Test Bank For Advanced Assessment Interpreting Findings And Formulating Differential Diagnoses 5Th Edition Goolsby Chapters 1 - 22 | Complete

TEST BANK FOR ADVANCED ASSESSMENT INTERPRETING
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FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSES 5th
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EDITION GOOLSBY CHAPTERS 1 - 22 | COMPLETE
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,  Chapter 1. Assessment and Clinical Decision Making: An Overview
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Multiple Choice
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Identify the choice that best completes the statement or accurate answer:->s the question.
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1. Which type of clinical decision-making is most reliable?
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A. Intuitive
B. Analytical
C. Experiential
D. Augenblick

2. Which of the following is false? To obtain adequate history, health-care providers must be:
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A. Methodical and systematic ne ne


B. Attentive to the patient‘s verbal and nonverbal language
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C. Able to accurately interpret the patient‘s responses
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D. Adept at reading into the patient‘s statements
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3. Essential parts of a health history include all of the following except:
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A. Chief complaint ne


B. History of the present illness
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C. Current vital signs ne ne


D. All of the above are essential history components
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4. Which of the following is false? While performing the physical examination, the examiner must be able to:
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A. Differentiate between normal and abnormal findings ne ne ne ne ne


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
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D. Foresee unpredictable findings
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5. The following is the least reliable source of information for diagnostic statistics:
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A. Evidence-based investigations ne


B. Primaryreports of research ne ne


C. Estimation based on a provider‘s experience ne ne ne ne ne


D. Published meta-analyses ne




6. The following can be used to assist in sound clinical decision-making:
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A. Algorithmpublished in a peer-reviewed journal article ne ne ne ne ne


B. Clinical practice guidelines ne n e


C. Evidence-based research ne


D. All of the above
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7. 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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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 ne ne ne




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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9. Alikelihood ratio above 1 indicates that a diagnostic test showing a: ne ne ne ne ne ne ne ne ne ne


A. Positive result is strongly associated with the sickness
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B. Negative result is strongly associated with absence of the sickness
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C. Positive result is weakly associated with the sickness
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D. Negative result is weakly associated with absence of the sickness
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, 10. Which of the following clinical reasoning tools is defined as evidence-based resource based on mathematical
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modeling
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A. Clinical practice guideline ne ne


B. Clinical decision rule ne ne


C. Clinical algorithm ne




Chapter 1: Clinical reasoning, differentialdiagnosis, evidence-based practice, and symptom ana
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Accurate answer:-> Section
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MULTIPLE CHOICE ne




1. ACCURATE ANSWER:->: B ne


Croskerry (2009) describes two major types of clinical diagnostic decision-making: intuitive and analytical. Intuitive decision-
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making (similar to Augenblink decision-making) is based on the experience and intuition of the clinician and is less reliable
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andpaired with fairly common errors. In contrast, analytical decision-making is based on careful consideration and has greater
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reliability with rare errors.
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POINTS: 1
2. ACCURATE ANSWER:->: D ne


To obtain adequate history, providers must be well organized, attentive to the patient‘s verbal and nonverbal language, and
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ableto accurately interpret the patient‘s responses to questions. Rather than reading into the patient‘s statements, they clarify
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any areas of uncertainty.
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POINTS: 1
3. ACCURATE ANSWER:->: C ne


Vital signs are part of the physical examination portion of patient assessment, not part of the health history.
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POINTS: 1
4. ACCURATE ANSWER:->: D ne


While performing the physical examination, the examiner must be able to differentiate between normal and abnormal findings, recall
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knowledge of a range of conditions, including their associated signs and symptoms, recognize how certain conditions
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affectthe response to other conditions, and distinguish the relevance of varied abnormal findings.
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POINTS: 1
5. ACCURATE ANSWER:->: C ne


Sources for diagnostic statistics include textbooks, primary reports of research, and published meta-analyses. Another source of
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statistics, the one that has been most widelyused and available for application to the reasoning process, is the estimation based ona
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provider‘s experience, although these are rarely accurate. Over the past decade, the availability of evidence on which to base
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clinical reasoning is improving, and there is an increasing expectation that clinical reasoning be based on scientific evidence.
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Evidence-based statistics are also increasingly being used to develop resources to facilitate clinical decision-making.
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POINTS: 1
6. ACCURATE ANSWER:->: D ne


To assist in clinical decision-making, a number of evidence-based resources have been developed to assist the clinician.
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Resources, such as algorithms and clinical practice guidelines, assist in clinical reasoning when properly applied.
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POINTS: 1
7. ACCURATE ANSWER:->: A ne


The sensitivity of a diagnostic study is the percentage of individuals with the target condition who show an abnormal, or
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positive,result. A high sensitivity indicates that a greater percentage of persons with the given condition will have an abnormal
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result.
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POINTS: 1
8. ACCURATE ANSWER:->: B ne


The specificity of a diagnostic study is the percentage of normal, healthy individuals who have a normal result. The greater
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the specificity, the greater the percentage of individuals who will have negative, or normal, results if they do not have the
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target condition.
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POINTS: 1
9. ACCURATE ANSWER:->: A ne


The likelihood ratio is the probability that a positive test result will be associated with a person who has the target condition
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and a negative result will be associated with a healthy person. A likelihood ratio above 1 indicates that a positive result is associated
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with the sickness; a likelihood ratio less than 1 indicates that a negative result is associated with an absence of the sickness.
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, POINTS: 1
10. ACCURATE ANSWER:->: B ne


Clinical decision (or prediction) rules provide another support for clinical reasoning. Clinical decision rules are evidence-
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based resources that provide probabilistic statements regarding the likelihood that a condition exists if certain variables are
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met with regard to the prognosis of patients with specific findings. Decision rules use mathematical models and are
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specific to certain situations, settings, and/or patient characteristics.
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POINTS: 1