Created nBy: nA
nSolution
TEST n BANK FOR
n n ADVANCED ASSESSMENT:
n
nINTERPRETING FINDINGS
n n AND nFORMULATING
nDIFFERENTIAL DIAGNOSES n5TH nEDITION, nMARY nJO
n
nGOOLSBY, nLAURIE nGRUBBS nISBN-
10; n1719645930 n/ nISBN-13; n978-1719645935 nA+
Chapter n1. nAssessment nand nClinical nDecision-Making: nOverview
Multiple nChoice
Identify nthe nchoice nthat nbest ncompletes nthe nstatement nor nanswers nthe nquestion.
Which ntype nof nclinical ndecision-making nis nmost nreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
Which nof nthe nfollowing nis nfalse? nTo nobtain nadequate nhistory, nhealth-care nproviders nmust
nbe:
A. Methodical nand nsystematic
B. Attentive nto nthe npatient’s nverbal nand nnonverbal nlanguage
C. Able nto naccurately ninterpret nthe npatient’s nresponses
D. Adept nat nreading ninto nthe npatient’s nstatements
Essential nparts nof na nhealth nhistory ninclude nall nof nthe nfollowing nexcept:
A. Chief ncomplaint
B. History nof nthe npresent nillness
C. Current nvital nsigns
D. All nof nthe nabove nare nessential nhistory ncomponents
Which nof nthe nfollowing nis nfalse? nWhile nperforming nthe nphysical nexamination, nthe
nexaminer nmustnbe nable nto:
A. Differentiate nbetween nnormal nand nabnormal nfindings
B. Recall nknowledge nof na nrange nof nconditions nand ntheir nassociated nsigns nand nsymptoms
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C. Recognize nhow ncertain nconditions naffect nthe nresponse nto nother nconditions
D. Foresee nunpredictable nfindings
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The nfollowing nis nthe nleast nreliable nsource nof ninformation nfor ndiagnostic nstatistics:
A. Evidence-based ninvestigations
B. Primary nreports nof nresearch
C. Estimation nbased non na nprovider’s nexperience
D. Published nmeta-analyses
The nfollowing ncan nbe nused nto nassist nin nsound nclinical ndecision-making:
A. Algorithm npublished nin na npeer-reviewed njournal narticle
B. Clinical npractice nguidelines
C. Evidence-based nresearch
D. All nof nthe nabove
If na ndiagnostic nstudy nhas nhigh nsensitivity, nthis nindicates na:
A. High npercentage nof npersons nwith nthe ngiven ncondition nwill nhave nan nabnormal nresult
B. Low npercentage nof npersons nwith nthe ngiven ncondition nwill nhave nan nabnormal nresult
C. Low nlikelihood nof nnormal nresult nin npersons nwithout na ngiven ncondition
D. None nof nthe nabove
If na ndiagnostic nstudy nhas nhigh nspecificity, nthis nindicates na:
A. Low npercentage nof nhealthy nindividuals nwill nshow na nnormal nresult
B. High npercentage nof nhealthy nindividuals nwill nshow na nnormal nresult
C. High npercentage nof nindividuals nwith na ndisorder nwill nshow na nnormal nresult
D. Low npercentage nof nindividuals nwith na ndisorder nwill nshow nan nabnormal
nresultnA nlikelihood nratio nabove n1 nindicates nthat na ndiagnostic ntest nshowing na:
A. Positive nresult nis nstrongly nassociated nwith nthe ndisease
B. Negative nresult nis nstrongly nassociated nwith nabsence nof nthe ndisease
C. Positive nresult nis nweakly nassociated nwith nthe ndisease
D. Negative nresult nis nweakly nassociated nwith nabsence nof nthe ndisease
10. nWhich nof nthe nfollowing nclinical nreasoning ntools nis ndefined nas nevidence-
based nresource nbased non nmathematical nmodeling nto nexpress nthe nlikelihood nof na
ncondition nin nselectnsituations, nsettings, nand/or npatients?
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A. Clinical npractice nguideline
B. Clinical ndecision nrule
C. Clinical nalgorithm
D. Clinical
nrecommendationnAnswer
nSection
MULTIPLE nCHOICE
1. ANS: nB
Croskerry n(2009) ndescribes ntwo nmajor ntypes nof nclinical ndiagnostic ndecision-making:
nintuitive nand nanalytical. nIntuitive ndecision-making n(similar nto nAugenblink ndecision-making)
nis nbased non nthe nexperience nand nintuition nof nthe nclinician nand nis nless nreliable nand npaired
nwith nfairly ncommon nerrors.nIn ncontrast, nanalytical ndecision-making nis nbased non ncareful
nconsideration nand nhas ngreater nreliability nwith nrare nerrors.
PTS: 1
2. ANS: nD
To nobtain nadequate nhistory, nproviders nmust nbe nwell norganized, nattentive nto nthe
npatient’s nverbalnand nnonverbal nlanguage, nand nable nto naccurately ninterpret nthe npatient’s
nresponses nto nquestions. nRather nthan nreading ninto nthe npatient’s nstatements, nthey nclarify
nany nareas nof nuncertainty.
PTS: 1
3. ANS: nC
Vital nsigns nare npart nof nthe nphysical nexamination nportion nof npatient nassessment, nnot
npart nof nthenhealth nhistory.
PTS: 1
4. ANS: nD
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4
nSolution
TEST n BANK FOR
n n ADVANCED ASSESSMENT:
n
nINTERPRETING FINDINGS
n n AND nFORMULATING
nDIFFERENTIAL DIAGNOSES n5TH nEDITION, nMARY nJO
n
nGOOLSBY, nLAURIE nGRUBBS nISBN-
10; n1719645930 n/ nISBN-13; n978-1719645935 nA+
Chapter n1. nAssessment nand nClinical nDecision-Making: nOverview
Multiple nChoice
Identify nthe nchoice nthat nbest ncompletes nthe nstatement nor nanswers nthe nquestion.
Which ntype nof nclinical ndecision-making nis nmost nreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
Which nof nthe nfollowing nis nfalse? nTo nobtain nadequate nhistory, nhealth-care nproviders nmust
nbe:
A. Methodical nand nsystematic
B. Attentive nto nthe npatient’s nverbal nand nnonverbal nlanguage
C. Able nto naccurately ninterpret nthe npatient’s nresponses
D. Adept nat nreading ninto nthe npatient’s nstatements
Essential nparts nof na nhealth nhistory ninclude nall nof nthe nfollowing nexcept:
A. Chief ncomplaint
B. History nof nthe npresent nillness
C. Current nvital nsigns
D. All nof nthe nabove nare nessential nhistory ncomponents
Which nof nthe nfollowing nis nfalse? nWhile nperforming nthe nphysical nexamination, nthe
nexaminer nmustnbe nable nto:
A. Differentiate nbetween nnormal nand nabnormal nfindings
B. Recall nknowledge nof na nrange nof nconditions nand ntheir nassociated nsigns nand nsymptoms
A+ Page n
1
,Created nBy: nA
nSolution
C. Recognize nhow ncertain nconditions naffect nthe nresponse nto nother nconditions
D. Foresee nunpredictable nfindings
A+ Page n
2
,Created nBy: nA
nSolution
The nfollowing nis nthe nleast nreliable nsource nof ninformation nfor ndiagnostic nstatistics:
A. Evidence-based ninvestigations
B. Primary nreports nof nresearch
C. Estimation nbased non na nprovider’s nexperience
D. Published nmeta-analyses
The nfollowing ncan nbe nused nto nassist nin nsound nclinical ndecision-making:
A. Algorithm npublished nin na npeer-reviewed njournal narticle
B. Clinical npractice nguidelines
C. Evidence-based nresearch
D. All nof nthe nabove
If na ndiagnostic nstudy nhas nhigh nsensitivity, nthis nindicates na:
A. High npercentage nof npersons nwith nthe ngiven ncondition nwill nhave nan nabnormal nresult
B. Low npercentage nof npersons nwith nthe ngiven ncondition nwill nhave nan nabnormal nresult
C. Low nlikelihood nof nnormal nresult nin npersons nwithout na ngiven ncondition
D. None nof nthe nabove
If na ndiagnostic nstudy nhas nhigh nspecificity, nthis nindicates na:
A. Low npercentage nof nhealthy nindividuals nwill nshow na nnormal nresult
B. High npercentage nof nhealthy nindividuals nwill nshow na nnormal nresult
C. High npercentage nof nindividuals nwith na ndisorder nwill nshow na nnormal nresult
D. Low npercentage nof nindividuals nwith na ndisorder nwill nshow nan nabnormal
nresultnA nlikelihood nratio nabove n1 nindicates nthat na ndiagnostic ntest nshowing na:
A. Positive nresult nis nstrongly nassociated nwith nthe ndisease
B. Negative nresult nis nstrongly nassociated nwith nabsence nof nthe ndisease
C. Positive nresult nis nweakly nassociated nwith nthe ndisease
D. Negative nresult nis nweakly nassociated nwith nabsence nof nthe ndisease
10. nWhich nof nthe nfollowing nclinical nreasoning ntools nis ndefined nas nevidence-
based nresource nbased non nmathematical nmodeling nto nexpress nthe nlikelihood nof na
ncondition nin nselectnsituations, nsettings, nand/or npatients?
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3
, Created nBy: nA
nSolution
A. Clinical npractice nguideline
B. Clinical ndecision nrule
C. Clinical nalgorithm
D. Clinical
nrecommendationnAnswer
nSection
MULTIPLE nCHOICE
1. ANS: nB
Croskerry n(2009) ndescribes ntwo nmajor ntypes nof nclinical ndiagnostic ndecision-making:
nintuitive nand nanalytical. nIntuitive ndecision-making n(similar nto nAugenblink ndecision-making)
nis nbased non nthe nexperience nand nintuition nof nthe nclinician nand nis nless nreliable nand npaired
nwith nfairly ncommon nerrors.nIn ncontrast, nanalytical ndecision-making nis nbased non ncareful
nconsideration nand nhas ngreater nreliability nwith nrare nerrors.
PTS: 1
2. ANS: nD
To nobtain nadequate nhistory, nproviders nmust nbe nwell norganized, nattentive nto nthe
npatient’s nverbalnand nnonverbal nlanguage, nand nable nto naccurately ninterpret nthe npatient’s
nresponses nto nquestions. nRather nthan nreading ninto nthe npatient’s nstatements, nthey nclarify
nany nareas nof nuncertainty.
PTS: 1
3. ANS: nC
Vital nsigns nare npart nof nthe nphysical nexamination nportion nof npatient nassessment, nnot
npart nof nthenhealth nhistory.
PTS: 1
4. ANS: nD
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