,
,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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cn 1. Which type of clinical decision-making is most reliable?
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A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
cn 2. Which of the following is false? To obtain adequate history, health-care providers must be:
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A. Methodical and systematic cn cn
B. Attentive to the patient’s verbal and nonverbal language cn cn cn cn cn cn cn
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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cn 3. A. Chief complaint cn
B. History of the present illness cn cn cn cn
C. Current vital signs cn cn
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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c
cn 4. able to: cn
A. Differentiate between normal and abnormal findings cn cn cn cn cn
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 cn cn
The following is the least reliable source of information for diagnostic statistics:
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cn 5. A. Evidence-based investigations cn
B. Primary reports of research cn cn cn
C. Estimation based on a provider’s experience cn cn cn cn cn
D. Published meta-analyses cn
The following can be used to assist in sound clinical decision-making:
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cn 6. A. Algorithm published in a peer-reviewed journal article cn cn cn cn cn cn
B. Clinical practice guidelines cn cn
C. Evidence-based research cn
D. All of the above cn cn cn
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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cn 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 cn cn cn
, cn 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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cn 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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cn cncnc n 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
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situations, settings, and/orpatients?
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c
A. Clinical practice guideline cn cn cn
B. Clinical decision rule Clin cn cn cn
C. ical algorithm Clinical rec
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D. ommendation
,Chapter 1. Assessment and Clinical Decision-Making: Overview
cn cn cn cn cn cn
Multiple Choice
cn
Identify the choice that best completes the statement or answers the question.
cn cn cn cn cn cn cn cn cn cn cn
cn 1. Which type of clinical decision-making is most reliable?
cn cn cn cn cn cn cn
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
cn 2. Which of the following is false? To obtain adequate history, health-care providers must be:
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A. Methodical and systematic cn cn
B. Attentive to the patient’s verbal and nonverbal language cn cn cn cn cn cn cn
C. Able to accurately interpret the patient’s responses
cn cn cn cn cn cn
D. Adept at reading into the patient’s statements
cn cn cn cn cn cn
Essential parts of a health history include all of the following except:
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cn 3. A. Chief complaint cn
B. History of the present illness cn cn cn cn
C. Current vital signs cn cn
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
cn cn cn cn cn cn cn cn cn cn cn cn cn cn n
c
cn 4. able to: cn
A. Differentiate between normal and abnormal findings cn cn cn cn cn
B. Recall knowledge of a range of conditions and their associated signs and symptoms
cn cn cn cn cn cn cn cn cn cn cn cn
C. Recognize how certain conditions affect the response to other conditions
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D. Foresee unpredictable findings cn cn
The following is the least reliable source of information for diagnostic statistics:
cn cn cn cn cn cn cn cn cn cn cn
cn 5. A. Evidence-based investigations cn
B. Primary reports of research cn cn cn
C. Estimation based on a provider’s experience cn cn cn cn cn
D. Published meta-analyses cn
The following can be used to assist in sound clinical decision-making:
cn cn cn cn cn cn cn cn cn cn
cn 6. A. Algorithm published in a peer-reviewed journal article cn cn cn cn cn cn
B. Clinical practice guidelines cn cn
C. Evidence-based research cn
D. All of the above cn cn cn
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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cn 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 cn cn cn
, cn 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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cn 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
cn cn cn cn cn cn cn cn cn
cn cncnc n 10. Which of the following clinical reasoning tools is defined as evidence-
cn cn cn cn cn cn cn cn cn cn cn
based resource based on mathematical modeling to express the likelihood of a condition in select
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
situations, settings, and/orpatients?
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c
A. Clinical practice guideline cn cn cn
B. Clinical decision rule Clin cn cn cn
C. ical algorithm Clinical rec
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D. ommendation
