Clinical Reasoning Quiz 1 || very Flawless.
Purpose of clinical reasoning correct answers Analyze your findings and identify the patients
problems to reach the critical step of formulating your assessment and plan
Three types of reasoning for clinical problem solving correct answers Pattern recognition
development of schemas
application of relevant basic and clinical science
Physician responsibilities correct answers Gathing clinical information
Hypothesis generation
Diagnostic verification
What is the purpose of differential diagnosis correct answers Identifies the most likely diagnosis
explaining the patients condidtion
What is hypothesis generation correct answers Select most specific and critical findings to
support your hypothesis
Using inferences about structures and processes involved, match findings
Eliminate the diagnostic possibilities that fail to explain the finding
Weigh the competing possibilities and select the most most likely diagnosis
Give special attention to potentially life threatening condidtions as explanations develop
What does VICTANE stand for correct answers Vascular-problems associated with varicose
veins
Infection/inflammation
Congenital
Trauma
Arthotide degenerative diseases
Neoplasias (both benign and malignant)
Endocrine metabolic
What is hypothesis testing correct answers You are likely to need further history, additional
manuevers on physical exams, or lab studies or x-rays to confirm or rule out your tentative
diagnosis, or to clarify which of 2 or 3 possible diagnoses are most likely
What are the steps in clinical reasoning correct answers Identify abnormal findings
Localize findings anatomically
Interperet findings in terms of probable process
Make hypotheses about the nature of the patient's problem
Test the hypothesis and establish a working diagnosis
Develop a plan agreeable to the patient
Terms utilizaed to evaluate clinical tests correct answers Sensistivity
Specificity
True/false positive
, True/false negative
Positive/negative predictive value
Bayes theorem
Sensitivity correct answers The tests ability to correctly detect patients who do have the
condition
Specificity correct answers The tests ability to correctly detect patients without a condition
True positive correct answers Sick people correctly identified as sick
False positive correct answers Healthy people incorrectly identified as sick
True negative correct answers Healthy people correctly identified as healthy
False negative correct answers Sick people incorrectly identified as healthy
Positive correct answers = identified
Negative correct answers = rejected
Positive predictive value correct answers The probability of disease in a patient with a positive
abnormal test, or the proportion of true positives out of the total population with the disease
Negative predictive value correct answers Probability of not having the condition or disease
when the test is negative, or normal, or the proportion of true negatives out of the total
population without disease
Bayes theorem correct answers Probability of an event, based on conditions that might be related
to the event.
Steps of conducting a patient interview (powerpoint) correct answers Greeting/introduction
Interview setting
Opening statement-the patients story
The narrative-specific questions regarding the patients complaint and history
The closing-summary, provide opportunity for patient to ask questions
Steps of conducting a patient interview (Book Ch. 3) correct answers Greet patient
Establish agenda for interview
Invite the patient's story
Explore the patients perspective
Identifiy and respond to emotional cues
Expand and clarify patient's story
Generating and testing diagnostic hypothesis
Sharing treatment plan
Closing the interview and visit
Purpose of clinical reasoning correct answers Analyze your findings and identify the patients
problems to reach the critical step of formulating your assessment and plan
Three types of reasoning for clinical problem solving correct answers Pattern recognition
development of schemas
application of relevant basic and clinical science
Physician responsibilities correct answers Gathing clinical information
Hypothesis generation
Diagnostic verification
What is the purpose of differential diagnosis correct answers Identifies the most likely diagnosis
explaining the patients condidtion
What is hypothesis generation correct answers Select most specific and critical findings to
support your hypothesis
Using inferences about structures and processes involved, match findings
Eliminate the diagnostic possibilities that fail to explain the finding
Weigh the competing possibilities and select the most most likely diagnosis
Give special attention to potentially life threatening condidtions as explanations develop
What does VICTANE stand for correct answers Vascular-problems associated with varicose
veins
Infection/inflammation
Congenital
Trauma
Arthotide degenerative diseases
Neoplasias (both benign and malignant)
Endocrine metabolic
What is hypothesis testing correct answers You are likely to need further history, additional
manuevers on physical exams, or lab studies or x-rays to confirm or rule out your tentative
diagnosis, or to clarify which of 2 or 3 possible diagnoses are most likely
What are the steps in clinical reasoning correct answers Identify abnormal findings
Localize findings anatomically
Interperet findings in terms of probable process
Make hypotheses about the nature of the patient's problem
Test the hypothesis and establish a working diagnosis
Develop a plan agreeable to the patient
Terms utilizaed to evaluate clinical tests correct answers Sensistivity
Specificity
True/false positive
, True/false negative
Positive/negative predictive value
Bayes theorem
Sensitivity correct answers The tests ability to correctly detect patients who do have the
condition
Specificity correct answers The tests ability to correctly detect patients without a condition
True positive correct answers Sick people correctly identified as sick
False positive correct answers Healthy people incorrectly identified as sick
True negative correct answers Healthy people correctly identified as healthy
False negative correct answers Sick people incorrectly identified as healthy
Positive correct answers = identified
Negative correct answers = rejected
Positive predictive value correct answers The probability of disease in a patient with a positive
abnormal test, or the proportion of true positives out of the total population with the disease
Negative predictive value correct answers Probability of not having the condition or disease
when the test is negative, or normal, or the proportion of true negatives out of the total
population without disease
Bayes theorem correct answers Probability of an event, based on conditions that might be related
to the event.
Steps of conducting a patient interview (powerpoint) correct answers Greeting/introduction
Interview setting
Opening statement-the patients story
The narrative-specific questions regarding the patients complaint and history
The closing-summary, provide opportunity for patient to ask questions
Steps of conducting a patient interview (Book Ch. 3) correct answers Greet patient
Establish agenda for interview
Invite the patient's story
Explore the patients perspective
Identifiy and respond to emotional cues
Expand and clarify patient's story
Generating and testing diagnostic hypothesis
Sharing treatment plan
Closing the interview and visit
