Updated/Latest Modern Blood Banking and Transfusion Practices 7th Edition Denise M. Harmening Test Bank Complete Chapters 1–29 Comprehensive Immunohematology Resource Practice Questions Answers Rationales Blood Banking Transfusion Medicine ASCP Review Stu

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TEST BANK FOR ADVANCED ASSESSMENT: YFT L YFT L YFT L YFT L YFT L




YFT INTERPRETING FINDINGS AND FORMULATING
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DIFFERENTIAL DIAGNOSES 4th Edition, Mary Jo YFT L L
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Goolsby, Laurie Grubbs-A+ GRADES-2023-2024
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Chapter 1: Clinical reasoning, differential diagnosis, evidence-based practice, and symptom ana
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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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1. Which type of clinical decision-making is most reliable? L
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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 L
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B. Attentive to the patient’s verbal and nonverbal language L
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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: L
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A. Chief complaint YFTL


B. History of the present illness L
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C. Current vital signs L
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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 L
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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 T
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D. Foresee unpredictable findings YFT L Y FT L




5. The following is the least reliable source of information for diagnostic statistics:
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A. Evidence-based investigations YFT L


B. Primary reports of research L
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C. Estimation based on a provider’s experience L
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D. Published meta-analyses Y FT L




6. The following can be used to assist in sound clinical decision-making:
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A. Algorithm published in a peer-reviewed journal article L
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B. Clinical practice guidelines L
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C. Evidence-based research YFT L


D. All of the above
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7. 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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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 YFT L L
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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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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 YFT L L
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B. Negative result is strongly associated with absence of the disease L
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C. Positive result is weakly associated with the disease YFT L L
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D. Negative result is weakly associated with absence of the disease L
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10. Which of the following clinical reasoning tools is defined as evidence-based resource based on mathematical modeling L
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to express the likelihood of a condition in select situations, settings, and/or patients?
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A. Clinical practice guideline YFT L L
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C. Clinical algorithm YFT L



Chapter 1: Clinical reasoning, differential diagnosis, evidence-based practice, and symptom ana
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Answer Section
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MULTIPLE CHOICE L
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1. ANS: B
Croskerry (2009) describes two major types of clinical diagnostic decision-making: intuitive and analytical. Intuitive
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decision-making (similar to Augenblink decision-making) is based on the experience and intuition of the clinician and is
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less reliable and paired with fairly common errors. In contrast, analytical decision-making is based on careful
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consideration and has greater reliability with rare errors.
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PTS: 1
2. ANS: D
To obtain adequate history, providers must be well organized, attentive to the patient’s verbal and nonverbal language, and
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able to accurately interpret the patient’s responses to questions. Rather than reading into the patient’s statements, they
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clarify any areas of uncertainty.
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3. ANS: C
Vital signs are part of the physical examination portion of patient assessment, not part of the health history.
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4. ANS: D
While performing the physical examination, the examiner must be able to differentiate between normal and abnormal
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findings, recall knowledge of a range of conditions, including their associated signs and symptoms, recognize how certain
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conditions affect the response to other conditions, and distinguish the relevance of varied abnormal findings.
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PTS: 1
5. ANS: C
Sources for diagnostic statistics include textbooks, primary reports of research, and published meta-analyses. Another
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source of statistics, the one that has been most widely used and available for application to the reasoning process, is the
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estimation based on a provider’s experience, although these are rarely accurate. Over the past decade, the availability of
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evidence on which to base clinical reasoning is improving, and there is an increasing expectation that clinical reasoning
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be based on scientific evidence.
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Evidence-based statistics are also increasingly being used to develop resources to facilitate clinical decision-making. YFT L YFT L YFTL Y FT L YFT L Y FT L YFT L Y FT L Y FT L YFT L Y F T L Y FT L Y F T L




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6. ANS: D
To assist in clinical decision-making, a number of evidence-based resources have been developed to assist the clinician.
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Resources, such as algorithms and clinical practice guidelines, assist in clinical reasoning when properly applied.
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7. ANS: A
The sensitivity of a diagnostic study is the percentage of individuals with the target condition who show an abnormal, or
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positive, result. A high sensitivity indicates that a greater percentage of persons with the given condition will have an
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abnormal result.
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8. ANS: B
The specificity of a diagnostic study is the percentage of normal, healthy individuals who have a normal result. The
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greater the specificity, the greater the percentage of individuals who will have negative, or normal, results if they do
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not have the target condition.
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PTS: 1
9. ANS: A
The likelihood ratio is the probability that a positive test result will be associated with a person who has the target
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condition and a negative result will be associated with a healthy person. A likelihood ratio above 1 indicates that a
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positive result is associated with the disease; a likelihood ratio less than 1 indicates that a negative result is associated
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with an absence of the disease.
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10. ANS: B
Clinical decision (or prediction) rules provide another support for clinical reasoning. Clinical decision rules are evidence-
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based resources that provide probabilistic statements regarding the likelihood that a condition exists if certain variables
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are met with regard to the prognosis of patients with specific findings. Decision rules use mathematical models and
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are specific to certain situations, settings, and/or patient characteristics.
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PTS: 1




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Chapter 2. Evidence-based health screening
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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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1. The first step in the genomic assessment of a patient is obtaining information regarding:
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A. Family history L
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B. Environmental exposures L
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C. Lifestyle and behaviors L
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D. Current medications L
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2. An affected individual who manifests symptoms of a particular condition through whom a family with a
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genetic disorder is ascertained is called a(n):
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A. Consultand
B. Consulband
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D. Proband

3. An autosomal dominant disorder involves the:
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A. X chromosome
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B. Y chromosome
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C. Mitochondrial DNA YF
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D. Non-sex chromosomes YFT L




4. To illustrate a union between two second cousin family members in a pedigree, draw:
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A. Arrows pointing to the male and female YFT L L
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B. Brackets around the male and female YFT L L
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C. Double horizontal lines between the male and female L
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D. Circles around the male and female L
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5. To illustrate two family members in an adoptive relationship in a pedigree:
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A. Arrows are drawn pointing to the male and female YFT L L
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B. Brackets are drawn around the male and female YF
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C. Double horizontal lines are drawn between the male and female
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D. Circles are drawn around the male and female YFT L L
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6. When analyzing the pedigree for autosomal dominant disorders, it is common to see:
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A. Several generations of affected members T
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B. Many consanguineous relationships
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C. More members of the maternal lineage affected than paternal
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D. More members of the paternal lineage affected than maternal
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7. In autosomal recessive (AR) disorders, individuals need:
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A. Only one mutated gene on the sex chromosomes to acquire the disease
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B. Only one mutated gene to acquire the disease
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C. Two mutated genes to acquire the disease
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D. Two mutated genes to become carriers
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8. In autosomal recessive disorders, carriers have:
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A. Two mutated genes; one from each parent that cause disease
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B. A mutation on a sex chromosome that causes a disease
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C. A single gene mutation that causes the disease
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D. One copy of a gene mutation but not the disease
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9. With an autosomal recessive disorder, it is important that parents understand that if they both carry a mutation,
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the following are the risks to each of their offspring (each pregnancy):
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A. 50% chance that offspring will carry the disease
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YF
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YFT




B. 10% chance of offspring affected by disease
L
T
F
Y L
YFT L
YFT L
YFT L
YFT T
F
YL




Downloaded by Anna Maina () YF
T L L
YFT L
YF
T L
YFT