Advanced Health Assessment and Clinical Diagnosis in Primary Care 6th Edition

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TEST BANK FOR ADVANCED HEALTH ASSE
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SSMENT & CLINICAL DIAGNOSIS IN PRIMA
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RYCARE 6TH EDITIONDAINS ISBN: 9780323
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594554
This Test Bank is Directly from The PublisherH
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as All Chapters With 100% Correct AnswersIN
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STANT DOWNLOAD v

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Test Bank for Advanced Health Assessment & Cl
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inical Diagnosis in Primary C v v v v




are6th Edition Dains v v v




Chapter 1: Clinical Reasoning, Differential Diagnosis, Evidence-
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Based Practice, and Symptom AnalysisMultiple Choice
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Identifyvthevchoicevthatvbestvcompletesvthevstatementvorvanswersvthevquestion.
v 1. Whichvtypevofvclinicalvdecision-makingvisvmostvreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick

v 2. Whichvofvthevfollowingvisvfalse?vTovobtainvadequatevhistory,vhealth-carevprovidersvmustvbe:
A. Methodicalvandvsystematic
B. Attentivevtovthevpatient’svverbalvandvnonverbalvlanguage
C. Ablevtovaccuratelyvinterpretvthevpatient’svresponses
D. Adeptvatvreadingvintovthevpatient’svstatements

v 3. Essentialvpartsvofvavhealthvhistoryvincludevallvofvthevfollowingvexcept:
A. Chiefvcomplaint
B. Historyvofvthevpresentvillness
C. Currentvvitalvsigns
D. Allvofvthevabovevarevessentialvhistoryvcomponents

v 4. Whichvofvthevfollowingvisvfalse?vWhilevperformingvthevphysicalvexamination,vthevexaminervmustvbevablevto:
A. Differentiatevbetweenvnormalvandvabnormalvfindings
B. Recallvknowledgevofvavrangevofvconditionsvandvtheirvassociatedvsignsvandvsymptoms
C. Recognizevhowvcertainvconditionsvaffectvthevresponsevtovothervconditions
D. Foreseevunpredictablevfindings

v 5. Thevfollowingvisvthevleastvreliablevsourcevofvinformationvforvdiagnosticvstatistics:
A. Evidence-basedvinvestigations
B. Primaryvreportsvofvresearch
C. Estimationvbasedvonvavprovider’svexperience
D. Publishedvmeta-analyses

v 6. Thevfollowingvcanvbevusedvtovassistvinvsoundvclinicalvdecision-making:
A. Algorithmvpublishedvinvavpeer-reviewedvjournalvarticle
B. Clinicalvpracticevguidelines
C. Evidence-basedvresearch
D. Allvofvthevabove

v 7. Ifvavdiagnosticvstudyvhasvhighvsensitivity,v thisvindicatesva:
A. Highvpercentagevofvpersonsvwithvthevgivenvconditionvwillvhavevanvabnormalvresult
B. Lowvpercentagevofvpersonsvwithvthevgivenvconditionvwillvhavevanvabnormalvresult
C. Lowvlikelihoodvofvnormalvresultvinvpersonsvwithoutvavgivenvcondition
D. Nonevofvthevabove

v 8. Ifvavdiagnosticvstudyvhasvhighvspecificity,v thisvindicatesva:
A. Lowvpercentagevofvhealthyvindividualsvwillvshowvavnormalvresult
B. Highvpercentagevofvhealthyvindividualsvwillvshowvavnormalvresult
C. Highvpercentagevofvindividualsvwithvavdisordervwillvshowvavnormalvresult
D. Lowvpercentagevofvindividualsvwithvavdisordervwillvshowvanvabnormalvresult

v 9. Avlikelihoodv ratiovabovev1vindicatesvthatvavdiagnosticvtestvshowingva:
A. Positivevresultvisvstronglyvassociatedvwithvthevdisease
B. Negativevresultvisvstronglyvassociatedvwithvabsencevofvthevdisease
C. Positivevresultvisvweaklyvassociatedvwithvthevdisease
D. Negativevresultvisvweaklyvassociatedvwithvabsencevofvthevdisease

v 10. Whichvofvthevfollowingvclinicalvreasoningvtoolsvisvdefinedvasvevidence-basedvresourcevbasedvonvmathematicalv modeling
tovexpressvthevlikelihoodvofvavconditionvinvselectvsituations,vsettings,vand/orvpatients?

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A. Clinicalvpracticevguideline
B. Clinicalvdecisionvrule
C. Clinicalvalgorithm
Chapterv1:vClinicalvreasoning,vdifferentialvdiagnosis,vevidence-basedvpractice,vandvsymptomvana
AnswervSection

MULTIPLEvCHOICE

1. ANS: B
Croskerryv(2009)vdescribesvtwovmajorvtypesvofvclinicalvdiagnosticvdecision-making:vintuitivevandvanalytical.vIntuitivevdecision-
vmakingv(similarvtovAugenblinkvdecision-

making)visvbasedvonvthevexperiencevandvintuitionvofvthevclinicianvandvisvlessvreliablevandvpairedvwithvfairlyvcommonverrors.vInvc
ontrast,vanalyticalvdecision-makingvisvbasedvonvcarefulvconsiderationvandvhasvgreatervreliabilityvwithvrareverrors.

PTS: 1
2. ANS: D
Tovobtainvadequatevhistory,vprovidersvmustvbevwellvorganized,vattentivevtovthevpatient’svverbalvandvnonverbalvlanguage,vandvablev
tovaccuratelyvinterpretvthevpatient’svresponsesvtovquestions.vRathervthanvreadingvintovthevpatient’svstatements,vtheyvclarifyvanyvar
easvofvuncertainty.

PTS: 1
3. ANS: C
Vitalvsignsvarevpartvofvthevphysicalvexaminationvportionvofvpatientvassessment,vnotvpartvofvthevhealthvhistory.

PTS: 1
4. ANS: D
Whilevperformingvthevphysicalvexamination,vthevexaminervmustvbevablevtovdifferentiatevbetweenvnormalvandvabnormalvfindings,vr
ecallvknowledgevofvavrangevofvconditions,vincludingvtheirvassociatedvsignsvandvsymptoms,vrecognizevhowvcertainvconditionsvaffec
tvthevresponsevtovothervconditions,vandvdistinguishvthevrelevancevofvvariedvabnormalvfindings.

PTS: 1
5. ANS: C
Sourcesvforvdiagnosticvstatisticsvincludevtextbooks,vprimaryvreportsvofvresearch,vandvpublishedvmeta-
analyses.vAnothervsourcevofvstatistics,vthevonevthatvhasvbeenvmostvwidelyvusedvandvavailablevforvapplicationvtovthevreasoningvproc
ess,visvthevestimationvbasedvonvavprovider’svexperience,valthoughvthesevarevrarelyvaccurate.vOvervthevpastvdecade,vthevavailability
vofvevidencevonvwhichvto vbasevclinicalvreasoningvisvimproving,v andvtherevisvanvincreasingvexpectationvthatvclinical vreasoningvbevb

asedvonvscientificvevidence.
Evidence-basedvstatisticsvarevalsovincreasinglyvbeingvusedvtovdevelopvresourcesvtovfacilitatevclinicalvdecision-making.

PTS: 1
6. ANS: D
Tovassistvinvclinicalvdecision-making,vavnumbervofvevidence-
basedvresourcesvhavevbeenvdevelopedvtovassistvthevclinician.vResources,vsuchvasvalgorithmsvandvclinicalvpracticevguidelines,vassis
tvinvclinicalvreasoningvwhenvproperlyvapplied.

PTS: 1
7. ANS: A
Thevsensitivityvofvavdiagnosticvstudyvisvthevpercentagevofvindividualsvwithvthevtargetvconditionvwhovshowvanvabnormal,vorvpositiv
e,vresult.vAvhighvsensitivityvindicatesvthatvavgreatervpercentagevofvpersonsvwithvthevgivenvconditionvwillvhavevanvabnormalvresult.

PTS: 1
8. ANS: B
Thevspecificityvofvavdiagnosticvstudyvisvthevpercentagevofvnormal,vhealthyvindividualsvwhovhavevavnormalvresult.vThevgreatervt
hevspecificity,vthevgreatervthevpercentagevofvindividualsvwhovwillvhavevnegative,vorvnormal,vresultsvifvtheyvdovnotvhavevthevtarg
etvcondition.

PTS: 1
9. ANS: A
Thevlikelihoodvratiovisvthevprobabilityvthatvavpositivevtestvresultvwillvbevassociatedvwithvavpersonvwhovhasvthevtargetvconditionvand
vavnegativevresultvwillvbevassociatedvwithvavhealthyvperson.vAvlikelihoodvratiovabovev1vindicatesvthatvavpositivevresultvisvassociated

vwithvthevdisease;vavlikelihoodvratiovlessvthanv1vindicatesvthatvavnegativevresultvisvassociatedvwithvanvabsencevofvthevdisease.

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PTS: 1
10. ANS: B
Clinicalvdecisionv(orvprediction)vrulesvprovidevanothervsupportvforvclinicalvreasoning.vClinicalvdecisionvrulesvarevevidence-
basedvresourcesvthatvprovidevprobabilisticvstatementsvregardingvthevlikelihoodvthatvavconditionvexistsvifvcertainvvariablesvarevme
tvwithvregardvtovthevprognosisvofvpatientsvwithvspecificvfindings.vDecisionvrulesvusevmathematicalvmodelsvandvarevspecificvtovc
ertainvsituations,vsettings,vand/orvpatientvcharacteristics.

PTS: 1