ADVANCED ASSESSMENT: INTERPRETING FINDINGS AND
07/11/2025
FORMULATING DIFFERENTIAL DIAGNOSES 5TH EDITION
Complete test bank_
ADVANCED ASSESSMENT: INTERPRETING FINDINGS AND FORMULATING DIFFERENTIAL
DIAGNOSES
5th Edition
( Mary Jo Goolsby, Laurie Grubbs) All chapters 1-42 latest 2025 A+ graded
T T
E E
S S
T T
B B
A A
N N
K K
P a g e 1 | 372
,ADVANCED ASSESSMENT: INTERPRETING FINDINGS AND
07/11/2025
FORMULATING DIFFERENTIAL DIAGNOSES 5TH EDITION
Table of Contents
Chapter 1. Assessment and Clinical Decision Making: An Overview ....................................................................................................... 3
Chapter 2. Evidence-based health screening .......................................................................................................................................... 11
Chapter 3. Abdomen................................................................................................................................................................................ 25
Chapter 4: Affective Changes ................................................................................................................................................................. 58
Chapter 5: Amenorrhea .......................................................................................................................................................................... 77
Chapter 6. Breasts lumps and nipple discharge ................................................................................................................................... 79
Chapter 7. Breast Pain ............................................................................................................................................................................ 85
Chapter 8: Chest Pain.............................................................................................................................................................................. 88
Chapter 9. Confusion in older adults ................................................................................................................................................... 93
Chapter 10: Constipation ...................................................................................................................................................................... 101
Chapter 11: Cough................................................................................................................................................................................. 105
Chapter 12: Diarrhea............................................................................................................................................................................ 111
Chapter 13: Dizziness ........................................................................................................................................................................... 122
Chapter 14. Dyspnea.............................................................................................................................................................................. 125
Chapter 15. Earache .............................................................................................................................................................................. 137
Chapter 16: Fatigue ............................................................................................................................................................................... 143
Chapter 17. Fever ................................................................................................................................................................................... 147
Chapter 18: Male Genitourinary Problems ......................................................................................................................................... 152
Chapter 19. Headache ........................................................................................................................................................................... 180
Chapter 20: Heartburn and indigestion ............................................................................................................................................. 189
Chapter 21. Hoarseness ........................................................................................................................................................................ 192
Chapter 22: Lower extremity limb pain .............................................................................................................................................. 195
Chapter 23: Upper extremity limb pain .............................................................................................................................................. 199
Chapter 24: Low back pain (acute) ..................................................................................................................................................... 202
Chapter 25.: Nasal symptoms and sinus congestion ............................................................................................................................ 206
Chapter 26: Palpitations ...................................................................................................................................................................... 213
Chapter 27 Penile Discharge................................................................................................................................................................. 218
Chapter 28 Rashes and skin lesions...................................................................................................................................................... 230
Chapter 29: Rectal pain, itching, and bleeding ................................................................................................................................. 241
Chapter 30. Red Eye ............................................................................................................................................................................. 244
Chaper 31: Sleep Problem s .................................................................................................................................................................. 255
Chapter 32. Sore throat ......................................................................................................................................................................... 268
Chapter 33: Syncope .............................................................................................................................................................................. 271
Chapter 34 Urinary Incontinence ........................................................................................................................................................ 275
Chapter 35 Urinary Problems in females and children ...................................................................................................................... 283
Chapter 36. Vaginal Bleeding ............................................................................................................................................................... 288
Chapter 37. Vaginal Discharge and itching ........................................................................................................................................ 291
Chapter 38: Vision Loss ........................................................................................................................................................................ 309
Chapter 39: Weight loss/gain(unintentional) ....................................................................................................................................... 335
Chapter 42. The Transgender Patient .................................................................................................................................................. 366
P a g e 2 | 372
,ADVANCED ASSESSMENT: INTERPRETING FINDINGS AND
07/11/2025
FORMULATING DIFFERENTIAL DIAGNOSES 5TH EDITION
Chapter 1. Assessment and Clinical Decision Making: An Overview
Multiple Choice
Identify the choice that best completes the statementKor answers the question.
1. Which type of clinical decision-making is most reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which of the following is false? To obtain adequate history, health-care providers must be:
A. Methodical and systematic
B. Attentive to the patient‘s verbal and nonverbal languag
e
C. Able to accurately interpret the patient‘s responses
D. Adept at readingKinto the patient‘s statements
3. Essential parts of aKhealth history include all of the following except:
A. Chief complaint
B. History of the present illness
C. Current vital signs
D. All of the above are essential history componen
ts
4. Which of the following is false? While performing the physical examination, the examinerKmust be able to:
A. Differentiate between normal and abnormal findings
B. Recall knowledge of a range of conditions and their associated signs and sympto
ms
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, ADVANCED ASSESSMENT: INTERPRETING FINDINGS AND
07/11/2025
FORMULATING DIFFERENTIAL DIAGNOSES 5TH EDITION
C. Recognize how certain conditions affect the response to other conditions
D. Foresee unpredictable findings
5. The following is the least reliable source of information for diagnostic statistics:
A. Evidence-based investigations
B. Primary reports of research
C. Estimation based on a provider‘s experienc
e
D. Published meta-analyses
6. The following can be used to assist in sound clinical decision-making:
A. Algorithm published in a peer-
reviewed journal article
B. Clinical practice guidelines
C. Evidence-based research
D. All of the above
7. If a diagnostic study has high sensitivity, this indicates a:
A. High percentage of persons with the given condition will have an abnormal re
sult
B. Low percentage of persons with the given condition will have an abnormal res
ult
C. Low likelihood of normal result in persons without a given condition
D. None of the above
8. If a diagnostic study has high specificity, this indicates a:
A. Low percentage of healthy individuals will show a normal result
B. High percentage of healthy individuals will show a normal result
C. High percentage of individuals with a disorderKwill show a normal result
D. Low percentage of individuals with a disorder will show an abnormal res
ult
9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
A. Positive result is strongly associated with the disease
P a g e 4 | 372
07/11/2025
FORMULATING DIFFERENTIAL DIAGNOSES 5TH EDITION
Complete test bank_
ADVANCED ASSESSMENT: INTERPRETING FINDINGS AND FORMULATING DIFFERENTIAL
DIAGNOSES
5th Edition
( Mary Jo Goolsby, Laurie Grubbs) All chapters 1-42 latest 2025 A+ graded
T T
E E
S S
T T
B B
A A
N N
K K
P a g e 1 | 372
,ADVANCED ASSESSMENT: INTERPRETING FINDINGS AND
07/11/2025
FORMULATING DIFFERENTIAL DIAGNOSES 5TH EDITION
Table of Contents
Chapter 1. Assessment and Clinical Decision Making: An Overview ....................................................................................................... 3
Chapter 2. Evidence-based health screening .......................................................................................................................................... 11
Chapter 3. Abdomen................................................................................................................................................................................ 25
Chapter 4: Affective Changes ................................................................................................................................................................. 58
Chapter 5: Amenorrhea .......................................................................................................................................................................... 77
Chapter 6. Breasts lumps and nipple discharge ................................................................................................................................... 79
Chapter 7. Breast Pain ............................................................................................................................................................................ 85
Chapter 8: Chest Pain.............................................................................................................................................................................. 88
Chapter 9. Confusion in older adults ................................................................................................................................................... 93
Chapter 10: Constipation ...................................................................................................................................................................... 101
Chapter 11: Cough................................................................................................................................................................................. 105
Chapter 12: Diarrhea............................................................................................................................................................................ 111
Chapter 13: Dizziness ........................................................................................................................................................................... 122
Chapter 14. Dyspnea.............................................................................................................................................................................. 125
Chapter 15. Earache .............................................................................................................................................................................. 137
Chapter 16: Fatigue ............................................................................................................................................................................... 143
Chapter 17. Fever ................................................................................................................................................................................... 147
Chapter 18: Male Genitourinary Problems ......................................................................................................................................... 152
Chapter 19. Headache ........................................................................................................................................................................... 180
Chapter 20: Heartburn and indigestion ............................................................................................................................................. 189
Chapter 21. Hoarseness ........................................................................................................................................................................ 192
Chapter 22: Lower extremity limb pain .............................................................................................................................................. 195
Chapter 23: Upper extremity limb pain .............................................................................................................................................. 199
Chapter 24: Low back pain (acute) ..................................................................................................................................................... 202
Chapter 25.: Nasal symptoms and sinus congestion ............................................................................................................................ 206
Chapter 26: Palpitations ...................................................................................................................................................................... 213
Chapter 27 Penile Discharge................................................................................................................................................................. 218
Chapter 28 Rashes and skin lesions...................................................................................................................................................... 230
Chapter 29: Rectal pain, itching, and bleeding ................................................................................................................................. 241
Chapter 30. Red Eye ............................................................................................................................................................................. 244
Chaper 31: Sleep Problem s .................................................................................................................................................................. 255
Chapter 32. Sore throat ......................................................................................................................................................................... 268
Chapter 33: Syncope .............................................................................................................................................................................. 271
Chapter 34 Urinary Incontinence ........................................................................................................................................................ 275
Chapter 35 Urinary Problems in females and children ...................................................................................................................... 283
Chapter 36. Vaginal Bleeding ............................................................................................................................................................... 288
Chapter 37. Vaginal Discharge and itching ........................................................................................................................................ 291
Chapter 38: Vision Loss ........................................................................................................................................................................ 309
Chapter 39: Weight loss/gain(unintentional) ....................................................................................................................................... 335
Chapter 42. The Transgender Patient .................................................................................................................................................. 366
P a g e 2 | 372
,ADVANCED ASSESSMENT: INTERPRETING FINDINGS AND
07/11/2025
FORMULATING DIFFERENTIAL DIAGNOSES 5TH EDITION
Chapter 1. Assessment and Clinical Decision Making: An Overview
Multiple Choice
Identify the choice that best completes the statementKor answers the question.
1. Which type of clinical decision-making is most reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which of the following is false? To obtain adequate history, health-care providers must be:
A. Methodical and systematic
B. Attentive to the patient‘s verbal and nonverbal languag
e
C. Able to accurately interpret the patient‘s responses
D. Adept at readingKinto the patient‘s statements
3. Essential parts of aKhealth history include all of the following except:
A. Chief complaint
B. History of the present illness
C. Current vital signs
D. All of the above are essential history componen
ts
4. Which of the following is false? While performing the physical examination, the examinerKmust be able to:
A. Differentiate between normal and abnormal findings
B. Recall knowledge of a range of conditions and their associated signs and sympto
ms
P a g e 3 | 372
, ADVANCED ASSESSMENT: INTERPRETING FINDINGS AND
07/11/2025
FORMULATING DIFFERENTIAL DIAGNOSES 5TH EDITION
C. Recognize how certain conditions affect the response to other conditions
D. Foresee unpredictable findings
5. The following is the least reliable source of information for diagnostic statistics:
A. Evidence-based investigations
B. Primary reports of research
C. Estimation based on a provider‘s experienc
e
D. Published meta-analyses
6. The following can be used to assist in sound clinical decision-making:
A. Algorithm published in a peer-
reviewed journal article
B. Clinical practice guidelines
C. Evidence-based research
D. All of the above
7. If a diagnostic study has high sensitivity, this indicates a:
A. High percentage of persons with the given condition will have an abnormal re
sult
B. Low percentage of persons with the given condition will have an abnormal res
ult
C. Low likelihood of normal result in persons without a given condition
D. None of the above
8. If a diagnostic study has high specificity, this indicates a:
A. Low percentage of healthy individuals will show a normal result
B. High percentage of healthy individuals will show a normal result
C. High percentage of individuals with a disorderKwill show a normal result
D. Low percentage of individuals with a disorder will show an abnormal res
ult
9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
A. Positive result is strongly associated with the disease
P a g e 4 | 372
