Disabilities------------------------------------------------------------------------------- 380
Chapter 23. Answers Section With Rationale ------------------------------------------------------------------------------- 390
,PART I: THE ART OF ASSESSMENT AND CLINICAL DECISION MAKING
Chapter 1. Clinical Decision Making: Assessment And Differential Diagnosis
Mary Jo Goolsby: Advanced Assessment: Interpreting Findings and Formulating Differential Diagnoses 5th Edition, (2022) TB.
MULTIPLE CHOICE
Identify The Choice That Best Completes The Statement Or Answers The Question.
1. Which Type Of Clinical Decision-Making Is Most Reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which Of The Following Is False? To Obtain Adequate History, Health-Care
Providers Must Be:
A. Methodical And Systematic
B. Attentive To The Patient’s Verbal And Nonverbal Language
C. Able To Accurately Interpret The Patient’s Responses
D. Adept At Reading Into The Patient’s Statements
3. Essential Parts Of A Health History Include All Of The Following Except:
A. Chief Complaint
B. History Of The Present Illness
C. Current Vital Signs
D. All Of The Above Are Essential History Components
,4. Which Of The Following Is False? While Performing The Physical Examination, The
Examiner Must Be Able To:
A. Differentiate Between Normal And Abnormal Findings
B. Recall Knowledge Of A Range Of Conditions And Their Associated Signs And
Symptoms
C. Recognize How Certain Conditions Affect The Response To Other Conditions
D. Foresee Unpredictable Findings
5. The Following Is The Least Reliable Source Of Information For Diagnostic Statistics:
A. Evidence-Based Investigations
B. Primary Reports Of Research
C. Estimation Based On A Provider’s Experience
D. Published Meta-Analyses
6. The Following Can Be Used To Assist In Sound Clinical Decision-Making:
A. Algorithm Published In A Peer-Reviewed Journal Article
B. Clinical Practice Guidelines
C. Evidence-Based Research
D. All Of The Above
7. If A Diagnostic Study Has High Sensitivity, This Indicates A:
A. High Percentage Of Persons With The Given Condition Will Have An Abnormal
Result
B. Low Percentage Of Persons With The Given Condition Will Have An Abnormal
Result
C. Low Likelihood Of Normal Result In Persons Without A Given Condition
D. None Of The Above
,8. If A Diagnostic Study Has High Specificity, This Indicates A:
A. Low Percentage Of Healthy Individuals Will Show A Normal Result
B. High Percentage Of Healthy Individuals Will Show A Normal Result
C. High Percentage Of Individuals With A Disorder Will Show A Normal Result
D. Low Percentage Of Individuals With A Disorder Will Show An Abnormal Result
9. A Likelihood Ratio Above 1 Indicates That A Diagnostic Test Showing A:
A. Positive Result Is Strongly Associated With The Disease
B. Negative Result Is Strongly Associated With Absence Of The Disease
C. Positive Result Is Weakly Associated With The Disease
D. Negative Result Is Weakly Associated With Absence Of The Disease
10. Which Of The Following Clinical Reasoning Tools Is Defined As Evidence-Based
Resource Based On Mathematical Modeling To Express The Likelihood Of A Condition
In Select Situations, Settings, And/Or Patients?
A. Clinical Practice Guideline
B. Clinical Decision Rule
C. Clinical Algorithm
D. Clinical Recommendation
,Chapter 1. Answer Section With Rationale
Mary Jo Goolsby: Advanced Assessment: Interpreting Findings and Formulating Differential Diagnoses 5th Edition, (2022) TB.
MULTIPLE CHOICE
1. ANS: B
Croskerry (2009) Describes Two Major Types Of Clinical Diagnostic Decision-Making:
Intuitive And Analytical. Intuitive Decision-Making (Similar To Augenblink Decision-
Making) Is Based On The Experience And Intuition Of The Clinician And Is Less
Reliable And Paired With Fairly Common Errors. In Contrast, Analytical Decision-
Making Is Based On Careful Consideration And Has Greater Reliability With Rare
Errors.
PTS: 1
2. ANS: D
To Obtain Adequate History, Providers Must Be Well Organized, Attentive To The
Patient’s Verbal And Nonverbal Language, And Able To Accurately Interpret The
Patient’s Responses To Questions. Rather Than Reading Into The Patient’s Statements,
They Clarify Any Areas Of Uncertainty.
PTS: 1
3. ANS: C
Vital Signs Are Part Of The Physical Examination Portion Of Patient Assessment, Not
Part Of The Health History.
PTS: 1
4. ANS: D
While Performing The Physical Examination, The Examiner Must Be Able To
Differentiate Between Normal And Abnormal Findings, Recall Knowledge Of A Range
Of Conditions, Including Their Associated Signs And Symptoms, Recognize How
,Certain Conditions Affect The Response To Other Conditions, And Distinguish The
Relevance Of Varied Abnormal Findings.
PTS: 1
5. ANS: C
Sources For Diagnostic Statistics Include Textbooks, Primary Reports Of Research, And
Published Meta-Analyses. Another Source Of Statistics, The One That Has Been Most
Widely Used And Available For Application To The Reasoning Process, Is The
Estimation Based On A Provider’s Experience, Although These Are Rarely Accurate.
Over The Past Decade, The Availability Of Evidence On Which To Base Clinical
Reasoning Is Improving, And There Is An Increasing Expectation That Clinical
Reasoning Be Based On Scientific Evidence. Evidence-Based Statistics Are Also
Increasingly Being Used To Develop Resources To Facilitate Clinical Decision-Making.
PTS: 1
6. ANS: D
To Assist In Clinical Decision-Making, A Number Of Evidence-Based Resources Have
Been Developed To Assist The Clinician. Resources, Such As Algorithms And Clinical
Practice Guidelines, Assist In Clinical Reasoning When Properly Applied.
PTS: 1
7. ANS: A
The Sensitivity Of A Diagnostic Study Is The Percentage Of Individuals With The Target
Condition Who Show An Abnormal, Or Positive, Result. A High Sensitivity Indicates
That A Greater Percentage Of Persons With The Given Condition Will Have An
Abnormal Result.
PTS: 1
8. ANS: B
The Specificity Of A Diagnostic Study Is The Percentage Of Normal, Healthy
Individuals Who Have A Normal Result. The Greater The Specificity, The Greater The
, Percentage Of Individuals Who Will Have Negative, Or Normal, Results If They Do Not
Have The Target Condition.
PTS: 1
9. ANS: A
The Likelihood Ratio Is The Probability That A Positive Test Result Will Be Associated
With A Person Who Has The Target Condition And A Negative Result Will Be
Associated With A Healthy Person. A Likelihood Ratio Above 1 Indicates That A
Positive Result Is Associated With The Disease; A Likelihood Ratio Less Than 1
Indicates That A Negative Result Is Associated With An Absence Of The Disease.
PTS: 1
10. ANS: B
Clinical Decision (Or Prediction) Rules Provide Another Support For Clinical Reasoning.
Clinical Decision Rules Are Evidence-Based Resources That Provide Probabilistic
Statements Regarding The Likelihood That A Condition Exists If Certain Variables Are
Met With Regard To The Prognosis Of Patients With Specific Findings. Decision Rules
Use Mathematical Models And Are Specific To Certain Situations, Settings, And/Or
Patient Characteristics.
PTS: 1
