Test Bank for Advanced Assessment: Interpreting Findings and Formulating Differential Diagnoses (5th Edition) by Mary Jo Goolsby & Laurie Grubbs – complete Chapter 1-22

TESToBANKoFORo

AdvancedoAssessmentoInterpretingoFindingsoandoFormulatingo

DifferentialoDiagnoseso

5thoEditionoGoolsbyoChapters 1o-22o|oCompleteo

, TABLEoOFoCONTENTS



 Chaptero1.oAssessmentoandoClinicaloDecisionoMaking:oAnoOverview

 Chaptero2.oGenomicoAssessment:oInterpretingoFindingsoandoFormulatingoDifferentialoDiagnoses

 Chaptero3.oSkin

 Chaptero4.oHead,oFace,oandoNeck

 Chaptero5.oTheoEye

 Chaptero6.oEar,oNose,oMouth,oandoThroat

 Chaptero7.oCardiacoandoPeripheraloVascularoSystems

 Chaptero8.oRespiratoryoSystem

 Chaptero9.oBreasts

 Chaptero10.oAbdomen

 Chaptero11.oGenitourinaryoSystem

 Chaptero12.oMaleoReproductiveoSystem

 Chaptero13.oFemaleoReproductiveoSystem

 Chaptero14.oMusculoskeletaloSystem

 Chaptero15.oNeurologicaloSystem

 Chaptero16.oNonspecificoComplaints

 Chaptero17.oPsychiatricoMentaloHealth

 Chaptero18.oPediatricoPatients

 Chaptero19.oPregnantoPatients

 Chaptero20.oAssessmentoofotheoTransgenderooroGenderoDiverseoAdult

 Chaptero21.oOlderoPatients

 Chaptero22.oPersonsoWithoDisabilities

,ANSWERS IN THE END OF EACH CHAPTER


 Chaptero1.oAssessmentoandoClinicaloDecisionoMaking:oAnoOverview




MultipleoChoice

Identifyotheochoiceothatobestocompletesotheostatementooroanswersotheoquestion.




o 1. Whichotypeoofoclinicalodecision-makingoisomostoreliable?

A. Intuitive

B. Analytic

al

C. Experien

tial

D. Augenbli

ck


o 2. Whichoofotheofollowingoisofalse?oTooobtainoadequateohistory,ohealth-careoprovidersomustobe:

A. Methodicaloandosystematic

B. Attentiveotootheopatient’soverbaloandon

onverbalolanguage

C. Ableotooaccuratelyointerpretotheopatien

t’soresponses

D. Adeptoatoreadingointootheopatient’sosta

tements


o 3. Essentialopartsoofoaohealthohistoryoincludeoalloofotheofollowingoexcept:

A. Chiefocomplaint

B. Historyoofotheopresentoillness

C. Currentovitalosigns

D. Alloofotheoaboveoareoessentialohis

toryocomponents

,o 4.

Whichoofotheofollowingoisofalse?oWhileoperformingotheophysicaloexamination,otheoexamineromustobeoable

oto:

A. Differentiateobetweenonormaloandoabnormalofindings

B. Recalloknowledgeoofoaorangeoofoconditionsoandotheiroasso

ciatedosignsoandosymptoms

C. Recognizeohowocertainoconditionsoaffectotheoresponseotoo

otheroconditions

D. Foreseeounpredictableofindings


o 5. Theofollowingoisotheoleastoreliableosourceoofoinformationoforodiagnosticostatistics:

A. Evidence-basedoinvestigations

B. Primaryoreportsooforesearch

C. Estimationobasedoonoaoprovide

r’soexperience

D. Publishedometa-analyses


o 6. Theofollowingocanobeousedotooassistoinosoundoclinicalodecision-making:

A. Algorithmopublishedoinoaopeer-

reviewedojournaloarticle

B. Clinicalopracticeoguidelines

C. Evidence-basedoresearch

D. Alloofotheoabove


o 7. Ifoaodiagnosticostudyohasohighosensitivity,othisoindicatesoa:

A. Highopercentageoofopersonsowithotheogivenoconditionowi

llohaveoanoabnormaloresult

B. Lowopercentageoofopersonsowithotheogivenoconditionowil

lohaveoanoabnormaloresult

C. Lowolikelihoodoofonormaloresultoinopersonsowithoutoaogi

venocondition

D. Noneoofotheoabove


o 8. Ifoaodiagnosticostudyohasohighospecificity,othisoindicatesoa:

, A. Lowopercentageoofohealthyoindividualsowilloshowoao

normaloresult

B. Highopercentageoofohealthyoindividualsowilloshowoao

normaloresult

C. Highopercentageoofoindividualsowithoaodisorderowillo

showoaonormaloresult

D. Lowopercentageoofoindividualsowithoaodisorderowillo

showoanoabnormaloresult


o 9. Aolikelihoodoratiooaboveo1oindicatesothatoaodiagnosticotestoshowingoa:

A. Positiveoresultoisostronglyoassociatedowithoth

eodisease

B. Negativeoresultoisostronglyoassociatedowithoa

bsenceoofotheodisease

C. Positiveoresultoisoweaklyoassociatedowithoth

eodisease

D. Negativeoresultoisoweaklyoassociatedowithoa

bsenceoofotheodisease

,o 10. Whichoofotheofollowingoclinicaloreasoningotoolsoisodefinedoasoevidence-

basedoresourceobasedoonomathematicalomodeling

tooexpressotheolikelihoodoofoaoconditionoinoselectosituations,osettings,oand/oropatients?

, A. Clinicalopracticeog

uideline

B. Clinicalodecisionor

ule

C. Clinicaloalgorithm

Chaptero1:oClinicaloreasoning,odifferentialodiagnosis,oevidence-basedopractice,oandosymptomoana

AnsweroSection




MULTIPLEoCHOICE




1. ANS: B

Croskerryo(2009)odescribesotwoomajorotypesoofoclinicalodiagnosticodecision-

making:ointuitiveoandoanalytical.oIntuitiveodecision-

omakingo(similarotooAugenblinkodecision-

making)oisobasedoonotheoexperienceoandointuitionoofotheoclinicianoandoisolessoreliableo

andopairedowithofairlyocommonoerrors.oInocontrast,oanalyticalodecision-

makingoisobasedoonocarefuloconsiderationoandohasogreateroreliabilityowithorareoerrors.




PTS: 1

2. ANS: D

Tooobtainoadequateohistory,oprovidersomustobeowelloorganized,oattentiveotootheopatient’

soverbaloandononverbalolanguage,oandoableotooaccuratelyointerpretotheopatient’sorespon

sesotooquestions.oRatherothanoreadingointootheopatient’sostatements,otheyoclarifyoanyo

areasoofouncertainty.




PTS: 1

,3. ANS: C

Vitalosignsoareopartoofotheophysicaloexaminationoportionoofopatientoassessment,onotopartoofotheohe

althohistory.




PTS: 1

4. ANS: D

Whileoperformingotheophysicaloexamination,otheoexamineromustobeoableotoodifferentiateo

betweenonormaloandoabnormalofindings,orecalloknowledgeoofoaorangeoofoconditions,oinclu

dingotheiroassociatedosignsoandosymptoms,orecognizeohowocertainoconditionsoaffectotheo

responseotoootheroconditions,oandodistinguishotheorelevanceoofovariedoabnormalofindings.




PTS: 1

5. ANS: C

Sourcesoforodiagnosticostatisticsoincludeotextbooks,oprimaryoreportsooforesearch,oandop

ublishedometa-

analyses.oAnotherosourceoofostatistics,otheooneothatohasobeenomostowidelyousedoandoav

ailableoforoapplicationotootheoreasoningoprocess,oisotheoestimationobasedoonoaoprovider’

soexperience,oalthoughotheseoareorarelyoaccurate.oOverotheopastodecade,otheoavailabili

tyoofoevidenceoonowhichotoobaseoclinicaloreasoningoisoimproving,oandothereoisoanoincre

asingoexpectationothatoclinicaloreasoningobeobasedoonoscientificoevidence.

Evidence-

basedostatisticsoareoalsooincreasinglyobeingousedotoodeveloporesourcesotoofacilitateoclinicalodecision

-making.




PTS: 1

6. ANS: D

Tooassistoinoclinicalodecision-making,oaonumberoofoevidence-

basedoresourcesohaveobeenodevelopedotooassistotheoclinician.oResources,osuchoas

oalgorithmsoandoclinicalopracticeoguidelines,oassistoinoclinicaloreasoningowhenopro

perlyoapplied.




PTS: 1

, 7. ANS: A

Theosensitivityoofoaodiagnosticostudyoisotheopercentageoofoindividualsowithotheotargetoco

nditionowhooshowoanoabnormal,ooropositive,oresult.oAohighosensitivityoindicatesothatoaogre

ateropercentageoofopersonsowithotheogivenoconditionowillohaveoanoabnormaloresult.




PTS: 1

8. ANS: B

Theospecificityoofoaodiagnosticostudyoisotheopercentageoofonormal,ohealthyoindividuals

owhoohaveoaonormaloresult.oTheogreaterotheospecificity,otheogreaterotheopercentageoof

oindividualsowhoowillohaveonegative,ooronormal,oresultsoifotheyodoonotohaveotheotarget

ocondition.




PTS: 1

9. ANS: A

Theolikelihoodoratiooisotheoprobabilityothatoaopositiveotestoresultowillobeoassociatedowit

hoaopersonowhoohasotheotargetoconditionoandoaonegativeoresultowillobeoassociatedowith

oaohealthyoperson.oAolikelihoodoratiooaboveo1oindicatesothatoaopositiveoresultoisoassocia

tedowithotheodisease;oaolikelihoodoratioolessothano1oindicatesothatoaonegativeoresultoiso

associatedowithoanoabsenceoofotheodisease.