Advanced Assessment Interpreting Findings and
Formulating Differential Diagnoses 4th Edition
Goolsby Test Bank
Description
Advanced Assessment Interpreting Findings and Formulating
Differential Diagnoses 4th Edition Goolsby – Test Bank
Instant Download With Answers
Sample Questions
Chapter 1. Assessment and Clinical Decision-Making: Overview
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which type of clinical decision-making is most reliable?
1. Intuitive
2. Analytical
3. Experiential
4. Augenblick
2. Which of the following is false? To obtain adequate history,
health-care providers must be:
1. Methodical and systematic
2. Attentive to the patient’s verbal and
nonverbal language
1. Able to accurately interpret the patient’s
responses
1. Adept at reading into the patient’s
statements
3. Essential parts of a health history include all of the following except:
,1. Chief complaint
2. History of the present illness
3. Current vital signs
4. All of the above are essential history
components
4. Which of the following is false? While performing the
physical examination, the examiner must be able to:
1. Differentiate between normal and
abnormal findings
1. Recall knowledge of a range of conditions
and their associated signs and symptoms
1. Recognize how certain conditions affect
the response to other conditions
1. Foresee unpredictable findings
5. The following is the least reliable source of information for
diagnostic statistics:
1. Evidence-based investigations
2. Primary reports of research
3. Estimation based on a provider’s
experience
1. Published meta-analyses
6. The following can be used to assist in sound clinical decision-making:
1. Algorithm published in a peer-reviewed
journal article
1. Clinical practice guidelines
2. Evidence-based research
3. All of the above
7. If a diagnostic study has high sensitivity, this indicates a:
1. High percentage of persons with the given
condition will have an abnormal result
1. Low percentage of persons with the given
condition will have an abnormal result
1. Low likelihood of normal result in
,persons without a given condition
1. None of the above
8. If a diagnostic study has high specificity, this indicates a:
1. Low percentage of healthy individuals
will show a normal result
1. High percentage of healthy individuals
will show a normal result
1. High percentage of individuals with a
disorder will show a normal result
1. Low percentage of individuals with a
disorder will show an abnormal result
9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
1. Positive result is strongly associated with
the disease
1. Negative result is strongly associated with
absence of the disease
1. Positive result is weakly associated with
the disease
1. Negative result is weakly associated with
absence of the disease
10. Which of the following clinical reasoning tools is defined as
evidencebased resource based on mathematical modeling to express the
likelihood of a condition in select situations, settings, and/or patients?
1. Clinical practice guideline
2. Clinical decision rule
3. Clinical algorithm
4. Clinical recommendation
Chapter 2. An Overview of Genetic Assessment
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The first step in the genomic assessment of a patient is
obtaining information regarding:
,1. Family history
2. Environmental exposures
3. Lifestyle and behaviors
4. Current medications
2. An affected individual who manifests symptoms of a particular
condition through whom a family with a genetic disorder is
ascertained is called a(n):
1. Consultand
2. Consulband
3. Index patient
4. Proband
3. An autosomal dominant disorder involves the:
1. X chromosome
2. Y chromosome
3. Mitochondrial DNA
4. Non-sex chromosomes
4. To illustrate a union between two second cousin family
members in a pedigree, draw:
1. Arrows pointing to the male and female
2. Brackets around the male and female
3. Double horizontal lines between the male
and female
1. Circles around the male and female
5. To illustrate two family members in an adoptive relationship in a pedigree:
1. Arrows are drawn pointing to the male
and female
1. Brackets are drawn around the male and
female
1. Double horizontal lines are drawn
between the male and female
1. Circles are drawn around the male and
female
6. When analyzing the pedigree for autosomal dominant
disorders, it is common to see:
1. Several generations of affected members
2. Many consanguineous relationships
3. More members of the maternal lineage
affected than paternal
,1. More members of the paternal lineage
affected than maternal
7. In autosomal recessive (AR) disorders, individuals need:
1. Only one mutated gene on the sex
chromosomes to acquire the disease
1. Only one mutated gene to acquire the
disease
1. Two mutated genes to acquire the disease
2. Two mutated genes to become carriers
8. In autosomal recessive disorders, carriers have:
1. Two mutated genes; one from each parent
that cause disease
1. A mutation on a sex chromosome that
causes a disease
1. A single gene mutation that causes the
disease
1. One copy of a gene mutation but not the
disease
9. With an autosomal recessive disorder, it is important that parents
understand that if they both carry a mutation, the following are the risks to each
of their offspring (each pregnancy):
1. 50% chance that offspring will carry the
disease
1. 10% chance of offspring affected by
disease
1. 25% chance children will carry the
disease
1. 10% chance children will be disease free
10. A woman with an X-linked dominant disorder will:
1. Not be affected by the disorder herself
2. Transmit the disorder to 50 % of her
offspring (male or female)
, 1. Not transmit the disorder to her daughters
2. Transmit the disorder to only her
daughters
11. In creating your female patient’s pedigree, you note that she and both of
her sisters were affected by the same genetic disorder. Although neither of her
parents had indications of the disorder, her paternal grandmother and her
paternal grandmother’s two sisters were affected by the same condition. This
pattern suggests:
1. Autosomal dominant disorder
2. Chromosomal disorder
3. Mitochondrial DNA disorder
4. X-linked dominant disorder
12. A woman affected with an X-linked recessive disorder:
1. Has one X chromosome affected by the
mutation
1. Will transmit the disorder to all of her
children
1. Will transmit the disorder to all of her
sons
1. Will not transmit the mutation to any of
her daughters
13. Which of the following are found in an individual with aneuploidy?
1. An abnormal number of chromosomes
2. An X-linked disorder
3. Select cells containing abnormalappearing
chromosomes
1. An autosomal recessive disorder
14. The pedigree of a family with a mitochondrial DNA disorder is
unique in that:
1. None of the female offspring will have the
disease
1. All offspring from an affected female will
have disease
1. None of the offspring of an affected
Formulating Differential Diagnoses 4th Edition
Goolsby Test Bank
Description
Advanced Assessment Interpreting Findings and Formulating
Differential Diagnoses 4th Edition Goolsby – Test Bank
Instant Download With Answers
Sample Questions
Chapter 1. Assessment and Clinical Decision-Making: Overview
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which type of clinical decision-making is most reliable?
1. Intuitive
2. Analytical
3. Experiential
4. Augenblick
2. Which of the following is false? To obtain adequate history,
health-care providers must be:
1. Methodical and systematic
2. Attentive to the patient’s verbal and
nonverbal language
1. Able to accurately interpret the patient’s
responses
1. Adept at reading into the patient’s
statements
3. Essential parts of a health history include all of the following except:
,1. Chief complaint
2. History of the present illness
3. Current vital signs
4. All of the above are essential history
components
4. Which of the following is false? While performing the
physical examination, the examiner must be able to:
1. Differentiate between normal and
abnormal findings
1. Recall knowledge of a range of conditions
and their associated signs and symptoms
1. Recognize how certain conditions affect
the response to other conditions
1. Foresee unpredictable findings
5. The following is the least reliable source of information for
diagnostic statistics:
1. Evidence-based investigations
2. Primary reports of research
3. Estimation based on a provider’s
experience
1. Published meta-analyses
6. The following can be used to assist in sound clinical decision-making:
1. Algorithm published in a peer-reviewed
journal article
1. Clinical practice guidelines
2. Evidence-based research
3. All of the above
7. If a diagnostic study has high sensitivity, this indicates a:
1. High percentage of persons with the given
condition will have an abnormal result
1. Low percentage of persons with the given
condition will have an abnormal result
1. Low likelihood of normal result in
,persons without a given condition
1. None of the above
8. If a diagnostic study has high specificity, this indicates a:
1. Low percentage of healthy individuals
will show a normal result
1. High percentage of healthy individuals
will show a normal result
1. High percentage of individuals with a
disorder will show a normal result
1. Low percentage of individuals with a
disorder will show an abnormal result
9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
1. Positive result is strongly associated with
the disease
1. Negative result is strongly associated with
absence of the disease
1. Positive result is weakly associated with
the disease
1. Negative result is weakly associated with
absence of the disease
10. Which of the following clinical reasoning tools is defined as
evidencebased resource based on mathematical modeling to express the
likelihood of a condition in select situations, settings, and/or patients?
1. Clinical practice guideline
2. Clinical decision rule
3. Clinical algorithm
4. Clinical recommendation
Chapter 2. An Overview of Genetic Assessment
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The first step in the genomic assessment of a patient is
obtaining information regarding:
,1. Family history
2. Environmental exposures
3. Lifestyle and behaviors
4. Current medications
2. An affected individual who manifests symptoms of a particular
condition through whom a family with a genetic disorder is
ascertained is called a(n):
1. Consultand
2. Consulband
3. Index patient
4. Proband
3. An autosomal dominant disorder involves the:
1. X chromosome
2. Y chromosome
3. Mitochondrial DNA
4. Non-sex chromosomes
4. To illustrate a union between two second cousin family
members in a pedigree, draw:
1. Arrows pointing to the male and female
2. Brackets around the male and female
3. Double horizontal lines between the male
and female
1. Circles around the male and female
5. To illustrate two family members in an adoptive relationship in a pedigree:
1. Arrows are drawn pointing to the male
and female
1. Brackets are drawn around the male and
female
1. Double horizontal lines are drawn
between the male and female
1. Circles are drawn around the male and
female
6. When analyzing the pedigree for autosomal dominant
disorders, it is common to see:
1. Several generations of affected members
2. Many consanguineous relationships
3. More members of the maternal lineage
affected than paternal
,1. More members of the paternal lineage
affected than maternal
7. In autosomal recessive (AR) disorders, individuals need:
1. Only one mutated gene on the sex
chromosomes to acquire the disease
1. Only one mutated gene to acquire the
disease
1. Two mutated genes to acquire the disease
2. Two mutated genes to become carriers
8. In autosomal recessive disorders, carriers have:
1. Two mutated genes; one from each parent
that cause disease
1. A mutation on a sex chromosome that
causes a disease
1. A single gene mutation that causes the
disease
1. One copy of a gene mutation but not the
disease
9. With an autosomal recessive disorder, it is important that parents
understand that if they both carry a mutation, the following are the risks to each
of their offspring (each pregnancy):
1. 50% chance that offspring will carry the
disease
1. 10% chance of offspring affected by
disease
1. 25% chance children will carry the
disease
1. 10% chance children will be disease free
10. A woman with an X-linked dominant disorder will:
1. Not be affected by the disorder herself
2. Transmit the disorder to 50 % of her
offspring (male or female)
, 1. Not transmit the disorder to her daughters
2. Transmit the disorder to only her
daughters
11. In creating your female patient’s pedigree, you note that she and both of
her sisters were affected by the same genetic disorder. Although neither of her
parents had indications of the disorder, her paternal grandmother and her
paternal grandmother’s two sisters were affected by the same condition. This
pattern suggests:
1. Autosomal dominant disorder
2. Chromosomal disorder
3. Mitochondrial DNA disorder
4. X-linked dominant disorder
12. A woman affected with an X-linked recessive disorder:
1. Has one X chromosome affected by the
mutation
1. Will transmit the disorder to all of her
children
1. Will transmit the disorder to all of her
sons
1. Will not transmit the mutation to any of
her daughters
13. Which of the following are found in an individual with aneuploidy?
1. An abnormal number of chromosomes
2. An X-linked disorder
3. Select cells containing abnormalappearing
chromosomes
1. An autosomal recessive disorder
14. The pedigree of a family with a mitochondrial DNA disorder is
unique in that:
1. None of the female offspring will have the
disease
1. All offspring from an affected female will
have disease
1. None of the offspring of an affected
