TEST BANK
,Goolsby Test Bank: Advanced Assessment Interpreting Findings and Formulating
Differential Diagnoses 4th Edition
Chapter 1. Assessment and Clinical Decision-Making:
OverviewMultiple 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-careproviders 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
physicalexamination, 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
diagnosticstatistics:
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 i percentage i of i persons i with i the
i given icondition iwill ihave ian iabnormal iresult
1. Low i percentage i of i persons i with i the
i given icondition iwill ihave ian iabnormal iresult
1. Low ilikelihood iof inormal iresult
iin ipersons iwithout ia igiven icondition
1. None iof ithe iabove
8. iIf ia idiagnostic istudy ihas ihigh ispecificity, ithis iindicates ia:
1. Low i percentage i of i healthy
i individuals iwill ishow ia inormal iresult
1. High ipercentage iof ihealthy
iindividuals iwill ishow ia inormal iresult
1. High i percentage i of i individuals i with
i a idisorder iwill ishow ia inormal iresult
, 1. Low i percentage i of i individuals i with
i a idisorder iwill ishow ian iabnormal iresult
9. iA ilikelihood iratio iabove i1 iindicates ithat ia idiagnostic itest ishowing ia:
1. Positive iresult iis istrongly iassociated
iwith ithe idisease
1. Negative iresult iis istrongly iassociated
iwith iabsence iof ithe idisease
1. Positive iresult iis iweakly iassociated
iwith ithe idisease
1. Negative iresult iis iweakly iassociated
iwith iabsence iof ithe idisease
10. iWhich iof ithe ifollowing iclinical ireasoning itools iis idefined ias
evidencebasedresource ibased ion imathematical imodeling ito iexpress ithe
ilikelihood iof ia icondition iin iselect isituations, isettings, iand/or ipatients?
1. Clinical i practice i guideline
2. Clinical i decision i rule
3. Clinical i algorithm
4. Clinical irecommendation
Chapter i2. iAn iOverview iof iGenetic iAssessment
iMultiple iChoice
Identify ithe ichoice ithat ibest icompletes ithe istatement ior ianswers ithe iquestion.
1. iThe ifirst istep iin ithe igenomic iassessment iof ia ipatient iis
obtaininginformation iregarding:
1. Family ihistory
2. Environmental iexposures
3. Lifestyle iand ibehaviors
4. Current imedications
2. iAn iaffected iindividual iwho imanifests isymptoms iof ia iparticular
conditionthrough iwhom ia ifamily iwith ia igenetic idisorder iis
iascertained iis icalled ia(n):
1. Consultand
,Goolsby Test Bank: Advanced Assessment Interpreting Findings and Formulating
Differential Diagnoses 4th Edition
Chapter 1. Assessment and Clinical Decision-Making:
OverviewMultiple 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-careproviders 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
physicalexamination, 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
diagnosticstatistics:
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 i percentage i of i persons i with i the
i given icondition iwill ihave ian iabnormal iresult
1. Low i percentage i of i persons i with i the
i given icondition iwill ihave ian iabnormal iresult
1. Low ilikelihood iof inormal iresult
iin ipersons iwithout ia igiven icondition
1. None iof ithe iabove
8. iIf ia idiagnostic istudy ihas ihigh ispecificity, ithis iindicates ia:
1. Low i percentage i of i healthy
i individuals iwill ishow ia inormal iresult
1. High ipercentage iof ihealthy
iindividuals iwill ishow ia inormal iresult
1. High i percentage i of i individuals i with
i a idisorder iwill ishow ia inormal iresult
, 1. Low i percentage i of i individuals i with
i a idisorder iwill ishow ian iabnormal iresult
9. iA ilikelihood iratio iabove i1 iindicates ithat ia idiagnostic itest ishowing ia:
1. Positive iresult iis istrongly iassociated
iwith ithe idisease
1. Negative iresult iis istrongly iassociated
iwith iabsence iof ithe idisease
1. Positive iresult iis iweakly iassociated
iwith ithe idisease
1. Negative iresult iis iweakly iassociated
iwith iabsence iof ithe idisease
10. iWhich iof ithe ifollowing iclinical ireasoning itools iis idefined ias
evidencebasedresource ibased ion imathematical imodeling ito iexpress ithe
ilikelihood iof ia icondition iin iselect isituations, isettings, iand/or ipatients?
1. Clinical i practice i guideline
2. Clinical i decision i rule
3. Clinical i algorithm
4. Clinical irecommendation
Chapter i2. iAn iOverview iof iGenetic iAssessment
iMultiple iChoice
Identify ithe ichoice ithat ibest icompletes ithe istatement ior ianswers ithe iquestion.
1. iThe ifirst istep iin ithe igenomic iassessment iof ia ipatient iis
obtaininginformation iregarding:
1. Family ihistory
2. Environmental iexposures
3. Lifestyle iand ibehaviors
4. Current imedications
2. iAn iaffected iindividual iwho imanifests isymptoms iof ia iparticular
conditionthrough iwhom ia ifamily iwith ia igenetic idisorder iis
iascertained iis icalled ia(n):
1. Consultand