Test Bank for Advanced Assessment: Interpreting Findings
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and Formulating Differential Diagnoses, 5th Edition, Mary Jo
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Goolsby, Laurie Grubbs Chapter 1 - 22 | Complete
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,Chapter 1. Assessment and Clinical Decision-Making: Overview
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Multiple aaChoice
Identify aathe aachoice aathat aabest aacompletes aathe aastatement aaor aaanswers aathe aaquestion.
aa 1. Which aatype aaof aaclinical aadecision-making aais aamost aareliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
aa 2. Which aaof aathe aafollowing aais aafalse? aaTo aaobtain aaadequate aahistory, aahealth-care aaproviders aamust aabe:
A. Methodical aaand aasystematic
B. Attentive aato aathe aapatient’s aaverbal aaand aanonverbal aalanguage
C. Able aato aaaccurately aainterpret aathe aapatient’s aaresponses
D. Adept aaat aareading aainto aathe aapatient’s aastatements
aa 3. Essential aaparts aaof aaa aahealth aahistory aainclude aaall aaof aathe aafollowing aaexcept:
A. Chief aacomplaint
B. History aaof aathe aapresent aaillness
C. Current aavital aasigns
D. All aaof aathe aaabove aaare aaessential aahistory aacomponents
aa 4. Which aaof aathe aafollowing aais aafalse? aaWhile aaperforming aathe aaphysical aaexamination, aathe
aaexaminer aamust aabeaable aato:
A. Differentiate aabetween aanormal aaand aaabnormal aafindings
B. Recall aaknowledge aaof aaa aarange aaof aaconditions aaand aatheir aaassociated aasigns aaand aasymptoms
C. Recognize aahow aacertain aaconditions aaaffect aathe aaresponse aato aaother aaconditions
D. Foresee aaunpredictable aafindings
aa 5. The aafollowing aais aathe aaleast aareliable aasource aaof aainformation aafor aadiagnostic aastatistics:
A. Evidence-based aainvestigations
B. Primary aareports aaof aaresearch
C. Estimation aabased aaon aaa aaprovider’s aaexperience
D. Published aameta-analyses
aa 6. The aafollowing aacan aabe aaused aato aaassist aain aasound aaclinical aadecision-making:
A. Algorithm aapublished aain aaa aapeer-reviewed aajournal aaarticle
B. Clinical aapractice aaguidelines
C. Evidence-based aaresearch
D. All aaof aathe aaabove
aa 7. If aaa aadiagnostic aastudy aahas aahigh aasensitivity, aathis aaindicates aaa:
A. High aapercentage aaof aapersons aawith aathe aagiven aacondition aawill aahave aaan aaabnormal aaresult
B. Low aapercentage aaof aapersons aawith aathe aagiven aacondition aawill aahave aaan aaabnormal aaresult
C. Low aalikelihood aaof aanormal aaresult aain aapersons aawithout aaa aagiven aacondition
D. None aaof aathe aaabove
,aa 8. If aaa aadiagnostic aastudy aahas aahigh aaspecificity, aathis aaindicates aaa:
A. Low aapercentage aaof aahealthy aaindividuals aawill aashow aaa aanormal aaresult
B. High aapercentage aaof aahealthy aaindividuals aawill aashow aaa aanormal aaresult
C. High aapercentage aaof aaindividuals aawith aaa aadisorder aawill aashow aaa aanormal aaresult
D. Low aapercentage aaof aaindividuals aawith aaa aadisorder aawill aashow aaan aaabnormal aaresult
aa 9. A aalikelihood aaratio aaabove aa1 aaindicates aathat aaa aadiagnostic aatest aashowing aaa:
A. Positive aaresult aais aastrongly aaassociated aawith aathe aadisease
B. Negative aaresult aais aastrongly aaassociated aawith aaabsence aaof aathe aadisease
C. Positive aaresult aais aaweakly aaassociated aawith aathe aadisease
D. Negative aaresult aais aaweakly aaassociated aawith aaabsence aaof aathe aadisease
aa 10. aaWhich aaof aathe aafollowing aaclinical aareasoning aatools aais aadefined aaas aaevidence-based aaresource
aabased aaon aamathematical aamodeling aato aaexpress aathe aalikelihood aaof aaa aa condition aain aaselect
aasituations, aasettings, aaand/orapatients?
A. Clinical aapractice aaguideline
B. Clinical aadecision aarule
C. Clinical aaalgorithm
D. Clinical aarecommendation
, Chapter 1. Assessment and Clinical Decision-Making:
aa aa aa aa aa
Overview
Answer
aa Section
aa
MULTIPLE aaCHOICE
1. ANS: a a B
Croskerry aa(2009) aadescribes aatwo aamajor aatypes aaof aaclinical aadiagnostic aadecision-making:
aaintuitive aaand aaanalytical. aaIntuitive aadecision-making aa(similar aato aaAugenblink aadecision-
making) aais aabased aaon aathe aaexperience aaand aaintuition aaof aathe aaclinician aaand aais aaless aareliable
aaand aapaired aawith aafairly aa common aaerrors. aaIn aacontrast, aaanalytical aadecision-making aais aabased
aaon aa careful aaconsideration aaand aahas aagreater aareliabilityawith aarare aaerrors.
PTS: 1
2. ANS: a a D
To aaobtain aaadequate aahistory, aaproviders aamust aabe aawell aaorganized, aaattentive aato aathe aapatient’s
aaverbal aaandanonverbal aalanguage, aaand aaable aato aaaccurately aainterpret aathe aapatient’s aaresponses aato
aaquestions. aaRather aathan aareading aainto aathe aapatient’s aastatements, aathey aaclarify aaany aaareas aaof
aauncertainty.
PTS: 1
3. ANS: a a C
Vital aasigns aaare aapart aaof aathe aaphysical aaexamination aaportion aaof aapatient aaassessment, aanot aapart aaof
aathe aahealthahistory.
PTS: 1
4. ANS: a a D
While aaperforming aathe aaphysical aaexamination, aathe aaexaminer aamust aabe aaable aato aadifferentiate
aabetweenanormal aaand aaabnormal aafindings, aarecall aa knowledge aaof aaa aarange aaof aa conditions,
aaincluding aatheir aaassociated aasigns aaand aasymptoms, aarecognize aahow aacertain aaconditions aaaffect
aathe aaresponse aato aaother aaconditions, aaand aadistinguish aathe aarelevance aaof aavaried aaabnormal
aafindings.
PTS: 1
5. ANS: a a C
Sources aafor aadiagnostic aastatistics aainclude aatextbooks, aaprimary aareports aaof aaresearch, aaand
aapublished aameta-analyses. aaAnother aasource aaof aastatistics, aathe aaone aathat aahas aabeen aamost
aawidely aaused aaand aaavailable aafor aa application aato aa the aareasoning aaprocess, aais aathe aaestimation
aabased aaon aaa aaprovider’s aaexperience, aaalthough aathese aaare aararely aaaccurate. aaOver aathe aapast
aadecade, aathe aaavailability aaof aaevidence aaon aa which aato aabase aaclinical aareasoning aais aaimproving,
aaand aathere aais aaan aaincreasing aaexpectation aathat aaclinical aareasoningabe aabased aaon aascientific
aaevidence. aaEvidence-based aastatistics aaare aaalso aaincreasingly aabeing aaused aato aadevelop
aaresources aato aafacilitate aaclinical aadecision-making.
PTS: 1
6. ANS: a a D
To aaassist aain aaclinical aadecision-making, aaa aanumber aaof aaevidence-based aaresources aahave aabeen
aadevelopedato aaassist aathe aaclinician. aaResources, aa such aaas aaalgorithms aa and aa clinical aapractice
aaguidelines, aa assist aain aaclinical aareasoning aawhen aa properly aaapplied.
This aastudy aasource aawas aadownloaded aaby aa100000826342158 aafrom aaCourseHero.com aaon aa05-25-2021 aa21:32:19 aaGMT aa-05:00
Downloaded aaby: aaStuviaaa aa|
Distribution aaof aathis aadocument aais aaillegal
aa aa aa aa aa aa
and Formulating Differential Diagnoses, 5th Edition, Mary Jo
aa aa aa aa aa aa aa aa
Goolsby, Laurie Grubbs Chapter 1 - 22 | Complete
aa aa aa aa aa aa aa aa aa
,Chapter 1. Assessment and Clinical Decision-Making: Overview
aa aa aa aa aa aa
Multiple aaChoice
Identify aathe aachoice aathat aabest aacompletes aathe aastatement aaor aaanswers aathe aaquestion.
aa 1. Which aatype aaof aaclinical aadecision-making aais aamost aareliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
aa 2. Which aaof aathe aafollowing aais aafalse? aaTo aaobtain aaadequate aahistory, aahealth-care aaproviders aamust aabe:
A. Methodical aaand aasystematic
B. Attentive aato aathe aapatient’s aaverbal aaand aanonverbal aalanguage
C. Able aato aaaccurately aainterpret aathe aapatient’s aaresponses
D. Adept aaat aareading aainto aathe aapatient’s aastatements
aa 3. Essential aaparts aaof aaa aahealth aahistory aainclude aaall aaof aathe aafollowing aaexcept:
A. Chief aacomplaint
B. History aaof aathe aapresent aaillness
C. Current aavital aasigns
D. All aaof aathe aaabove aaare aaessential aahistory aacomponents
aa 4. Which aaof aathe aafollowing aais aafalse? aaWhile aaperforming aathe aaphysical aaexamination, aathe
aaexaminer aamust aabeaable aato:
A. Differentiate aabetween aanormal aaand aaabnormal aafindings
B. Recall aaknowledge aaof aaa aarange aaof aaconditions aaand aatheir aaassociated aasigns aaand aasymptoms
C. Recognize aahow aacertain aaconditions aaaffect aathe aaresponse aato aaother aaconditions
D. Foresee aaunpredictable aafindings
aa 5. The aafollowing aais aathe aaleast aareliable aasource aaof aainformation aafor aadiagnostic aastatistics:
A. Evidence-based aainvestigations
B. Primary aareports aaof aaresearch
C. Estimation aabased aaon aaa aaprovider’s aaexperience
D. Published aameta-analyses
aa 6. The aafollowing aacan aabe aaused aato aaassist aain aasound aaclinical aadecision-making:
A. Algorithm aapublished aain aaa aapeer-reviewed aajournal aaarticle
B. Clinical aapractice aaguidelines
C. Evidence-based aaresearch
D. All aaof aathe aaabove
aa 7. If aaa aadiagnostic aastudy aahas aahigh aasensitivity, aathis aaindicates aaa:
A. High aapercentage aaof aapersons aawith aathe aagiven aacondition aawill aahave aaan aaabnormal aaresult
B. Low aapercentage aaof aapersons aawith aathe aagiven aacondition aawill aahave aaan aaabnormal aaresult
C. Low aalikelihood aaof aanormal aaresult aain aapersons aawithout aaa aagiven aacondition
D. None aaof aathe aaabove
,aa 8. If aaa aadiagnostic aastudy aahas aahigh aaspecificity, aathis aaindicates aaa:
A. Low aapercentage aaof aahealthy aaindividuals aawill aashow aaa aanormal aaresult
B. High aapercentage aaof aahealthy aaindividuals aawill aashow aaa aanormal aaresult
C. High aapercentage aaof aaindividuals aawith aaa aadisorder aawill aashow aaa aanormal aaresult
D. Low aapercentage aaof aaindividuals aawith aaa aadisorder aawill aashow aaan aaabnormal aaresult
aa 9. A aalikelihood aaratio aaabove aa1 aaindicates aathat aaa aadiagnostic aatest aashowing aaa:
A. Positive aaresult aais aastrongly aaassociated aawith aathe aadisease
B. Negative aaresult aais aastrongly aaassociated aawith aaabsence aaof aathe aadisease
C. Positive aaresult aais aaweakly aaassociated aawith aathe aadisease
D. Negative aaresult aais aaweakly aaassociated aawith aaabsence aaof aathe aadisease
aa 10. aaWhich aaof aathe aafollowing aaclinical aareasoning aatools aais aadefined aaas aaevidence-based aaresource
aabased aaon aamathematical aamodeling aato aaexpress aathe aalikelihood aaof aaa aa condition aain aaselect
aasituations, aasettings, aaand/orapatients?
A. Clinical aapractice aaguideline
B. Clinical aadecision aarule
C. Clinical aaalgorithm
D. Clinical aarecommendation
, Chapter 1. Assessment and Clinical Decision-Making:
aa aa aa aa aa
Overview
Answer
aa Section
aa
MULTIPLE aaCHOICE
1. ANS: a a B
Croskerry aa(2009) aadescribes aatwo aamajor aatypes aaof aaclinical aadiagnostic aadecision-making:
aaintuitive aaand aaanalytical. aaIntuitive aadecision-making aa(similar aato aaAugenblink aadecision-
making) aais aabased aaon aathe aaexperience aaand aaintuition aaof aathe aaclinician aaand aais aaless aareliable
aaand aapaired aawith aafairly aa common aaerrors. aaIn aacontrast, aaanalytical aadecision-making aais aabased
aaon aa careful aaconsideration aaand aahas aagreater aareliabilityawith aarare aaerrors.
PTS: 1
2. ANS: a a D
To aaobtain aaadequate aahistory, aaproviders aamust aabe aawell aaorganized, aaattentive aato aathe aapatient’s
aaverbal aaandanonverbal aalanguage, aaand aaable aato aaaccurately aainterpret aathe aapatient’s aaresponses aato
aaquestions. aaRather aathan aareading aainto aathe aapatient’s aastatements, aathey aaclarify aaany aaareas aaof
aauncertainty.
PTS: 1
3. ANS: a a C
Vital aasigns aaare aapart aaof aathe aaphysical aaexamination aaportion aaof aapatient aaassessment, aanot aapart aaof
aathe aahealthahistory.
PTS: 1
4. ANS: a a D
While aaperforming aathe aaphysical aaexamination, aathe aaexaminer aamust aabe aaable aato aadifferentiate
aabetweenanormal aaand aaabnormal aafindings, aarecall aa knowledge aaof aaa aarange aaof aa conditions,
aaincluding aatheir aaassociated aasigns aaand aasymptoms, aarecognize aahow aacertain aaconditions aaaffect
aathe aaresponse aato aaother aaconditions, aaand aadistinguish aathe aarelevance aaof aavaried aaabnormal
aafindings.
PTS: 1
5. ANS: a a C
Sources aafor aadiagnostic aastatistics aainclude aatextbooks, aaprimary aareports aaof aaresearch, aaand
aapublished aameta-analyses. aaAnother aasource aaof aastatistics, aathe aaone aathat aahas aabeen aamost
aawidely aaused aaand aaavailable aafor aa application aato aa the aareasoning aaprocess, aais aathe aaestimation
aabased aaon aaa aaprovider’s aaexperience, aaalthough aathese aaare aararely aaaccurate. aaOver aathe aapast
aadecade, aathe aaavailability aaof aaevidence aaon aa which aato aabase aaclinical aareasoning aais aaimproving,
aaand aathere aais aaan aaincreasing aaexpectation aathat aaclinical aareasoningabe aabased aaon aascientific
aaevidence. aaEvidence-based aastatistics aaare aaalso aaincreasingly aabeing aaused aato aadevelop
aaresources aato aafacilitate aaclinical aadecision-making.
PTS: 1
6. ANS: a a D
To aaassist aain aaclinical aadecision-making, aaa aanumber aaof aaevidence-based aaresources aahave aabeen
aadevelopedato aaassist aathe aaclinician. aaResources, aa such aaas aaalgorithms aa and aa clinical aapractice
aaguidelines, aa assist aain aaclinical aareasoning aawhen aa properly aaapplied.
This aastudy aasource aawas aadownloaded aaby aa100000826342158 aafrom aaCourseHero.com aaon aa05-25-2021 aa21:32:19 aaGMT aa-05:00
Downloaded aaby: aaStuviaaa aa|
Distribution aaof aathis aadocument aais aaillegal
