Questions and Answers.
What is the foundation of clinical reasoning?
problem list
shared decision-making
evidence-based practice
examiner's hypothesis
Question pts
Each of the following could become a barrier to the clinical reasoning process, except for the
examiner's:
Correct! objectivity
feelings
attitudes
values
Question pts
What is the first step in clinical reasoning?
Correct! assessing the value and significance of information obtained from the patient
assigning a priority to the patient's symptoms
matching diagnostic test findings with patient history and physical examination data
combining objective and subjective data into an initial hypothesis
Question pts
Unless a life-threatening situation exists, the best guide to determining the priority for the
patient's condition should be based on:
Correct! probability and utility
intuition
the use of algorithms
the examiner's initial favorite hypothesis
Question 50 / - Answer problem list
Laboratory tests should be used to:
Correct! confirm a presumed diagnosis
develop a list of potential problems
rule out all possible causes of symptoms and clinical findings
assist the examiner only when the data do not point to a specific problem
, Question pts
Which statement best characterizes a belief that supports a sound decision-making process?
Correct Answer common problems occur commonly, and rare ones occur rarely
the underlying problem is always related to the chief complaint
You Answered rare problems tend to have unusual presentations
a diagnosis should be made quickly to enhance patient confidence
Question pts
A 62-year-old patient has been diagnosed with alcohol addiction. After discussing his situation,
he tells you that he is intending to take action regarding his alcohol use in the immediate future.
Which stage of change is he in?
Correct Answer preparation
You Answered contemplation
act - Answer
Milia are an expected finding in which age group?
Correct! newborns
young children
adolescents
older adults
Question pts
Cholasma is an expected finding in which of the following?
Correct! pregnant women
newborns
adolescents
older adults
Question pts
An adolescent patient asks the examiner why teens have more problems with acne than
children. Which of the following would be an appropriate response?
Correct! "At puberty, adolescents begin to secrete more oil from their sebaceous glands."
"Children have better hygiene habits than adolescents because of parental guidance."
"Adolescents have reduced blood flow to the epidermal layer of the skin, making them more
susceptible to infections."
"Children have very little skin mass, which prevents the development of acne."
Question pts
A 6-year-old girl has freckles over her nose and cheeks. Freckles are a type of:
Correct! macule