NR511, . / midterm, . / exam, . / from, . / study, . / g
uide
1. A,./42-year-
old,./woman,./presents,./with,./fatigue,./and,./weight,./loss.,./You,./begin,./by,./listing,./all,./
possible,./causes,./based,./on,./her,./initial,./information,./before,./ordering,./tests.,./Whi
ch,./step,./of,./diagnostic,./reasoning,./are,./you,./performing?:,./Formulating,./the,./ditterenti
al
2. A,./60-year-
old,./man,./presents,./with,./chest,./pain.,./After,./creating,./an,./initial,./differ-
ential,,./you,./order,./troponin,./and,./an,./ECG,./to,./confirm/refute,./diagnoses.,./This,./st
ep,./is::,./Diagnostic,./testing
3. A,./24-year-
old,./with,./abdominal,./pain,./is,./asked,./when,./the,./pain,./started,,./where,./it,./is,,./and,./wh
at,./affects,./it.,./Which,./HPI,./tool,./is,./this?:,./OLD,./CARTS
4. "What, . / were, . / you, . / doing, . / when, . / the, . / pain, . / began?", . / refers, . / to, . / which, . / part,
. / of, . / OLD,./CARTS?:,./Onset
5. You, . / collect, . / an, . / extensive, . / history,, . / exam, . / findings,, . / and, . / diagnostic, . / test
s., . / This,./step,./of,./diagnostic,./reasoning,./is::,./Data,./gathering
6. You, . / consider, . / pneumonia,, . / CHF,, . / asthma,, . / and, . / PE, . / as, . / potential, . / causes, . / of, .
/ dysp-nea.,./This,./describes::,./Formulating,./ditterential,./diagnoses
7. In, . / a, . / PICO, . / question,, . / "reducing, . / exacerbations", . / represents, . / the::, . / Outcome
8. Reviewing,./an,./RCT,./for,./design,,./sample,./size,,./and,./bias,./involves,./which,./EB
P,./step?:,./Appraising,./the,./evidence
9. A,./test,./with,./99%,./ sensitivity,./means::,./ 99%,./with,./disease,./test,./positive
10. High,./specificity,./is,./most,./ useful,./for::,./ Ruling,./in,./a,./disease,./when,./positive
11. A, . / test, . / with, . / low, . / sensitivity, ./ risks::, . / High,./false,./negatives
12. After, . / treating, . / a, . / patient,, . / you, . / review, . / outcomes, . / to, . / improve, . / future, . / car
e., . / This,./is::,./Reflection,./and,./learning
13. After, . / finding, . / several, . / RCTs,, . / your, . / next, . / step, . / before, . / choosing, . / best, . / evid
ence, . / is,./to::,./Appraise,./quality,./and,./relevance
14. Before, . / choosing, . / a, . / treatment,, . / you, . / discuss, . / goals, . / and, . / preferences, . / wi
th, . / the,./patient.:,./Considering,./patient,./preferences
15. A,./highly,./sensitive,,./low-
specificity,./rash,./test,./will::,./Catch,./most,./cases,./but,./create,./many,./false,./positives
, NR511, . / midterm, . / exam, . / from, . / study, . / g
uide
16. A, . / highly, . / sensitive, . / test, . / is, . / positive,, . / but, . / the, . / clinical, . / picture, . / doesn't, . / f
it., . / Next,./step?:,./Order,./a,./more,./specific,./confirmatory,./test
uide
1. A,./42-year-
old,./woman,./presents,./with,./fatigue,./and,./weight,./loss.,./You,./begin,./by,./listing,./all,./
possible,./causes,./based,./on,./her,./initial,./information,./before,./ordering,./tests.,./Whi
ch,./step,./of,./diagnostic,./reasoning,./are,./you,./performing?:,./Formulating,./the,./ditterenti
al
2. A,./60-year-
old,./man,./presents,./with,./chest,./pain.,./After,./creating,./an,./initial,./differ-
ential,,./you,./order,./troponin,./and,./an,./ECG,./to,./confirm/refute,./diagnoses.,./This,./st
ep,./is::,./Diagnostic,./testing
3. A,./24-year-
old,./with,./abdominal,./pain,./is,./asked,./when,./the,./pain,./started,,./where,./it,./is,,./and,./wh
at,./affects,./it.,./Which,./HPI,./tool,./is,./this?:,./OLD,./CARTS
4. "What, . / were, . / you, . / doing, . / when, . / the, . / pain, . / began?", . / refers, . / to, . / which, . / part,
. / of, . / OLD,./CARTS?:,./Onset
5. You, . / collect, . / an, . / extensive, . / history,, . / exam, . / findings,, . / and, . / diagnostic, . / test
s., . / This,./step,./of,./diagnostic,./reasoning,./is::,./Data,./gathering
6. You, . / consider, . / pneumonia,, . / CHF,, . / asthma,, . / and, . / PE, . / as, . / potential, . / causes, . / of, .
/ dysp-nea.,./This,./describes::,./Formulating,./ditterential,./diagnoses
7. In, . / a, . / PICO, . / question,, . / "reducing, . / exacerbations", . / represents, . / the::, . / Outcome
8. Reviewing,./an,./RCT,./for,./design,,./sample,./size,,./and,./bias,./involves,./which,./EB
P,./step?:,./Appraising,./the,./evidence
9. A,./test,./with,./99%,./ sensitivity,./means::,./ 99%,./with,./disease,./test,./positive
10. High,./specificity,./is,./most,./ useful,./for::,./ Ruling,./in,./a,./disease,./when,./positive
11. A, . / test, . / with, . / low, . / sensitivity, ./ risks::, . / High,./false,./negatives
12. After, . / treating, . / a, . / patient,, . / you, . / review, . / outcomes, . / to, . / improve, . / future, . / car
e., . / This,./is::,./Reflection,./and,./learning
13. After, . / finding, . / several, . / RCTs,, . / your, . / next, . / step, . / before, . / choosing, . / best, . / evid
ence, . / is,./to::,./Appraise,./quality,./and,./relevance
14. Before, . / choosing, . / a, . / treatment,, . / you, . / discuss, . / goals, . / and, . / preferences, . / wi
th, . / the,./patient.:,./Considering,./patient,./preferences
15. A,./highly,./sensitive,,./low-
specificity,./rash,./test,./will::,./Catch,./most,./cases,./but,./create,./many,./false,./positives
, NR511, . / midterm, . / exam, . / from, . / study, . / g
uide
16. A, . / highly, . / sensitive, . / test, . / is, . / positive,, . / but, . / the, . / clinical, . / picture, . / doesn't, . / f
it., . / Next,./step?:,./Order,./a,./more,./specific,./confirmatory,./test
