Advanced Assessment Interpreting ||\\||\\ ||\\||\\ ||\\||\\
Findings and Formulating Differential ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Diagnoses exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Which type of clinical decision-making is most
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
reliable?
A.
Intuitive
B.
Analytical
C.
Experiential
D.
Augenblick - correct answers ✔✔1. ANS: B
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Croskerry (2009) describes two major types of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
clinical diagnostic decision-making: intuitive and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,analytical. Intuitive decision- making (similar to ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Augenblink decision-making) is based on the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
experience and intuition of the clinician and is less ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
reliable and paired with fairly common errors. In ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
contrast, analytical decision-making is based on ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
careful consideration and has greater reliability with
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
rare errors.
||\\||\\
Which of the following is false? To obtain adequate
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
history, health-care providers must be: ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A.
Methodical and systematic ||\\||\\ ||\\||\\
B.
Attentive to the patient's verbal and nonverbal ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
language
C.
Able to accurately interpret the patient's responses
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,D.
Adept at reading into the patient's statements - ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
correct answers ✔✔1. ANS: D ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
To obtain adequate history, providers must be well
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
organized, attentive to the patient's verbal and ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nonverbal language, and able to accurately interpret ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the patient's responses to questions. Rather than
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
reading into the patient's statements, they clarify any ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
areas of uncertainty.
||\\||\\ ||\\||\\ ||\\||\\
Essential parts of a health history include all of the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
following except: ||\\||\\
A.
Chief complaint ||\\||\\
B.
History of the present illness ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C.
, Current vital signs ||\\||\\ ||\\||\\
D.
All of the above are essential history components -
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
correct answers ✔✔1. ANS: C ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Vital signs are part of the physical examination
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
portion of patient assessment, not part of the health ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
history.
Which of the following is false? While performing the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
physical examination, the examiner must be able to:
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A.
Differentiate between normal and abnormal findings ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B.
Recall knowledge of a range of conditions and their
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
associated signs and symptoms ||\\||\\ ||\\||\\ ||\\||\\
C.
Findings and Formulating Differential ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Diagnoses exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Which type of clinical decision-making is most
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
reliable?
A.
Intuitive
B.
Analytical
C.
Experiential
D.
Augenblick - correct answers ✔✔1. ANS: B
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Croskerry (2009) describes two major types of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
clinical diagnostic decision-making: intuitive and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,analytical. Intuitive decision- making (similar to ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Augenblink decision-making) is based on the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
experience and intuition of the clinician and is less ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
reliable and paired with fairly common errors. In ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
contrast, analytical decision-making is based on ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
careful consideration and has greater reliability with
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
rare errors.
||\\||\\
Which of the following is false? To obtain adequate
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
history, health-care providers must be: ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A.
Methodical and systematic ||\\||\\ ||\\||\\
B.
Attentive to the patient's verbal and nonverbal ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
language
C.
Able to accurately interpret the patient's responses
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,D.
Adept at reading into the patient's statements - ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
correct answers ✔✔1. ANS: D ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
To obtain adequate history, providers must be well
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
organized, attentive to the patient's verbal and ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nonverbal language, and able to accurately interpret ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the patient's responses to questions. Rather than
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
reading into the patient's statements, they clarify any ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
areas of uncertainty.
||\\||\\ ||\\||\\ ||\\||\\
Essential parts of a health history include all of the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
following except: ||\\||\\
A.
Chief complaint ||\\||\\
B.
History of the present illness ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C.
, Current vital signs ||\\||\\ ||\\||\\
D.
All of the above are essential history components -
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
correct answers ✔✔1. ANS: C ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Vital signs are part of the physical examination
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
portion of patient assessment, not part of the health ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
history.
Which of the following is false? While performing the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
physical examination, the examiner must be able to:
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A.
Differentiate between normal and abnormal findings ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B.
Recall knowledge of a range of conditions and their
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
associated signs and symptoms ||\\||\\ ||\\||\\ ||\\||\\
C.
