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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 be
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Z 4. able 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
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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-based resource based on
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mathematical modeling to express the likelihood of a condition in select situations, settings,
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and/orpatients?
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A. Clinical practice guideline
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B. Clinical decision rule Z Z Z
C. Clinical algorithm Z Z
D. Clinical recommendation Z
,Chapter 1. Assessment and Clinical Decision-Making: Overview
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Multiple Choice
Z
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 be
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Z 4. able 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
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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-based resource based on
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mathematical modeling to express the likelihood of a condition in select situations, settings,
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and/orpatients?
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A. Clinical practice guideline
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B. Clinical decision rule Z Z Z
C. Clinical algorithm Z Z
D. Clinical recommendation Z
