,Chapter 1. Assessment and Clinical Decision-Making: Overview
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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dt 1. Which type of clinical decision-making is most reliable?
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A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
dt 2. Which of the following is false? To obtain adequate history, health-care providers must be:
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A. Methodical and systematic dt dt
B. Attentive to the patient’s verbal and nonverbal language dt dt dt dt dt dt dt
C. Able to accurately interpret the patient’s responses
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D. Adept at reading into the patient’s statements dt dt dt dt dt dt
Essential parts of a health history include all of the following except:
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dt 3. A. Chief complaint dt
B. History of the present illness dt dt dt dt
C. Current vital signs dt dt
D. All of the above are essential history components
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Which of the following is false? While performing the physical examination, the examiner must be
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dt 4. able to: dt
A. Differentiate between normal and abnormal findings dt dt dt dt dt
B. Recall knowledge of a range of conditions and their associated signs and symptoms
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C. Recognize how certain conditions affect the response to other conditions dt dt dt dt dt dt dt dt dt
D. Foresee unpredictable findings dt dt
The following is the least reliable source of information for diagnostic statistics:
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dt 5. A. Evidence-based investigations dt
B. Primary reports of research dt dt dt
C. Estimation based on a provider’s experience dt dt dt dt dt
D. Published meta-analyses dt
The following can be used to assist in sound clinical decision-making:
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dt 6. A. Algorithm published in a peer-reviewed journal article dt dt dt dt dt dt
B. Clinical practice guidelines dt dt
C. Evidence-based research dt
D. All of the above dt dt dt
If a diagnostic study has high sensitivity, this indicates a:
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A. High percentage of persons with the given condition will have an abnormal result
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dt 7. B. Low percentage of persons with the given condition will have an abnormal result
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C. Low likelihood of normal result in persons without a given condition
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D. None of the above dt dt dt
, dt 8. If a diagnostic study has high specificity, this indicates a:
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A. Low percentage of healthy individuals will show a normal result
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B. High percentage of healthy individuals will show a normal result
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C. High percentage of individuals with a disorder will show a normal result
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D. Low percentage of individuals with a disorder will show an abnormal result
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dt 9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
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A. Positive result is strongly associated with the disease
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B. Negative result is strongly associated with absence of the disease
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C. Positive result is weakly associated with the disease
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D. Negative result is weakly associated with absence of the disease
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dt dtdtd t 10. Which of the following clinical reasoning tools is defined as evidence-
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based resource based on mathematical modeling to express the likelihood of a condition in select
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situations, settings, and/orpatients?
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A. Clinical practice guideline dt dt dt
B. Clinical decision rule Clin dt dt dt
C. ical algorithm Clinical rec
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D. ommendation