Uc Dd Exam With Correct Answer
Definition of diagnostic reasoningCORRECT ANSWERSDynamic thinking process that
leads to the identification of a hypothesis that best explains the clinical evidence.
A method of exploring a patient problem using an approach that is systematic and
organized, resulting into the generation of a hypothesis.
What are two factors that affect diagnostic reasoning?CORRECT ANSWERSPatient
driven factor or clinician driven factor.
What is a patient driven factor that affects reasoning?CORRECT ANSWERSincreasing
acuity, poor historians, altered mental status, multisystem disease: acute & chronic- ppl
have acute exacerbations of chronic diseases: COPD/CHF/ CAD, multiple complaints.
What are clinician driven factor that affects reasoning?CORRECT ANSWERSlimited
experience, knowledge base, continuous review of data, demants for cost effectiveness
and speed, uncertainty of data: random high lab value (cmp/bmp). Can't understant why
value elevated in this pt. Sometimes you need to redo the test. Look at patient and what
data says to see if they match.
What are the 3 types of diagnostic reasoning?CORRECT ANSWERSProbabilistic
reasoning, causal reasoning and deterministic reasoning.
What is probabilistic reasoning?CORRECT ANSWERS(A+B=C)
Associations between clinical data that trigger the potential presence of a disease,
demographic description, presenting manifestations, signs & symptoms, = a probable
cause.
What is an example of probabilistic reasoning?CORRECT ANSWERSElderly pt with
confusion. Hx: 6 seeks ago pt was rational and independent. Fell and hit head, losing
consciousness for a little bit of time. Fine the next day. Possible "Chronic subdural
hematoma."
What is causal reasoning?CORRECT ANSWERSit is based on cause & effect
relationship between clinical data. Corroboration present.
What is an example of causal reasoning?CORRECT ANSWERSSomeone with high
triglycerides at risk for pancreatitis/CAD.
, What is deterministic reasoning?CORRECT ANSWERS(Guides). Things you know exist
like ABC= airway breathing circulation.
Depends on knowledge that exists as unambiguous rules, outline routine clinical
practice, diagnostic algorithms: ACLS, list of rules.
What are 2 patterns of diagnostic reasoning?CORRECT ANSWERSBackward
reasoning and forward reasoning.
What is backwards reasoning?CORRECT ANSWERSGenerates hypothesis then tries
to acquire data to uphold it.
-seen with novice clinician, lack of knowledge inhibits construction from data alone,
inefficient, earlier ROS may help trigger development
What is forward reasoning?CORRECT ANSWERSuses data item of set to generate
hypothesis. Characteristic of experts, dependent on solid knowledge of symptomology,
highly efficient.
Definition of diagnositc process?CORRECT ANSWERSCombination of systematic
analysis and intuitive knowledge.
What does systematic analysis involve?CORRECT ANSWERSInvolves use of explicit
knowledge.
What is explicit knowledge?CORRECT ANSWERSknowledge of physical or
psychological states, conditions, or diseases and their associated probabilities,
pathophyiological mechanisms and clinical manifestations.
Diagnostic reasoning isCORRECT ANSWERSDynamic thinking process that leads to
the identification of a hypothesis that best explains the clinical evidence.
Backward reasoning:CORRECT ANSWERSGenerates hypothesis then tries to acquire
data to uphold it.
Forward reasoning:CORRECT ANSWERSUses data item or set to generate hypothesis
Explicit knowledge:CORRECT ANSWERSKnowledge of physical or physiological
states, conditions or diseases and their associated probabilities and pathophysiologies
Heuristics areCORRECT ANSWERSRules of thumb- mental strategies that provide
shortcuts
Pattern recognition isCORRECT ANSWERSthe ability to recall the patterns of signs and
symptoms for a disease and the ability to distinguish between two manifestations
Definition of diagnostic reasoningCORRECT ANSWERSDynamic thinking process that
leads to the identification of a hypothesis that best explains the clinical evidence.
A method of exploring a patient problem using an approach that is systematic and
organized, resulting into the generation of a hypothesis.
What are two factors that affect diagnostic reasoning?CORRECT ANSWERSPatient
driven factor or clinician driven factor.
What is a patient driven factor that affects reasoning?CORRECT ANSWERSincreasing
acuity, poor historians, altered mental status, multisystem disease: acute & chronic- ppl
have acute exacerbations of chronic diseases: COPD/CHF/ CAD, multiple complaints.
What are clinician driven factor that affects reasoning?CORRECT ANSWERSlimited
experience, knowledge base, continuous review of data, demants for cost effectiveness
and speed, uncertainty of data: random high lab value (cmp/bmp). Can't understant why
value elevated in this pt. Sometimes you need to redo the test. Look at patient and what
data says to see if they match.
What are the 3 types of diagnostic reasoning?CORRECT ANSWERSProbabilistic
reasoning, causal reasoning and deterministic reasoning.
What is probabilistic reasoning?CORRECT ANSWERS(A+B=C)
Associations between clinical data that trigger the potential presence of a disease,
demographic description, presenting manifestations, signs & symptoms, = a probable
cause.
What is an example of probabilistic reasoning?CORRECT ANSWERSElderly pt with
confusion. Hx: 6 seeks ago pt was rational and independent. Fell and hit head, losing
consciousness for a little bit of time. Fine the next day. Possible "Chronic subdural
hematoma."
What is causal reasoning?CORRECT ANSWERSit is based on cause & effect
relationship between clinical data. Corroboration present.
What is an example of causal reasoning?CORRECT ANSWERSSomeone with high
triglycerides at risk for pancreatitis/CAD.
, What is deterministic reasoning?CORRECT ANSWERS(Guides). Things you know exist
like ABC= airway breathing circulation.
Depends on knowledge that exists as unambiguous rules, outline routine clinical
practice, diagnostic algorithms: ACLS, list of rules.
What are 2 patterns of diagnostic reasoning?CORRECT ANSWERSBackward
reasoning and forward reasoning.
What is backwards reasoning?CORRECT ANSWERSGenerates hypothesis then tries
to acquire data to uphold it.
-seen with novice clinician, lack of knowledge inhibits construction from data alone,
inefficient, earlier ROS may help trigger development
What is forward reasoning?CORRECT ANSWERSuses data item of set to generate
hypothesis. Characteristic of experts, dependent on solid knowledge of symptomology,
highly efficient.
Definition of diagnositc process?CORRECT ANSWERSCombination of systematic
analysis and intuitive knowledge.
What does systematic analysis involve?CORRECT ANSWERSInvolves use of explicit
knowledge.
What is explicit knowledge?CORRECT ANSWERSknowledge of physical or
psychological states, conditions, or diseases and their associated probabilities,
pathophyiological mechanisms and clinical manifestations.
Diagnostic reasoning isCORRECT ANSWERSDynamic thinking process that leads to
the identification of a hypothesis that best explains the clinical evidence.
Backward reasoning:CORRECT ANSWERSGenerates hypothesis then tries to acquire
data to uphold it.
Forward reasoning:CORRECT ANSWERSUses data item or set to generate hypothesis
Explicit knowledge:CORRECT ANSWERSKnowledge of physical or physiological
states, conditions or diseases and their associated probabilities and pathophysiologies
Heuristics areCORRECT ANSWERSRules of thumb- mental strategies that provide
shortcuts
Pattern recognition isCORRECT ANSWERSthe ability to recall the patterns of signs and
symptoms for a disease and the ability to distinguish between two manifestations
