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xx Findings and Formulating Differential Diagnoses, 5th
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xx Edition, Mary Jo Goolsby, Laurie Grubbs Chapter 1 -
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xx 22 | Complete
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,Chapter 1. Assessment and Clinical Decision-Making: Overview
xx xx xx xx xx xx
Multiple xxChoice
Identify xxthe xxchoice xxthat xxbest xxcompletes xxthe xxstatement xxor xxanswers xxthe xxquestion.
xx 1. Which xxtype xxof xxclinical xxdecision-making xxis xxmost xxreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
xx 2. Which xxof xxthe xxfollowing xxis xxfalse? xxTo xxobtain xxadequate xxhistory, xxhealth-care xxproviders
xxmust xxbe:
A. Methodical xxand xxsystematic
B. Attentive xxto xxthe xxpatient’s xxverbal xxand xxnonverbal xxlanguage
C. Able xxto xxaccurately xxinterpret xxthe xxpatient’s xxresponses
D. Adept xxat xxreading xxinto xxthe xxpatient’s xxstatements
xx 3.
Essential xxparts xxof xxa xxhealth xxhistory xxinclude xxall xxof xxthe xxfollowing xxexcept:
A. Chief xxcomplaint
B. History xxof xxthe xxpresent xxillness
C. Current xxvital xxsigns
D. All xxof xxthe xxabove xxare xxessential xxhistory xxcomponents
xx 4.
Which xxof xxthe xxfollowing xxis xxfalse? xxWhile xxperforming xxthe xxphysical xxexamination, xxthe
xxexaminer xxmust xxbex able xxto:
A. Differentiate xxbetween xxnormal xxand xxabnormal xxfindings
B. Recall xxknowledge xxof xxa xxrange xxof xxconditions xxand xxtheir xxassociated xxsigns xxand
xxsymptoms
C. Recognize xxhow xxcertain xxconditions xxaffect xxthe xxresponse xxto xxother xxconditions
xx 5. D. Foresee xxunpredictable xxfindings
The xxfollowing xxis xxthe xxleast xxreliable xxsource xxof xxinformation xxfor xxdiagnostic xxstatistics:
A. Evidence-based xxinvestigations
B. Primary xxreports xxof xxresearch
C. Estimation xxbased xxon xxa xxprovider’s xxexperience
xx 6. D. Published xxmeta-analyses
The xxfollowing xxcan xxbe xxused xxto xxassist xxin xxsound xxclinical xxdecision-making:
A. Algorithm xxpublished xxin xxa xxpeer-reviewed xxjournal xxarticle
B. Clinical xxpractice xxguidelines
C. Evidence-based xxresearch
xx 7. D. All xxof xxthe xxabove
If xxa xxdiagnostic xxstudy xxhas xxhigh xxsensitivity, xxthis xxindicates xxa:
A. High xxpercentage xxof xxpersons xxwith xxthe xxgiven xxcondition xxwill xxhave xxan xxabnormal
xxresult
B. Low xxpercentage xxof xxpersons xxwith xxthe xxgiven xxcondition xxwill xxhave xxan xxabnormal
xxresult
C. Low xxlikelihood xxof xxnormal xxresult xxin xxpersons xxwithout xxa xxgiven xxcondition
D. None xxof xxthe xxabove
,xx 8. If xxa xxdiagnostic xxstudy xxhas xxhigh xxspecificity, xxthis xxindicates xxa:
A. Low xxpercentage xxof xxhealthy xxindividuals xxwill xxshow xxa xxnormal xxresult
B. High xxpercentage xxof xxhealthy xxindividuals xxwill xxshow xxa xxnormal xxresult
C. High xxpercentage xxof xxindividuals xxwith xxa xxdisorder xxwill xxshow xxa xxnormal xxresult
D. Low xxpercentage xxof xxindividuals xxwith xxa xxdisorder xxwill xxshow xxan xxabnormal xxresult
xx 9. A xxlikelihood xxratio xxabove xx1 xxindicates xxthat xxa xxdiagnostic xxtest xxshowing xxa:
A. Positive xxresult xxis xxstrongly xxassociated xxwith xxthe xxdisease
B. Negative xxresult xxis xxstrongly xxassociated xxwith xxabsence xxof xxthe xxdisease
C. Positive xxresult xxis xxweakly xxassociated xxwith xxthe xxdisease
D. Negative xxresult xxis xxweakly xxassociated xxwith xxabsence xxof xxthe xxdisease
xx 10. xxWhich xxof xxthe xxfollowing xxclinical xxreasoning xxtools xxis xxdefined xxas xxevidence-based
xxresource xxbased xxon xxmathematical xxmodeling xxto xxexpress xxthe xxlikelihood xxof xxa
xxcondition xxin xxselect xxsituations, xxsettings, xxand/orx
patients?
A. Clinical xxpractice xxguideline
B. Clinical xxdecision xxrule
C. Clinical xxalgorithm
D. Clinical xxrecommendation
, Chapter 1. Assessment and Clinical Decision-Making:
xx xx xx xx xx
Answer
OverviewSection
xx xx
MULTIPLE xxCHOICE
1. ANS: x x B
Croskerry xx(2009) xxdescribes xxtwo xxmajor xxtypes xxof xxclinical xxdiagnostic xxdecision-
making: xxintuitive xxand xxanalytical. xxIntuitive xxdecision-making xx(similar xxto
xxAugenblink xxdecision-making) xxis xxbased xxon xxthe xxexperience xxand xxintuition xxof xxthe
xxclinician xxand xxis xxless xxreliable xxand xxpaired xxwith xxfairly xxcommon xxerrors. xxIn
xxcontrast, xxanalytical xxdecision-making xxis xxbased xxon xxcareful xxconsideration xxand xxhas
xxgreater xxreliabilityx with xxrare xxerrors.
PTS: 1
2. ANS: x x D
To xxobtain xxadequate xxhistory, xxproviders xxmust xxbe xxwell xxorganized, xxattentive xxto xxthe
xxpatient’s xxverbal xxandx
nonverbal xxlanguage, xxand xxable xxto xxaccurately xxinterpret xxthe
xxpatient’s xxresponses xxto xxquestions. xxRather xxthan xxreading xxinto xxthe xxpatient’s
xxstatements, xxthey xxclarify xxany xxareas xxof xxuncertainty.
PTS: 1
3. ANS: x x C
Vital xxsigns xxare xxpart xxof xxthe xxphysical xxexamination xxportion xxof xxpatient xxassessment, xxnot
xxpart xxof xxthe xxhealthx
history.
PTS: 1
4. ANS: x x D
While xxperforming xxthe xxphysical xxexamination, xxthe xxexaminer xxmust xxbe xxable xxto
xxdifferentiate xxbetweenx normal xxand xxabnormal xxfindings, xxrecall xxknowledge xxof xxa
xxrange xxof xxconditions, xxincluding xxtheir xxassociated xxsigns xxand xxsymptoms, xxrecognize
xxhow xxcertain xxconditions xxaffect xxthe xxresponse xxto xxother xxconditions, xxand xxdistinguish
xxthe xxrelevance xxof xxvaried xxabnormal xxfindings.
PTS: 1
5. ANS: x x C
Sources xxfor xxdiagnostic xxstatistics xxinclude xxtextbooks, xxprimary xxreports xxof xxresearch,
xxand xxpublished xxmeta-analyses. xxAnother xxsource xxof xxstatistics, xxthe xxone xxthat xxhas
xxbeen xxmost xxwidely xxused xxand xxavailable xxfor xxapplication xxto xxthe xxreasoning xxprocess,
xxis xxthe xxestimation xxbased xxon xxa xxprovider’s xxexperience, xxalthough xxthese xxare xxrarely
xxaccurate. xxOver xxthe xxpast xxdecade, xxthe xxavailability xxof xxevidence xxon xxwhich xxto xxbase
xxclinical xxreasoning xxis xximproving, xxand xxthere xxis xxan xxincreasing xxexpectation xxthat
xxclinical xxreasoningx be xxbased xxon xxscientific xxevidence. xxEvidence-based xxstatistics xxare
xxalso xxincreasingly xxbeing xxused xxto xxdevelop xxresources xxto xxfacilitate xxclinical xxdecision-
making.
PTS: 1
6. ANS: x x D
To xxassist xxin xxclinical xxdecision-making, xxa xxnumber xxof xxevidence-based xxresources xxhave
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