TEST BANK FOR ADVANCED ASSESSMENT INTERPRETING FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSES 5TH EDITION BY GOOLSBY ALL COMPLETELY ANSWERS VERIFIED A+

Test Bank for Advanced Assessment: Interpreting Findings
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and Formulating Differential Diagnoses, 5th Edition, Mary JoG
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oolsby, Laurie GrubbsChapter 1 - 22 | Complete
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,Chapter 1. Assessment and Clinical Decision-Making: Overview
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MultiplekChoice
Identifykthekchoicekthatkbestkcompleteskthekstatementkorkanswerskthekquestion.

k 1. Whichktypekofkclinicalkdecision-makingkiskmostkreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick

k 2. Whichkofkthekfollowingkiskfalse?kTokobtainkadequatekhistory,khealth-carekproviderskmustkbe:
A. Methodicalkandksystematic
B. Attentivektokthekpatient’skverbalkandknonverbalklanguage
C. Ablektokaccuratelykinterpretkthekpatient’skresponses
D. Adeptkatkreadingkintokthekpatient’skstatements
Essentialkpartskofkakhealthkhistorykincludekallkofkthekfollowingkexcept:
k 3. A. Chiefkcomplaint
B. Historykofkthekpresentkillness
C. Currentkvitalksigns
D. Allkofkthekabovekarekessentialkhistorykcomponents
Whichkofkthekfollowingkiskfalse?kWhilekperformingkthekphysicalkexamination,kthekexaminerkmustkbeka
k 4. blekto:
A. Differentiatekbetweenknormalkandkabnormalkfindings
B. Recallkknowledgekofkakrangekofkconditionskandktheirkassociatedksignskandksymptoms
C. Recognizekhowkcertainkconditionskaffectkthekresponsektokotherkconditions
D. Foreseekunpredictablekfindings
Thekfollowingkiskthekleastkreliableksourcekofkinformationkforkdiagnostickstatistics:
k 5. A. Evidence-basedkinvestigations
B. Primarykreportskofkresearch
C. Estimationkbasedkonkakprovider’skexperience
D. Publishedkmeta-analyses
Thekfollowingkcankbekusedktokassistkinksoundkclinicalkdecision-making:
k 6. A. Algorithmkpublishedkinkakpeer-reviewedkjournalkarticle
B. Clinicalkpracticekguidelines
C. Evidence-basedkresearch
D. Allkofkthekabove
Ifkakdiagnostickstudykhaskhighksensitivity,kthiskindicateska:
A. Highkpercentagekofkpersonskwithkthekgivenkconditionkwillkhavekankabnormalkresult
k 7. B. Lowkpercentagekofkpersonskwithkthekgivenkconditionkwillkhavekankabnormalkresult
C. Lowklikelihoodkofknormalkresultkinkpersonskwithoutkakgivenkcondition
D. Nonekofkthekabove

,k 8. Ifkakdiagnostickstudykhaskhighkspecificity,kthiskindicateska:
A. Lowkpercentagekofkhealthykindividualskwillkshowkaknormalkresult
B. Highkpercentagekofkhealthykindividualskwillkshowkaknormalkresult
C. Highkpercentagekofkindividualskwithkakdisorderkwillkshowkaknormalkresult
D. Lowkpercentagekofkindividualskwithkakdisorderkwillkshowkankabnormalkresult

k 9. Aklikelihoodkratiokabovek1kindicateskthatkakdiagnosticktestkshowingka:
A. Positivekresultkiskstronglykassociatedkwithkthekdisease
B. Negativekresultkiskstronglykassociatedkwithkabsencekofkthekdisease
C. Positivekresultkiskweaklykassociatedkwithkthekdisease
D. Negativekresultkiskweaklykassociatedkwithkabsencekofkthekdisease
k kkk 10.kWhichkofkthekfollowingkclinicalkreasoningktoolskiskdefinedkaskevidence-
basedkresourcekbasedkonkmathematicalkmodelingktokexpressktheklikelihoodkofkakconditionkinkselectk
situations,ksettings,kand/orkpatients?
A. Clinicalkpracticekguidelinek
B. ClinicalkdecisionkrulekClin
C. icalk algorithmkClinicalkrec
D. ommendation

, Chapter 1. Assessment and Clinical Decision-Making: Overview
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Answer Section
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MULTIPLEkCHOICE

1. ANS:k B
Croskerryk(2009)kdescribesktwokmajorktypeskofkclinicalkdiagnostickdecision-
making:kintuitivekandkanalytical.kIntuitivekdecision-makingk(similarktokAugenblinkkdecision-
making)kiskbasedkonkthekexperiencekandkintuitionkofkthekcliniciankandkisklesskreliablekandkpairedkwit
hkfairlykcommonkerrors.kInkcontrast,kanalyticalkdecision-
makingkiskbasedkonkcarefulkconsiderationkandkhaskgreaterkreliabilitykwithkrarekerrors.

PTS: 1
2. ANS:k D
Tokobtainkadequatekhistory,kproviderskmustkbekwellkorganized,kattentivektokthekpatient’skverbalkandk
nonverbalklanguage,kandkablektokaccuratelykinterpretkthekpatient’skresponsesktokquestions.kRatherk
thankreadingkintokthekpatient’skstatements,ktheykclarifykanykareaskofkuncertainty.

PTS: 1
3. ANS:k C
Vitalksignskarekpartkofkthekphysicalkexaminationkportionkofkpatientkassessment,knotkpartkofkthekhealthkhist
ory.

PTS: 1
4. ANS:k D
Whilekperformingkthekphysicalkexamination,kthekexaminerkmustkbekablektokdifferentiatekbetweenkn
ormalkandkabnormalkfindings,krecallkknowledgekofkakrangekofkconditions,kincludingktheirkassociated
ksignskandksymptoms,krecognizekhowkcertainkconditionskaffectkthekresponsektokotherkconditions,kan

dkdistinguishkthekrelevancekofkvariedkabnormalkfindings.

PTS: 1
5. ANS:k C
Sourceskforkdiagnostickstatisticskincludektextbooks,kprimarykreportskofkresearch,kandkpublishedkm
eta-
analyses.kAnotherksourcekofkstatistics,kthekonekthatkhaskbeenkmostkwidelykusedkandkavailablekforka
pplicationktokthekreasoningkprocess,kiskthekestimationkbasedkonkakprovider’skexperience,kalthoughk
thesekarekrarelykaccurate.kOverkthekpastkdecade,kthekavailabilitykofkevidencekonkwhichktokbasekclini
calkreasoningkiskimproving,kandktherekiskankincreasingkexpectationkthatkclinicalkreasoningkbekbasedk
onkscientifickevidence.kEvidence-
basedkstatisticskarekalsokincreasinglykbeingkusedktokdevelopkresourcesktokfacilitatekclinicalkdecision
-making.

PTS: 1
6. ANS:k D
Tokassistkinkclinicalkdecision-making,kaknumberkofkevidence-
basedkresourceskhavekbeenkdevelopedktokassistkthekclinician.kResources,ksuchkaskalgorithmskandkclin
icalkpracticekguidelines,kassistkinkclinicalkreasoningkwhenkproperlykapplied.



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