Test Bank3
Advanced Health Assessment & Clinical Diagn
3 3 3 3 3
osis in Primary Care 7th Edition
3 3 3 3 3
by Joyce E. Dains, Linda C. Baumann & Pa
3 3 3 3 3 3 3 3
mela Scheibel 3
100% Expert Verified Answers| A+
3 3 3 3
1
, Chapter31:3Clinical3reasoning,3differential3diagnosis,3evidence-
based3practice,3and3symptom 3analysis
Multiple3Choice
Identify3the3choice3that3best3completes3the3statement3or3answers3the3question.
1. Which3type3of3clinical3decision-making3is3most3reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which3of3the3following3is3false?3To3obtain3adequate3history,3health-care3providers3must3be:
A. Methodical3and3systematic
B. Attentive3to3the3patient‘s3verbal3and3nonverbal3language
C. Able3to3accurately3interpret3the3patient‘s3responses
D. Adept3at3reading3into3the3patient‘s3statements
3. Essential3parts3of3a3health3history3include3all3of3the3following3except:
A. Chief3complaint
B. History3of3the3present3illness
C. Current3vital3signs
D. All3of3the3above3are3essential3history3components
4. Which3of3the3following3is3false?3While3performing3the3physical3examination,3the3must3be3abl
e3to:
A. Differentiate3between3normal3and3abnormal3findings
B. Recall3knowledge3of3a3range3of3conditions3and3their3associated3signs3and3symptoms
C. Recognize3how3certain3conditions3affect3the3response3to3other3conditions
D. Foresee3unpredictable3findings
2
,5. The3following3is3the3least3reliable3source3of3information3for3diagnostic3statistics:
A. Evidence-based3investigations
B. Primary3reports3of3research
C. Estimation3based3on3a3provider‘s3experience
D. Published3meta-analyses
6. The3following3can3be3used3to3assist3in3sound3clinical3decision-making:
A. Algorithm3published3in3a3peer-reviewed3journal3article
B. Clinical3practice3guidelines
C. Evidence-based3research
D. All3of3the3above
7. If3a3diagnostic3study3has3high3sensitivity,3this3indicates3a:
A. High3percentage3of3persons3with3the3given3condition3will3have3an3abnormal3result
B. Low3percentage3of3persons3with3the3given3condition3will3have3an3abnormal3result
C. Low3likelihood3of3normal3result3in3persons3without3a3given3condition
D. None3of3the3above
8. If3a3diagnostic3study3has3high3specificity,3this3indicates3a:
A. Low3percentage3of3healthy3individuals3will3show3a3normal3result
B. High3percentage3of3healthy3individuals3will3show3a3normal3result
C. High3percentage3of3individuals3with3a3disorder3will3show3a3normal3result
D. Low3percentage3of3individuals3with3a3disorder3will3show3an3abnormal3result
9. A3likelihood3ratio3above313indicates3that3a3diagnostic3test3showing3a:
A. Positive3result3is3strongly3associated3with3the3disease
B. Negative3result3is3strongly3associated3with3absence3of3the3disease
3
, C. Positive3result3is3weakly3associated3with3the3disease
D. Negative3result3is3weakly3associated3with3absence3of3the3disease
10. Which3of3the3following3clinical3reasoning3tools3is3defined3as3evidence-
based3resource3based3on3mathematical3modeling3to3express3the3likelihood3of3a3condition3in3sel
ect3situations,3settings,3and/or3patients?
A. Clinical3practice3guideline
B. Clinical3decision3rule
C. Clinical3algorithm
Chapter31:3Clinical3reasoning,3differential3diagnosis,3evidence-
based3practice,3and3symptom 3analysis
Answer3Section3MUL
TIPLE3CHOICE
1. ANS:3B
Croskerry3(2009)3describes3two3major3types3of3clinical3diagnostic3decision-
making:3intuitive3and3analytical.3Intuitive3decision-3making3(similar3to3Augenblink3decision-
making)3is3based3on3the3experience3and3intuition3of3the3clinician3and3is3less3reliable3and3paired3
with3fairly3common3errors.3In3contrast,3analytical3decision-
making3is3based3on3careful3consideration3and3has3greater3reliability3with3rare3errors.
PTS: 1
2. ANS:3D
To3obtain3adequate3history,3providers3must3be3well3organized,3attentive3to3the3patient‘s3verbal3a
nd3nonverbal3language,3and3able3to3accurately3interpret3the3patient‘s3responses3to3questions.3R
ather3than3reading3into3the3patient‘s3statements,3they3clarify3any3areas3of3uncertainty.
PTS: 1
3. ANS:3C
Vital3signs3are3part3of3the3physical3examination3portion3of3patient3assessment,3not3part3of3the3he
alth3history.
4
Advanced Health Assessment & Clinical Diagn
3 3 3 3 3
osis in Primary Care 7th Edition
3 3 3 3 3
by Joyce E. Dains, Linda C. Baumann & Pa
3 3 3 3 3 3 3 3
mela Scheibel 3
100% Expert Verified Answers| A+
3 3 3 3
1
, Chapter31:3Clinical3reasoning,3differential3diagnosis,3evidence-
based3practice,3and3symptom 3analysis
Multiple3Choice
Identify3the3choice3that3best3completes3the3statement3or3answers3the3question.
1. Which3type3of3clinical3decision-making3is3most3reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which3of3the3following3is3false?3To3obtain3adequate3history,3health-care3providers3must3be:
A. Methodical3and3systematic
B. Attentive3to3the3patient‘s3verbal3and3nonverbal3language
C. Able3to3accurately3interpret3the3patient‘s3responses
D. Adept3at3reading3into3the3patient‘s3statements
3. Essential3parts3of3a3health3history3include3all3of3the3following3except:
A. Chief3complaint
B. History3of3the3present3illness
C. Current3vital3signs
D. All3of3the3above3are3essential3history3components
4. Which3of3the3following3is3false?3While3performing3the3physical3examination,3the3must3be3abl
e3to:
A. Differentiate3between3normal3and3abnormal3findings
B. Recall3knowledge3of3a3range3of3conditions3and3their3associated3signs3and3symptoms
C. Recognize3how3certain3conditions3affect3the3response3to3other3conditions
D. Foresee3unpredictable3findings
2
,5. The3following3is3the3least3reliable3source3of3information3for3diagnostic3statistics:
A. Evidence-based3investigations
B. Primary3reports3of3research
C. Estimation3based3on3a3provider‘s3experience
D. Published3meta-analyses
6. The3following3can3be3used3to3assist3in3sound3clinical3decision-making:
A. Algorithm3published3in3a3peer-reviewed3journal3article
B. Clinical3practice3guidelines
C. Evidence-based3research
D. All3of3the3above
7. If3a3diagnostic3study3has3high3sensitivity,3this3indicates3a:
A. High3percentage3of3persons3with3the3given3condition3will3have3an3abnormal3result
B. Low3percentage3of3persons3with3the3given3condition3will3have3an3abnormal3result
C. Low3likelihood3of3normal3result3in3persons3without3a3given3condition
D. None3of3the3above
8. If3a3diagnostic3study3has3high3specificity,3this3indicates3a:
A. Low3percentage3of3healthy3individuals3will3show3a3normal3result
B. High3percentage3of3healthy3individuals3will3show3a3normal3result
C. High3percentage3of3individuals3with3a3disorder3will3show3a3normal3result
D. Low3percentage3of3individuals3with3a3disorder3will3show3an3abnormal3result
9. A3likelihood3ratio3above313indicates3that3a3diagnostic3test3showing3a:
A. Positive3result3is3strongly3associated3with3the3disease
B. Negative3result3is3strongly3associated3with3absence3of3the3disease
3
, C. Positive3result3is3weakly3associated3with3the3disease
D. Negative3result3is3weakly3associated3with3absence3of3the3disease
10. Which3of3the3following3clinical3reasoning3tools3is3defined3as3evidence-
based3resource3based3on3mathematical3modeling3to3express3the3likelihood3of3a3condition3in3sel
ect3situations,3settings,3and/or3patients?
A. Clinical3practice3guideline
B. Clinical3decision3rule
C. Clinical3algorithm
Chapter31:3Clinical3reasoning,3differential3diagnosis,3evidence-
based3practice,3and3symptom 3analysis
Answer3Section3MUL
TIPLE3CHOICE
1. ANS:3B
Croskerry3(2009)3describes3two3major3types3of3clinical3diagnostic3decision-
making:3intuitive3and3analytical.3Intuitive3decision-3making3(similar3to3Augenblink3decision-
making)3is3based3on3the3experience3and3intuition3of3the3clinician3and3is3less3reliable3and3paired3
with3fairly3common3errors.3In3contrast,3analytical3decision-
making3is3based3on3careful3consideration3and3has3greater3reliability3with3rare3errors.
PTS: 1
2. ANS:3D
To3obtain3adequate3history,3providers3must3be3well3organized,3attentive3to3the3patient‘s3verbal3a
nd3nonverbal3language,3and3able3to3accurately3interpret3the3patient‘s3responses3to3questions.3R
ather3than3reading3into3the3patient‘s3statements,3they3clarify3any3areas3of3uncertainty.
PTS: 1
3. ANS:3C
Vital3signs3are3part3of3the3physical3examination3portion3of3patient3assessment,3not3part3of3the3he
alth3history.
4
