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Advanced Assessment: Interpreting Findings and Formulating Differential
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Diagnoses $si
by Mary Jo Goolsby, Laurie Grubbs
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Fifth Edition $si
FULL TEST BANK!!!
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,Goolsby Test Bank: Advanced Assessment Interpreting Findings and Formulating
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Differential Diagnoses 5th Edition
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Chapter 1. Assessment and Clinical Decision-Making:
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OverviewMultiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. Which type of clinical decision-making is most reliable?
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1. Intuitive
2. Analytical
3. Experiential
4. Augenblick
2. Which of the following is false? To obtain adequate history,
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health-careproviders must be: $si $si
1. Methodical and systematic $si $si
2. Attentive to the patient’s verbal $si $si $si $si
and nonverbal language
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1. Able $ s i to $ s i accurately $ s i interpret $ s i the $ s i patient’s
responses
1. Adept at reading $ s i $ s i $ s i into $ s i the $ s i patient’s
statements
3. Essential parts of a health history include all of the following except:
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1. Chief complaint $si
2. History of the present illness $si $si $si $si
3. Current vital signs $si $si
4. All of the above are essential history
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components
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4. Which of the following is false? While performing the
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physicalexamination, the examiner must be able to: $si $si $si $si $si $si
1. Differentiate between normal $si $si
and abnormal findings
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1. Recall knowledge of a range of $si $ s i $si $si $ s i
conditions and their associated signs and
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symptoms
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,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 percentage of persons with the given
condition will have an abnormal result
1. Low percentage of persons with the given
condition will have an abnormal result
1. Low likelihood of normal result in
persons without a given condition
1. None of the above
8. If a diagnostic study has high specificity, this indicates a:
1. Low percentage of healthy individuals
will show a normal result
1. High percentage of healthy individuals
will show a normal result
1. High percentage of individuals with a
disorder will show a normal result
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$ s i with a disorder will show an abnormal
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$si result
9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
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1. Positive result is strongly associated with $si $si $si $si $si
the disease
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1. Negative result is strongly associated with $si $si $si $si $si
absence of the disease
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1. Positive result is weakly associated with $si $si $si $si $si
the disease
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1. Negative result is weakly associated $si $si $si $si
with absence of the disease
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10. Which of the following clinical reasoning tools is defined as
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evidencebasedresource based on mathematical modeling to express the $si $si $si $si $si $si $si
$si likelihood of a condition in select situations, settings, and/or patients?
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1. Clinical practice guideline $ s i $ s i
2. Clinical decision rule $ s i $ s i
3. Clinical algorithm $si
4. Clinical recommendation $si
Chapter 2. An Overview of Genetic Assessment $si $si $si $si $si $si
Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. The first step in the genomic assessment of a patient is
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obtaininginformation regarding: $ s i
1. Family history $si
2. Environmental exposures $si
3. Lifestyle and behaviors $si $si
4. Current medications $si
2. An affected individual who manifests symptoms of a particular
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conditionthrough whom a family with a genetic disorder is ascertained $si $si $si $si $si $si $si $si $si
$si is called a(n):
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