Test Bank for Advanced Assessment: Interpreting Findings
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and Formulating Differential Diagnoses, 5th Edition, Mary JoGo
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olsby, Laurie GrubbsChapter 1 - 22 | Complete
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,Chapter 1. Assessment and Clinical Decision-Making: Overview
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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z 1. Which type of clinical decision-making is most reliable?
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A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
z 2. Which of the following is false? To obtain adequate history, health-care providers must be:
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A. Methodical and systematic z z
B. Attentive to the patient’s verbal and nonverbal language z z z z z z z
C. Able to accurately interpret the patient’s responses
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D. Adept at reading into the patient’s statements
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Essential parts of a health history include all of the following except:
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z 3. A. Chief complaint z
B. History of the present illness z z z z
C. Current vital signs z z
D. All of the above are essential history components
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Which of the following is false? While performing the physical examination, the examiner must beabl
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z 4. e to: z
A. Differentiate between normal and abnormal findings z z z z z
B. Recall knowledge of a range of conditions and their associated signs and symptoms
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C. Recognize how certain conditions affect the response to other conditions z z z z z z z z z
D. Foresee unpredictable findings z z
The following is the least reliable source of information for diagnostic statistics:
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z 5. A. Evidence-based investigations z
B. Primary reports of research z z z
C. Estimation based on a provider’s experience z z z z z
D. Published meta-analyses z
The following can be used to assist in sound clinical decision-making:
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z 6. A. Algorithm published in a peer-reviewed journal article z z z z z z
B. Clinical practice guidelines z z
C. Evidence-based research z
D. All of the above z z z
If a diagnostic study has high sensitivity, this indicates a:
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A. High percentage of persons with the given condition will have an abnormal result
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z 7. B. Low percentage of persons with the given condition will have an abnormal result
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C. Low likelihood of normal result in persons without a given condition
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D. None of the above z z z
, z 8. If a diagnostic study has high specificity, this indicates a:
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A. Low percentage of healthy individuals will show a normal result
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B. High percentage of healthy individuals will show a normal result
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C. High percentage of individuals with a disorder will show a normal result
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D. Low percentage of individuals with a disorder will show an abnormal result
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z 9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
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A. Positive result is strongly associated with the disease
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B. Negative result is strongly associated with absence of the disease
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C. Positive result is weakly associated with the disease
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D. Negative result is weakly associated with absence of the disease
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z zzz 10. Which of the following clinical reasoning tools is defined as evidence-
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based resource based on mathematical modeling to express the likelihood of a condition in select sit
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uations, settings, and/orpatients?
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A. Clinical practice guideline z z z
B. Clinical decision rule Clini z z z
C. cal algorithm Clinical reco
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D. mmendation
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and Formulating Differential Diagnoses, 5th Edition, Mary JoGo
z z z z z z z z
olsby, Laurie GrubbsChapter 1 - 22 | Complete
z z z z z z z z
,
,Chapter 1. Assessment and Clinical Decision-Making: Overview
z z z z z z
Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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z 1. Which type of clinical decision-making is most reliable?
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A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
z 2. Which of the following is false? To obtain adequate history, health-care providers must be:
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A. Methodical and systematic z z
B. Attentive to the patient’s verbal and nonverbal language z z z z z z z
C. Able to accurately interpret the patient’s responses
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D. Adept at reading into the patient’s statements
z z z z z z
Essential parts of a health history include all of the following except:
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z 3. A. Chief complaint z
B. History of the present illness z z z z
C. Current vital signs z z
D. All of the above are essential history components
z z z z z z z
Which of the following is false? While performing the physical examination, the examiner must beabl
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z 4. e to: z
A. Differentiate between normal and abnormal findings z z z z z
B. Recall knowledge of a range of conditions and their associated signs and symptoms
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C. Recognize how certain conditions affect the response to other conditions z z z z z z z z z
D. Foresee unpredictable findings z z
The following is the least reliable source of information for diagnostic statistics:
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z 5. A. Evidence-based investigations z
B. Primary reports of research z z z
C. Estimation based on a provider’s experience z z z z z
D. Published meta-analyses z
The following can be used to assist in sound clinical decision-making:
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z 6. A. Algorithm published in a peer-reviewed journal article z z z z z z
B. Clinical practice guidelines z z
C. Evidence-based research z
D. All of the above z z z
If a diagnostic study has high sensitivity, this indicates a:
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A. High percentage of persons with the given condition will have an abnormal result
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z 7. B. Low percentage of persons with the given condition will have an abnormal result
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C. Low likelihood of normal result in persons without a given condition
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D. None of the above z z z
, z 8. If a diagnostic study has high specificity, this indicates a:
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A. Low percentage of healthy individuals will show a normal result
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B. High percentage of healthy individuals will show a normal result
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C. High percentage of individuals with a disorder will show a normal result
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D. Low percentage of individuals with a disorder will show an abnormal result
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z 9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
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A. Positive result is strongly associated with the disease
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B. Negative result is strongly associated with absence of the disease
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C. Positive result is weakly associated with the disease
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D. Negative result is weakly associated with absence of the disease
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z zzz 10. Which of the following clinical reasoning tools is defined as evidence-
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based resource based on mathematical modeling to express the likelihood of a condition in select sit
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uations, settings, and/orpatients?
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A. Clinical practice guideline z z z
B. Clinical decision rule Clini z z z
C. cal algorithm Clinical reco
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D. mmendation
