TEST BANK FOR ADVANCED ASSESSMENT INTERPRETING
vb vb vb vb vb
FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSES
vb vb vb vb vb
5th EDITION GOOLSBY CHAPTERS 1 - 22 | COMPLETE
vb vb vb vb vb vb vb vb vb
, Chapter 1. Assessment and Clinical Decision Making: An Overview
vb vb vb vb vb vb vb vb
Multiple v b Choice
Identify v b the v b choice v bthat v b best v b completes v b the v b statement v b or vb accurate vbanswer:->s v b the v bquestion.
1. Whichvbtype v bofvbclinical v bdecision-makingvbis vbmost vbreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which vbofvbthevbfollowingvbis vbfalse?vbTovbobtain vbadequatevbhistory, vbhealth-carevbproviders vbmust vbbe:
A. Methodical v band vbsystematic
B. Attentive vbto vbthe vbpatient’s vbverbal vband vbnonverbal vblanguage
C. Able vbto vbaccuratelyvbinterpret v bthe v bpatient’s v bresponses
D. Adept v bat vbreadingvbintovbthe vbpatient’s vbstatements
3. Essentialvbparts vbofvba vbhealthvbhistoryvbinclude vball vbofvbthe vbfollowingvbexcept:
A. Chief vbcomplaint
B. Historyvbofvbthe vbpresent vbillness
C. Currentvbvital vbsigns
D. Allvbofvbthe vbabove vbarevbessential vbhistoryvbcomponents
4. Which vbofvbthe vbfollowingvbis v bfalse? vbWhile vbperforming vbthe vbphysical v bexamination, vbthe vbexaminer v bmust vbbe vbablevbto:
A. Differentiate vbbetween vbnormal v b and v babnormal v bfindings
B. Recall vbknowledge v bof vbavbrange vbof vbconditions v band vbtheir vbassociated vbsigns v band
vbsymptoms
C. Recognize vbhow vbcertain vbconditions vbaffect v bthevbresponsevbto vbother vbconditions
D. Foresee vbunpredictable v b findings
5. The vbfollowingvbis vbthevbleast vbreliablevbsource vbofvbinformation vbfor vbdiagnosticvbstatistics:
A. Evidence-based v b investigations
B. Primaryreports vbof vbresearch
C. Estimation vbbased vbon vbavbprovider’s vbexperience
D. Published v bmeta-analyses
6. The vbfollowingvbcanvbbevbusedvbtovbassist vbinvbsoundvbclinicalvbdecision-making:
A. Algorithmpublished v b in v b a vbpeer-reviewed v bjournal
v b article
B. Clinical v b practice v b guidelines
C. Evidence-based v bresearch
D. Allvbof vbthe vbabove
7. Ifvba v bdiagnostic vbstudyvbhas v bhigh vbsensitivity, v b this vbindicates v ba:
A. Highvbpercentage vbofvbpersons vbwithvbthevbgiven vbcondition vbwill vbhave vbanvbabnormal
vbresult
B. Lowvbpercentage vbofvbpersons vbwith vbthevbgivenvbcondition vbwillvbhave vbanvbabnormal
vbresult
C. Lowvblikelihood vbofvbnormal vbresult vbin vbpersons vbwithout vba vbgiven vbcondition
D. None vbof vbthe vbabove
8. Ifvba v bdiagnosticvbstudyvbhas v bhigh vbspecificity, v bthis vbindicates v ba:
A. Low vbpercentage v bofvbhealthyvbindividuals v bwill vbshow vba vbnormalvbresult
B. High vbpercentage v bofvbhealthyvbindividuals v bwill v b showvba vbnormalvbresult
C. Highvbpercentage vbofvbindividuals vbwithvbavbdisorder vbwill vbshowvba vbnormalvbresult
D. Lowvbpercentage vbofvbindividuals vbwithvbavbdisorder vbwill vbshowvbanvbabnormal vbresult
9. Alikelihood vbratio vbabove vb1vbindicates vbthat vbavbdiagnostic vbtest vbshowingvba:
A. Positive vbresult vbis v bstrongly vbassociated v b with vbthe v bsickness
B. Negativevbresult vbis vbstronglyvbassociated v b with vbabsence v bof vbthe
vbsickness
C. Positivevbresult vbis vbweakly vbassociated v bwith vbthe vbsickness
D. Negativevbresult vbis vbweaklyvbassociated v bwith vbabsence v bofvbthe
vbsickness
, 10. Whichvbofvbthe vbfollowingvbclinical vbreasoningvbtools vbis vbdefined vbasvbevidence-based vbresource vbbased vbon vbmathematical
v b modeling vb
A. Clinical vbpractice vbguideline
B. Clinical vbdecision vbrule
C. Clinical v b algorithm
Chapter 1: Clinical reasoning, differential diagnosis, evidence-based practice, and symptom ana
vb vb vb vb vb vb vb vb vb vb
Accurate answer:-> Section
vb vb
MULTIPLE vbCHOICE
1. ACCURATE vbANSWER:->: B
Croskerryvb(2009) vbdescribes vbtwo vbmajor vbtypes vbofvbclinical vbdiagnostic vbdecision-making:vbintuitive vband vbanalytical. vbIntuitive vbdecision-
vbmaking vb(similar vbto vbAugenblink vbdecision-making) vbis vbbased vbon vbthe vbexperience vband vbintuition vbofvbthe vbclinician vband vbis vbless
vbreliable vbandpaired vbwith vbfairly vbcommon vberrors. vbIn vbcontrast, vbanalytical vbdecision-making vbis vbbased vbon vbcareful vbconsideration
vband vbhas vbgreater vbreliability vbwith vbrare vberrors.
POINTS: 1
2. ACCURATE vbANSWER:->: D
To vbobtain vbadequate vbhistory, vbproviders vbmust vbbe vbwell vborganized, vbattentive vbto vbthe vbpatient’s vbverbal vband vbnonverbal
vblanguage, vband vbableto vbaccurately vbinterpret vbthe vbpatient’s vbresponses vbto vbquestions. vbRather vbthan vbreading vbinto vbthe vbpatient’s
vbstatements, vbthey vbclarify vbany vbareas vbof vbuncertainty.
POINTS: 1
3. ACCURATE vbANSWER:->: C
Vitalvbsigns vbare vbpart v bofvbthe vbphysical v bexamination vbportion vbofvbpatient vbassessment, vbnot vbpart vbofvbthe vbhealth vbhistory.
POINTS: 1
4. ACCURATE vbANSWER:->: D
While vbperformingvbthe vbphysical vbexamination, vbthe vbexaminer vbmust vbbevbable vbtovbdifferentiate vbbetweenvbnormal vband vbabnormal vbfindings,
vbrecall vbknowledge vbof vba vbrange v bof vbconditions, vbincluding vbtheir vbassociated vbsigns vband vbsymptoms, vbrecognize vbhow vbcertain
vbconditions vbaffectthe vbresponse vbto vbother vbconditions, vband vbdistinguish vbthe vbrelevance vbof vbvaried vbabnormal vbfindings.
POINTS: 1
5. ACCURATE vbANSWER:->: C
Sources vbforvbdiagnostic vbstatistics vbinclude vbtextbooks, vbprimary vbreports vbofvbresearch, vband vbpublished vbmeta-analyses. vbAnother vbsource
vbof vbstatistics, vbthe vbone vbthat vbhas vbbeen vbmost vbwidelyused vband vbavailable v b for vbapplication vbto vbthe vbreasoning vbprocess, vbis vbthe vbestimation
vbbased vbona vbprovider’s vbexperience, vbalthough vbthese vbare vbrarely vbaccurate. vbOver vbthe vbpast vbdecade, vbthe vb availability vbof vbevidence vbon
vbwhich vbto vbbase vbclinicalvbreasoningvbis vbimproving, vband vbthere vbis vban vbincreasing vbexpectation vbthat vbclinicalvbreasoning vbbe vbbased vbon
vbscientific vbevidence.
Evidence-based vbstatistics vbare vbalsovbincreasinglyvbbeingvbused vbtovbdevelop vbresources vbto v bfacilitate v bclinical v b decision-making.
POINTS: 1
6. ACCURATE vbANSWER:->: D
To vbassist vbin vbclinicalvbdecision-making, vba vbnumbervbofvbevidence-based vbresources vbhave vbbeen vbdeveloped vbto vbassist vbthe vbclinician.
vbResources, vbsuch vbas vbalgorithms vband vbclinical vbpractice vbguidelines, vbassistvbin vbclinical vbreasoning vbwhen vbproperly vbapplied.
POINTS: 1
7. ACCURATE vbANSWER:->: A
The vbsensitivity vbofvba vbdiagnostic vbstudyvbis vbthe vbpercentage vbofvbindividuals vbwith vbthe vbtarget vbcondition vbwho vbshow vban vbabnormal, vbor
vbpositive,result. vbAvbhigh vbsensitivity vbindicates vbthat vba vbgreater vbpercentage vbof vbpersons vbwith vbthe vbgiven vbcondition vbwill vbhave vban
vbabnormalvbresult.
POINTS: 1
8. ACCURATE vbANSWER:->: B
The vbspecificity vbof vba vbdiagnostic vbstudy vbis vbthe vbpercentage vbof vbnormal, vbhealthy vbindividuals vbwho vbhave vba vbnormal vbresult. vbThe
vbgreater vbthe vbspecificity, vbthe vbgreater vbthe vbpercentage vbof vbindividuals vbwho vbwill vbhave vbnegative, vbor vbnormal, vbresults vbif vbthey
vbdo vbnot vbhave vbthe vbtarget vbcondition.
POINTS: 1
9. ACCURATE vbANSWER:->: A
The vblikelihood vbratio vbis vbthe vbprobability vbthat vba vbpositive vbtest vbresult vbwill vbbe vbassociated vbwith vba vbperson vbwho vbhas vbthe vbtarget
vbcondition vband vba vbnegative vbresult vbwill vbbe vbassociated vbwith vba vbhealthy vbperson. vbAvblikelihood vbratio vbabove vb1 vbindicates vbthat vba vbpositive
vbresult vbis vbassociated vbwith vbthe vbsickness; vba vblikelihood vbratio vbless vbthan vb1 vbindicates vbthat vba vbnegative vbresult vbis vbassociated vbwith vban
vbabsence vbof vbthe vbsickness.
, POINTS: 1
10. ACCURATE vbANSWER:->: B
Clinical vbdecision vb(or vbprediction) vbrules vbprovide vbanother vbsupport vbfor vbclinical vbreasoning. vbClinical vbdecision vbrules vbare
vbevidence-based vbresources vbthat vbprovide vbprobabilistic vbstatements vbregarding vbthevblikelihood vbthat vba vbcondition vbexists vbif vbcertain
vbvariables vbare vbmet v b with vbregard vbto vbthe vbprognosis vbof vbpatients vbwith vbspecific vbfindings. vbDecision vbrules vbuse vbmathematical
vbmodels vband vbare vbspecific vbto vbcertain vbsituations, vbsettings, vband/or vbpatient vbcharacteristics.
POINTS: 1
vb vb vb vb vb
FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSES
vb vb vb vb vb
5th EDITION GOOLSBY CHAPTERS 1 - 22 | COMPLETE
vb vb vb vb vb vb vb vb vb
, Chapter 1. Assessment and Clinical Decision Making: An Overview
vb vb vb vb vb vb vb vb
Multiple v b Choice
Identify v b the v b choice v bthat v b best v b completes v b the v b statement v b or vb accurate vbanswer:->s v b the v bquestion.
1. Whichvbtype v bofvbclinical v bdecision-makingvbis vbmost vbreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which vbofvbthevbfollowingvbis vbfalse?vbTovbobtain vbadequatevbhistory, vbhealth-carevbproviders vbmust vbbe:
A. Methodical v band vbsystematic
B. Attentive vbto vbthe vbpatient’s vbverbal vband vbnonverbal vblanguage
C. Able vbto vbaccuratelyvbinterpret v bthe v bpatient’s v bresponses
D. Adept v bat vbreadingvbintovbthe vbpatient’s vbstatements
3. Essentialvbparts vbofvba vbhealthvbhistoryvbinclude vball vbofvbthe vbfollowingvbexcept:
A. Chief vbcomplaint
B. Historyvbofvbthe vbpresent vbillness
C. Currentvbvital vbsigns
D. Allvbofvbthe vbabove vbarevbessential vbhistoryvbcomponents
4. Which vbofvbthe vbfollowingvbis v bfalse? vbWhile vbperforming vbthe vbphysical v bexamination, vbthe vbexaminer v bmust vbbe vbablevbto:
A. Differentiate vbbetween vbnormal v b and v babnormal v bfindings
B. Recall vbknowledge v bof vbavbrange vbof vbconditions v band vbtheir vbassociated vbsigns v band
vbsymptoms
C. Recognize vbhow vbcertain vbconditions vbaffect v bthevbresponsevbto vbother vbconditions
D. Foresee vbunpredictable v b findings
5. The vbfollowingvbis vbthevbleast vbreliablevbsource vbofvbinformation vbfor vbdiagnosticvbstatistics:
A. Evidence-based v b investigations
B. Primaryreports vbof vbresearch
C. Estimation vbbased vbon vbavbprovider’s vbexperience
D. Published v bmeta-analyses
6. The vbfollowingvbcanvbbevbusedvbtovbassist vbinvbsoundvbclinicalvbdecision-making:
A. Algorithmpublished v b in v b a vbpeer-reviewed v bjournal
v b article
B. Clinical v b practice v b guidelines
C. Evidence-based v bresearch
D. Allvbof vbthe vbabove
7. Ifvba v bdiagnostic vbstudyvbhas v bhigh vbsensitivity, v b this vbindicates v ba:
A. Highvbpercentage vbofvbpersons vbwithvbthevbgiven vbcondition vbwill vbhave vbanvbabnormal
vbresult
B. Lowvbpercentage vbofvbpersons vbwith vbthevbgivenvbcondition vbwillvbhave vbanvbabnormal
vbresult
C. Lowvblikelihood vbofvbnormal vbresult vbin vbpersons vbwithout vba vbgiven vbcondition
D. None vbof vbthe vbabove
8. Ifvba v bdiagnosticvbstudyvbhas v bhigh vbspecificity, v bthis vbindicates v ba:
A. Low vbpercentage v bofvbhealthyvbindividuals v bwill vbshow vba vbnormalvbresult
B. High vbpercentage v bofvbhealthyvbindividuals v bwill v b showvba vbnormalvbresult
C. Highvbpercentage vbofvbindividuals vbwithvbavbdisorder vbwill vbshowvba vbnormalvbresult
D. Lowvbpercentage vbofvbindividuals vbwithvbavbdisorder vbwill vbshowvbanvbabnormal vbresult
9. Alikelihood vbratio vbabove vb1vbindicates vbthat vbavbdiagnostic vbtest vbshowingvba:
A. Positive vbresult vbis v bstrongly vbassociated v b with vbthe v bsickness
B. Negativevbresult vbis vbstronglyvbassociated v b with vbabsence v bof vbthe
vbsickness
C. Positivevbresult vbis vbweakly vbassociated v bwith vbthe vbsickness
D. Negativevbresult vbis vbweaklyvbassociated v bwith vbabsence v bofvbthe
vbsickness
, 10. Whichvbofvbthe vbfollowingvbclinical vbreasoningvbtools vbis vbdefined vbasvbevidence-based vbresource vbbased vbon vbmathematical
v b modeling vb
A. Clinical vbpractice vbguideline
B. Clinical vbdecision vbrule
C. Clinical v b algorithm
Chapter 1: Clinical reasoning, differential diagnosis, evidence-based practice, and symptom ana
vb vb vb vb vb vb vb vb vb vb
Accurate answer:-> Section
vb vb
MULTIPLE vbCHOICE
1. ACCURATE vbANSWER:->: B
Croskerryvb(2009) vbdescribes vbtwo vbmajor vbtypes vbofvbclinical vbdiagnostic vbdecision-making:vbintuitive vband vbanalytical. vbIntuitive vbdecision-
vbmaking vb(similar vbto vbAugenblink vbdecision-making) vbis vbbased vbon vbthe vbexperience vband vbintuition vbofvbthe vbclinician vband vbis vbless
vbreliable vbandpaired vbwith vbfairly vbcommon vberrors. vbIn vbcontrast, vbanalytical vbdecision-making vbis vbbased vbon vbcareful vbconsideration
vband vbhas vbgreater vbreliability vbwith vbrare vberrors.
POINTS: 1
2. ACCURATE vbANSWER:->: D
To vbobtain vbadequate vbhistory, vbproviders vbmust vbbe vbwell vborganized, vbattentive vbto vbthe vbpatient’s vbverbal vband vbnonverbal
vblanguage, vband vbableto vbaccurately vbinterpret vbthe vbpatient’s vbresponses vbto vbquestions. vbRather vbthan vbreading vbinto vbthe vbpatient’s
vbstatements, vbthey vbclarify vbany vbareas vbof vbuncertainty.
POINTS: 1
3. ACCURATE vbANSWER:->: C
Vitalvbsigns vbare vbpart v bofvbthe vbphysical v bexamination vbportion vbofvbpatient vbassessment, vbnot vbpart vbofvbthe vbhealth vbhistory.
POINTS: 1
4. ACCURATE vbANSWER:->: D
While vbperformingvbthe vbphysical vbexamination, vbthe vbexaminer vbmust vbbevbable vbtovbdifferentiate vbbetweenvbnormal vband vbabnormal vbfindings,
vbrecall vbknowledge vbof vba vbrange v bof vbconditions, vbincluding vbtheir vbassociated vbsigns vband vbsymptoms, vbrecognize vbhow vbcertain
vbconditions vbaffectthe vbresponse vbto vbother vbconditions, vband vbdistinguish vbthe vbrelevance vbof vbvaried vbabnormal vbfindings.
POINTS: 1
5. ACCURATE vbANSWER:->: C
Sources vbforvbdiagnostic vbstatistics vbinclude vbtextbooks, vbprimary vbreports vbofvbresearch, vband vbpublished vbmeta-analyses. vbAnother vbsource
vbof vbstatistics, vbthe vbone vbthat vbhas vbbeen vbmost vbwidelyused vband vbavailable v b for vbapplication vbto vbthe vbreasoning vbprocess, vbis vbthe vbestimation
vbbased vbona vbprovider’s vbexperience, vbalthough vbthese vbare vbrarely vbaccurate. vbOver vbthe vbpast vbdecade, vbthe vb availability vbof vbevidence vbon
vbwhich vbto vbbase vbclinicalvbreasoningvbis vbimproving, vband vbthere vbis vban vbincreasing vbexpectation vbthat vbclinicalvbreasoning vbbe vbbased vbon
vbscientific vbevidence.
Evidence-based vbstatistics vbare vbalsovbincreasinglyvbbeingvbused vbtovbdevelop vbresources vbto v bfacilitate v bclinical v b decision-making.
POINTS: 1
6. ACCURATE vbANSWER:->: D
To vbassist vbin vbclinicalvbdecision-making, vba vbnumbervbofvbevidence-based vbresources vbhave vbbeen vbdeveloped vbto vbassist vbthe vbclinician.
vbResources, vbsuch vbas vbalgorithms vband vbclinical vbpractice vbguidelines, vbassistvbin vbclinical vbreasoning vbwhen vbproperly vbapplied.
POINTS: 1
7. ACCURATE vbANSWER:->: A
The vbsensitivity vbofvba vbdiagnostic vbstudyvbis vbthe vbpercentage vbofvbindividuals vbwith vbthe vbtarget vbcondition vbwho vbshow vban vbabnormal, vbor
vbpositive,result. vbAvbhigh vbsensitivity vbindicates vbthat vba vbgreater vbpercentage vbof vbpersons vbwith vbthe vbgiven vbcondition vbwill vbhave vban
vbabnormalvbresult.
POINTS: 1
8. ACCURATE vbANSWER:->: B
The vbspecificity vbof vba vbdiagnostic vbstudy vbis vbthe vbpercentage vbof vbnormal, vbhealthy vbindividuals vbwho vbhave vba vbnormal vbresult. vbThe
vbgreater vbthe vbspecificity, vbthe vbgreater vbthe vbpercentage vbof vbindividuals vbwho vbwill vbhave vbnegative, vbor vbnormal, vbresults vbif vbthey
vbdo vbnot vbhave vbthe vbtarget vbcondition.
POINTS: 1
9. ACCURATE vbANSWER:->: A
The vblikelihood vbratio vbis vbthe vbprobability vbthat vba vbpositive vbtest vbresult vbwill vbbe vbassociated vbwith vba vbperson vbwho vbhas vbthe vbtarget
vbcondition vband vba vbnegative vbresult vbwill vbbe vbassociated vbwith vba vbhealthy vbperson. vbAvblikelihood vbratio vbabove vb1 vbindicates vbthat vba vbpositive
vbresult vbis vbassociated vbwith vbthe vbsickness; vba vblikelihood vbratio vbless vbthan vb1 vbindicates vbthat vba vbnegative vbresult vbis vbassociated vbwith vban
vbabsence vbof vbthe vbsickness.
, POINTS: 1
10. ACCURATE vbANSWER:->: B
Clinical vbdecision vb(or vbprediction) vbrules vbprovide vbanother vbsupport vbfor vbclinical vbreasoning. vbClinical vbdecision vbrules vbare
vbevidence-based vbresources vbthat vbprovide vbprobabilistic vbstatements vbregarding vbthevblikelihood vbthat vba vbcondition vbexists vbif vbcertain
vbvariables vbare vbmet v b with vbregard vbto vbthe vbprognosis vbof vbpatients vbwith vbspecific vbfindings. vbDecision vbrules vbuse vbmathematical
vbmodels vband vbare vbspecific vbto vbcertain vbsituations, vbsettings, vband/or vbpatient vbcharacteristics.
POINTS: 1
