,lOMoARcPSD|126zl 567
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,lOMoARcPSD|126zl 567
zl 13
, lOMoARcPSD|126 zl 567
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Test Bank for Advanced Health Assessment & Clinical Diagnosis in Primary Care 7th Ed
13
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ition Dains zl
Chapter 1: Clinical Reasoning, Differential Diagnosis, Evidence-Based Practice, and Symptom Analysis
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Multiple Choice zl
Identifythe choice that best completes the statement oranswers the question.
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1. Which type of clinical decision-making is most reliable? zl zl zl zl zl zl zl
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which of the following is false? To obtain adequate history, health-care providers must be:
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A. Methodical and systematic zl zl
B. Attentive to the patient’s verbal and nonverbal language
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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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3. Essential parts of a health history include all of the following except: zl zl zl zl zl zl zl zl zl zl zl
A. Chief complaint zl
B. History of the present illness zl zl zl zl
C. Current vital signs zl zl
D. All of the above are essential history components
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4. Which of the following is false? While performing the physical examination, the examiner must be able to:
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A. Differentiate between normal and abnormal findings zl zl zl zl zl
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 zl zl
5. The following is the least reliable source of information for diagnostic statistics:
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A. Evidence-based investigations zl
B. Primary reports of research zl zl zl
C. Estimation based on a provider’s experience zl zl zl zl zl
D. Published meta-analyses zl
6. The following can be used to assist in sound clinical decision-making:
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A. Algorithmpublished in a peer-reviewed journal article zl zl zl zl zl zl
B. Clinical practice guidelines zl zl
C. Evidence-based research zl
D. All of the above
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7. If a diagnostic studyhas 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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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 abovezl zl zl
8. If a diagnostic studyhas 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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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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10. Which of the following clinical reasoning tools is defined as evidence- zl zl zl zl zl zl zl zl zl zl
based resource based on mathematical modeling to express the likelihood of a condition in select situations, settings, and/or pati
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ents?
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,lOMoARcPSD|126zl 567
zl 13
, lOMoARcPSD|126 zl 567
zl
Test Bank for Advanced Health Assessment & Clinical Diagnosis in Primary Care 7th Ed
13
zl zl zl zl zl zl zl zl zl zl zl zl zl
ition Dains zl
Chapter 1: Clinical Reasoning, Differential Diagnosis, Evidence-Based Practice, and Symptom Analysis
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Multiple Choice zl
Identifythe choice that best completes the statement oranswers the question.
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1. Which type of clinical decision-making is most reliable? zl zl zl zl zl zl zl
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which of the following is false? To obtain adequate history, health-care providers must be:
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A. Methodical and systematic zl zl
B. Attentive to the patient’s verbal and nonverbal language
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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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3. Essential parts of a health history include all of the following except: zl zl zl zl zl zl zl zl zl zl zl
A. Chief complaint zl
B. History of the present illness zl zl zl zl
C. Current vital signs zl zl
D. All of the above are essential history components
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4. Which of the following is false? While performing the physical examination, the examiner must be able to:
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A. Differentiate between normal and abnormal findings zl zl zl zl zl
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 zl zl
5. The following is the least reliable source of information for diagnostic statistics:
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A. Evidence-based investigations zl
B. Primary reports of research zl zl zl
C. Estimation based on a provider’s experience zl zl zl zl zl
D. Published meta-analyses zl
6. The following can be used to assist in sound clinical decision-making:
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A. Algorithmpublished in a peer-reviewed journal article zl zl zl zl zl zl
B. Clinical practice guidelines zl zl
C. Evidence-based research zl
D. All of the above
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7. If a diagnostic studyhas 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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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 abovezl zl zl
8. If a diagnostic studyhas 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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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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10. Which of the following clinical reasoning tools is defined as evidence- zl zl zl zl zl zl zl zl zl zl
based resource based on mathematical modeling to express the likelihood of a condition in select situations, settings, and/or pati
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ents?
