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567 13
TEST BANK FOR ADVANCED HEALTH ASSESSMENT &
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CLINICAL DIAGNOSIS IN PRIMARYCARE 6TH EDITION
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DAINS ISBN: 9780323594554 z1 z1
This Test Bank is Directly from The Publisher
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Has All Chapters With 100% Correct Answers
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INSTANT DOWNLOAD z1
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lOMoARcPSD| 126
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567 13
Test Bank for Advanced Health Assessment & Clinical Diagnosis in Primary Care 6t
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Chapter 1: Clinical Reasoning, Differential Diagnosis, Evidence-Based Practice, and Symptom Analysis
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Multiple Choicez1
Identify the choice that best completes the statement or answers the question.
z1 z1 z1 z1 z1 z1 z1 z1 z1 z1 z1
1. Whichz1typez1ofz1clinicalz1decision-makingz1isz1mostz1reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Whichz1ofz1thez1followingz1isz1false?z1Toz1obtainz1adequatez1history,z1health-carez1providersz1mustz1be:
A. Methodicalz1andz1systematic
B. Attentivez1toz1thez1patient’sz1verbalz1andz1nonverbalz1languag
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C. Ablez1toz1accuratelyz1interpretz1thez1patient’sz1responses
D. Adeptz1atz1readingz1intoz1thez1patient’sz1statements
3. Essentialz1partsz1ofz1az1healthz1historyz1includez1allz1ofz1thez1followingz1except:
A. Chiefz1complaint
B. Historyz1ofz1thez1presentz1illness
C. Currentz1vitalz1signs
D. Allz1ofz1thez1abovez1arez1essentialz1historyz1component
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4. Whichz1ofz1thez1followingz1isz1false?z1Whilez1performingz1thez1physicalz1examination,z1thez1examinerz1mustz1bez1ablez1to:
A. Differentiatez1betweenz1normalz1andz1abnormalz1findings
B. Recallz1knowledgez1ofz1az1rangez1ofz1conditionsz1andz1theirz1associatedz1signsz1andz1sympto
ms
C. Recogniz1ez1howz1certainz1conditionsz1affectz1thez1responsez1toz1otherz1conditions
D. Foreseez1unpredictablez 1 findings
5. Thez1followingz1isz1thez1leastz1reliablez1sourcez1ofz1informationz1forz1diagnosticz1statistics:
A. Evidence-basedz 1 investigations
B. Primaryz1reportsz1ofz1research
C. Estimationz1basedz1onz1az1provider’sz1experienc
e
D. Publishedz 1 meta-analyses
6. Thez1followingz1canz1bez1usedz1toz1assistz1inz1soundz1clinicalz1decision-making:
A. Algorithmz1publishedz1inz1az1peer-
reviewedz1journalz1article
B. Clinicalz1practicez1guidelines
C. Evidence-basedz 1 research
D. Allz1ofz1thez1above
7. Ifz1az1diagnosticz1studyz1hasz1highz1sensitivity,z1 thisz1indicatesz1a:
A. Highz1percentagez1ofz1personsz1withz1thez1givenz1conditionz1willz1havez1anz1abnormalz1res
ult
B. Lowz1percentagez1ofz1personsz1withz1thez1givenz1conditionz1willz1havez1anz1abnormalz1res
ult
C. Lowz1likelihoodz1ofz1normalz1resultz1inz1personsz1withoutz1az1givenz1condition
D. Nonez1ofz1thez1above
8. Ifz1az1diagnosticz1studyz1hasz1highz1specificity,z1 thisz1indicatesz1a:
A. Lowz1percentagez1ofz1healthyz1individualsz1willz1showz1az1normalz1result
B. Highz1percentagez1ofz1healthyz1individualsz1willz1showz1az1normalz1result
C. Highz1percentagez1ofz1individualsz1withz1az1disorderz1willz1showz1az1normalz1result
D. Lowz1percentagez1ofz1individualsz1withz1az1disorderz1willz1showz1anz1abnormalz1res
ult
9. Az1likelihoodz1ratioz1abovez11z1indicatesz1thatz1az1diagnosticz1testz1showingz1a:
A. Positivez1resultz1isz1stronglyz1associatedz1withz1thez1disease
B. Negativez1resultz1isz1stronglyz1associatedz1withz1absencez1ofz1thez1disea
se
C. Positivez1resultz1isz1weaklyz1associatedz1withz1thez1disease
D. Negativez1resultz1isz1weaklyz1associatedz1withz1absencez1ofz1thez1diseas
e
10. Whichz1ofz1thez1followingz1clinicalz1reasoningz1toolsz1isz1definedz1asz1evidence-
, z1
basedz1resourcez1basedz1onz1mathematicalz1modelingz1toz1expressz1z1thez1likelihoodz1ofz1az1conditionz1inz1selectz1situations,z1settings,z1and/
lOMoARcPSD| 126
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orz1patients?
, z1
lOMoARcPSD| 126
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567 13
A. Clinicalz1practicez1guideline
B. Clinicalz1decisionz1rule
C. Clinicalz1algorithm
Chapter 1: Clinical reasoning, differential diagnosis, evidence-based practice, and symptom ana
z1 z1 z1 z1 z1 z1 z1 z1 z1 z1
Answer Section
z1
MULTIPLEz1CHOICE
1. ANS: B
Croskerryz1(2009)z1describesz1twoz1majorz1typesz1ofz1clinicalz1diagnosticz1decision-
making:z1intuitivez1andz1analytical.z1Intuitivez1decision-z1makingz1(similarz1toz1Augenblinkz1decision-
making)z1isz1basedz1onz1thez1experiencez1andz1intuitionz1ofz1thez1clinicianz1andz1isz1lessz1reliablez1andz1pairedz1withz1fairlyz1commonz1error
s.z1Inz1contrast,z1analyticalz1decision-makingz1isz1basedz1onz1carefulz1considerationz1andz1hasz1greaterz1reliabilityz1withz1rarez1errors.
PTS: 1
2. ANS: D
Toz1obtainz1adequatez1history,z1providersz1mustz1bez1wellz1organiz1ed,z1attentivez1toz1thez1patient’sz1verbalz1andz1nonverbalz1language,z1an
dz1ablez1toz1accuratelyz1interpretz1thez1patient’sz1responsesz1toz1questions.z1Ratherz1thanz1readingz1intoz1thez1patient’sz1statements,z1theyz1
clarifyz1anyz1areasz1ofz1uncertainty.
PTS: 1
3. ANS: C
Vitalz1signsz1arez1partz1ofz1thez1physicalz1examinationz1portionz1ofz1patientz1assessment,z1notz1partz1ofz1thez1healthz1history.
PTS: 1
4. ANS: D
Whilez1performingz1thez1physicalz1examination,z1thez1examinerz1mustz1bez1ablez1toz1differentiatez1betweenz1normalz1andz1abnormalz1findi
ngs,z1recallz1knowledgez1ofz1az1rangez1ofz1conditions,z1includingz1theirz1associatedz1signsz1andz1symptoms,z1recogniz1ez1howz1certainz1condi
tionsz1affectz1thez1responsez1toz1otherz1conditions,z1andz1distinguishz1thez1relevancez1ofz1variedz1abnormalz1findings.
PTS: 1
5. ANS: C
Sourcesz1forz1diagnosticz1statisticsz1includez1textbooks,z1primaryz1reportsz1ofz1research,z1andz1publishedz1meta-
analyses.z1Anotherz1sourcez1ofz1statistics,z1thez1onez1thatz1hasz1beenz1mostz1widelyz1usedz1andz1availablez1forz1applicationz1toz1thez1reasoning
z1process,z1isz1thez1estimationz1basedz1onz1az1provider’sz1experience,z1althoughz1thesez1arez1rarelyz1accurate. z1 Over z1thez1pastz1decade, z1thez1
availabilityz1ofz1evidencez1onz1whichz1toz1basez1clinicalz1reasoningz1isz1improving,z 1 andz1therez1isz1anz1increasingz1expectationz1thatz1clini
calz1reasoningz1bez1basedz1onz1scientificz1evidence.
Evidence-basedz1statisticsz1 arez1 alsoz1increasinglyz1beingz1usedz1toz1developz 1 resourcesz1toz1facilitatez 1 clinicalz 1 decision-making.
PTS: 1
6. ANS: D
Toz1assistz1inz1clinicalz1decision-making,z1az1numberz1ofz1evidence-
basedz1resourcesz1havez1beenz1developedz1toz1assistz1thez1clinician.z1Resources,z1suchz1asz1algorithmsz1andz1clinicalz1practicez1guidelines
,z1assistz1inz1clinicalz1reasoningz1whenz1properlyz1applied.
PTS: 1
7. ANS: A
Thez1sensitivityz1ofz1az1diagnosticz1studyz1isz1thez1percentagez1ofz1individualsz1withz1thez1targetz1conditionz1whoz1showz1anz1abnormal,z1orz 1 p
ositive,z1result.z1Az1highz1sensitivityz1indicatesz1thatz1az1greaterz1percentagez1ofz1personsz1withz1thez1givenz1conditionz1willz1havez1anz1abnor
malz1result.
PTS: 1
8. ANS: B
Thez1specificityz1ofz1az1diagnosticz1studyz1isz1thez1percentagez1ofz1normal,z1healthyz1individualsz1whoz1havez1az1normalz1result.z1Thez1great
erz1thez1specificity,z1thez1greaterz1thez1percentagez1ofz1individualsz1whoz1willz1havez1negative,z1orz1normal,z1resultsz1ifz1theyz1doz1notz1hav
ez1thez1targetz1condition.
PTS: 1
9. ANS: A
Thez1likelihoodz1ratioz1isz1thez1probabilityz1thatz1az1positivez1testz1resultz1willz1bez1associatedz1withz1az1personz1whoz1hasz1thez1targetz1conditio
nz1andz1az1negativez1resultz1willz1bez1associatedz1withz1az1healthyz1person.z1Az1likelihoodz1ratioz1abovez11z1indicatesz1thatz1az1positivez1result
z1isz1associatedz1 withz1thez1disease; z1 az1likelihoodz1ratioz1lessz1thanz11z1indicatesz1thatz1az1negativez1resultz1isz1 associatedz1 withz1anz1absencez1
ofz1thez1disease.
lOMoARcPSD| 126
z1
567 13
TEST BANK FOR ADVANCED HEALTH ASSESSMENT &
z1 z1 z1 z1 z1 z1 z1
CLINICAL DIAGNOSIS IN PRIMARYCARE 6TH EDITION
z1 z1 z1 z1 z1 z1
DAINS ISBN: 9780323594554 z1 z1
This Test Bank is Directly from The Publisher
z1 z1 z1 z1 z1 z1 z1 z1
Has All Chapters With 100% Correct Answers
z1 z1 z1 z1 z1 z1 z1
INSTANT DOWNLOAD z1
, z1
lOMoARcPSD| 126
z1
567 13
Test Bank for Advanced Health Assessment & Clinical Diagnosis in Primary Care 6t
z1 z1 z1 z1 z1 z1 z1 z1 z1 z1 z1 z1
h Edition Dains z1 z1
Chapter 1: Clinical Reasoning, Differential Diagnosis, Evidence-Based Practice, and Symptom Analysis
z1 z1 z1 z1 z1 z1 z1 z1 z1 z1
Multiple Choicez1
Identify the choice that best completes the statement or answers the question.
z1 z1 z1 z1 z1 z1 z1 z1 z1 z1 z1
1. Whichz1typez1ofz1clinicalz1decision-makingz1isz1mostz1reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Whichz1ofz1thez1followingz1isz1false?z1Toz1obtainz1adequatez1history,z1health-carez1providersz1mustz1be:
A. Methodicalz1andz1systematic
B. Attentivez1toz1thez1patient’sz1verbalz1andz1nonverbalz1languag
e
C. Ablez1toz1accuratelyz1interpretz1thez1patient’sz1responses
D. Adeptz1atz1readingz1intoz1thez1patient’sz1statements
3. Essentialz1partsz1ofz1az1healthz1historyz1includez1allz1ofz1thez1followingz1except:
A. Chiefz1complaint
B. Historyz1ofz1thez1presentz1illness
C. Currentz1vitalz1signs
D. Allz1ofz1thez1abovez1arez1essentialz1historyz1component
s
4. Whichz1ofz1thez1followingz1isz1false?z1Whilez1performingz1thez1physicalz1examination,z1thez1examinerz1mustz1bez1ablez1to:
A. Differentiatez1betweenz1normalz1andz1abnormalz1findings
B. Recallz1knowledgez1ofz1az1rangez1ofz1conditionsz1andz1theirz1associatedz1signsz1andz1sympto
ms
C. Recogniz1ez1howz1certainz1conditionsz1affectz1thez1responsez1toz1otherz1conditions
D. Foreseez1unpredictablez 1 findings
5. Thez1followingz1isz1thez1leastz1reliablez1sourcez1ofz1informationz1forz1diagnosticz1statistics:
A. Evidence-basedz 1 investigations
B. Primaryz1reportsz1ofz1research
C. Estimationz1basedz1onz1az1provider’sz1experienc
e
D. Publishedz 1 meta-analyses
6. Thez1followingz1canz1bez1usedz1toz1assistz1inz1soundz1clinicalz1decision-making:
A. Algorithmz1publishedz1inz1az1peer-
reviewedz1journalz1article
B. Clinicalz1practicez1guidelines
C. Evidence-basedz 1 research
D. Allz1ofz1thez1above
7. Ifz1az1diagnosticz1studyz1hasz1highz1sensitivity,z1 thisz1indicatesz1a:
A. Highz1percentagez1ofz1personsz1withz1thez1givenz1conditionz1willz1havez1anz1abnormalz1res
ult
B. Lowz1percentagez1ofz1personsz1withz1thez1givenz1conditionz1willz1havez1anz1abnormalz1res
ult
C. Lowz1likelihoodz1ofz1normalz1resultz1inz1personsz1withoutz1az1givenz1condition
D. Nonez1ofz1thez1above
8. Ifz1az1diagnosticz1studyz1hasz1highz1specificity,z1 thisz1indicatesz1a:
A. Lowz1percentagez1ofz1healthyz1individualsz1willz1showz1az1normalz1result
B. Highz1percentagez1ofz1healthyz1individualsz1willz1showz1az1normalz1result
C. Highz1percentagez1ofz1individualsz1withz1az1disorderz1willz1showz1az1normalz1result
D. Lowz1percentagez1ofz1individualsz1withz1az1disorderz1willz1showz1anz1abnormalz1res
ult
9. Az1likelihoodz1ratioz1abovez11z1indicatesz1thatz1az1diagnosticz1testz1showingz1a:
A. Positivez1resultz1isz1stronglyz1associatedz1withz1thez1disease
B. Negativez1resultz1isz1stronglyz1associatedz1withz1absencez1ofz1thez1disea
se
C. Positivez1resultz1isz1weaklyz1associatedz1withz1thez1disease
D. Negativez1resultz1isz1weaklyz1associatedz1withz1absencez1ofz1thez1diseas
e
10. Whichz1ofz1thez1followingz1clinicalz1reasoningz1toolsz1isz1definedz1asz1evidence-
, z1
basedz1resourcez1basedz1onz1mathematicalz1modelingz1toz1expressz1z1thez1likelihoodz1ofz1az1conditionz1inz1selectz1situations,z1settings,z1and/
lOMoARcPSD| 126
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orz1patients?
, z1
lOMoARcPSD| 126
z1
567 13
A. Clinicalz1practicez1guideline
B. Clinicalz1decisionz1rule
C. Clinicalz1algorithm
Chapter 1: Clinical reasoning, differential diagnosis, evidence-based practice, and symptom ana
z1 z1 z1 z1 z1 z1 z1 z1 z1 z1
Answer Section
z1
MULTIPLEz1CHOICE
1. ANS: B
Croskerryz1(2009)z1describesz1twoz1majorz1typesz1ofz1clinicalz1diagnosticz1decision-
making:z1intuitivez1andz1analytical.z1Intuitivez1decision-z1makingz1(similarz1toz1Augenblinkz1decision-
making)z1isz1basedz1onz1thez1experiencez1andz1intuitionz1ofz1thez1clinicianz1andz1isz1lessz1reliablez1andz1pairedz1withz1fairlyz1commonz1error
s.z1Inz1contrast,z1analyticalz1decision-makingz1isz1basedz1onz1carefulz1considerationz1andz1hasz1greaterz1reliabilityz1withz1rarez1errors.
PTS: 1
2. ANS: D
Toz1obtainz1adequatez1history,z1providersz1mustz1bez1wellz1organiz1ed,z1attentivez1toz1thez1patient’sz1verbalz1andz1nonverbalz1language,z1an
dz1ablez1toz1accuratelyz1interpretz1thez1patient’sz1responsesz1toz1questions.z1Ratherz1thanz1readingz1intoz1thez1patient’sz1statements,z1theyz1
clarifyz1anyz1areasz1ofz1uncertainty.
PTS: 1
3. ANS: C
Vitalz1signsz1arez1partz1ofz1thez1physicalz1examinationz1portionz1ofz1patientz1assessment,z1notz1partz1ofz1thez1healthz1history.
PTS: 1
4. ANS: D
Whilez1performingz1thez1physicalz1examination,z1thez1examinerz1mustz1bez1ablez1toz1differentiatez1betweenz1normalz1andz1abnormalz1findi
ngs,z1recallz1knowledgez1ofz1az1rangez1ofz1conditions,z1includingz1theirz1associatedz1signsz1andz1symptoms,z1recogniz1ez1howz1certainz1condi
tionsz1affectz1thez1responsez1toz1otherz1conditions,z1andz1distinguishz1thez1relevancez1ofz1variedz1abnormalz1findings.
PTS: 1
5. ANS: C
Sourcesz1forz1diagnosticz1statisticsz1includez1textbooks,z1primaryz1reportsz1ofz1research,z1andz1publishedz1meta-
analyses.z1Anotherz1sourcez1ofz1statistics,z1thez1onez1thatz1hasz1beenz1mostz1widelyz1usedz1andz1availablez1forz1applicationz1toz1thez1reasoning
z1process,z1isz1thez1estimationz1basedz1onz1az1provider’sz1experience,z1althoughz1thesez1arez1rarelyz1accurate. z1 Over z1thez1pastz1decade, z1thez1
availabilityz1ofz1evidencez1onz1whichz1toz1basez1clinicalz1reasoningz1isz1improving,z 1 andz1therez1isz1anz1increasingz1expectationz1thatz1clini
calz1reasoningz1bez1basedz1onz1scientificz1evidence.
Evidence-basedz1statisticsz1 arez1 alsoz1increasinglyz1beingz1usedz1toz1developz 1 resourcesz1toz1facilitatez 1 clinicalz 1 decision-making.
PTS: 1
6. ANS: D
Toz1assistz1inz1clinicalz1decision-making,z1az1numberz1ofz1evidence-
basedz1resourcesz1havez1beenz1developedz1toz1assistz1thez1clinician.z1Resources,z1suchz1asz1algorithmsz1andz1clinicalz1practicez1guidelines
,z1assistz1inz1clinicalz1reasoningz1whenz1properlyz1applied.
PTS: 1
7. ANS: A
Thez1sensitivityz1ofz1az1diagnosticz1studyz1isz1thez1percentagez1ofz1individualsz1withz1thez1targetz1conditionz1whoz1showz1anz1abnormal,z1orz 1 p
ositive,z1result.z1Az1highz1sensitivityz1indicatesz1thatz1az1greaterz1percentagez1ofz1personsz1withz1thez1givenz1conditionz1willz1havez1anz1abnor
malz1result.
PTS: 1
8. ANS: B
Thez1specificityz1ofz1az1diagnosticz1studyz1isz1thez1percentagez1ofz1normal,z1healthyz1individualsz1whoz1havez1az1normalz1result.z1Thez1great
erz1thez1specificity,z1thez1greaterz1thez1percentagez1ofz1individualsz1whoz1willz1havez1negative,z1orz1normal,z1resultsz1ifz1theyz1doz1notz1hav
ez1thez1targetz1condition.
PTS: 1
9. ANS: A
Thez1likelihoodz1ratioz1isz1thez1probabilityz1thatz1az1positivez1testz1resultz1willz1bez1associatedz1withz1az1personz1whoz1hasz1thez1targetz1conditio
nz1andz1az1negativez1resultz1willz1bez1associatedz1withz1az1healthyz1person.z1Az1likelihoodz1ratioz1abovez11z1indicatesz1thatz1az1positivez1result
z1isz1associatedz1 withz1thez1disease; z1 az1likelihoodz1ratioz1lessz1thanz11z1indicatesz1thatz1az1negativez1resultz1isz1 associatedz1 withz1anz1absencez1
ofz1thez1disease.