ASSESSMENT: INTERPRETING
FINDINGS AND FORMULATING
DIFFERENTIAL DIAGNOSES
Chapter 1. Assessment and Clinical Decision-Making: Overview
,Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which type of clinical decision-making is most reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
____ 2. Which of the following is false? To obtain adequate history, health-care providers must be:
A. Methodical and systematic
B. Attentive to the patient’s verbal and nonverbal language
C. Able to accurately interpret the patient’s responses
D. Adept at reading into the patient’s statements
____ 3. Essential parts of a health history include all of the following except:
A. Chief complaint
B. History of the present illness
C. Current vital signs
D. All of the above are essential history components
____ 4. Which of the following is false? While performing the physical examination, the
examiner must be able to:
A. Differentiate between normal and abnormal findings
B. Recall knowledge of a range of conditions and their associated signs and symptoms
C. Recognize how certain conditions affect the response to other conditions
D. Foresee unpredictable findings
____ 5. The following is the least reliable source of information for diagnostic statistics:
A. Evidence-based investigations
B. Primary reports of research
C. Estimation based on a provider’s experience
D. Published meta-analyses
____ 6. The following can be used to assist in sound clinical decision-making:
A. Algorithm published in a peer-reviewed journal article
B. Clinical practice guidelines
C. Evidence-based research
D. All of the above
____ 7. If a diagnostic study has high sensitivity, this indicates a:
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 C.
Low likelihood of normal result in persons without a given condition D. None of the
above
____
, ____
If a diagnostic study has high specificity, this indicates a:
Low percentage of healthy individuals will show a normal result
High percentage of healthy individuals will show a normal result
High percentage of individuals with a disorder will show a normal result
____
Clinical recommendation
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