Goolsby Test Bank: Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses 5th Edition

TEST BANK

,Chapter 1. Assessment and Clinical Decision-Making:
OverviewMultiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which type of clinical decision-making is most reliable?

1. Intuitive
2. Analytical
3. Experiential
4. Augenblick
2. Which of the following is false? To obtain adequate history,

health-careproviders must be:

1. Methodical and systematic
2. Attentive to the patient’s verbal and
nonverbal language

1. Able to accurately interpret the patient’s
responses

1. Adept at reading into the patient’s
statements

3. Essential parts of a health history include all of the following except:
1. Chief complaint
2. History of the present illness
3. Current vital signs
4. All of the above are essential history
components

4. Which of the following is false? While performing the

physicalexamination, the examiner must be able to:

1. Differentiate between normal and
abnormal findings

1. Recall knowledge of a range of conditions
and their associated signs and symptoms

1. Recognize how certain conditions affect
the response to other conditions

1. Foresee unpredictable findings
5. The following is the least reliable source of information for

,diagnosticstatistics:

1. Evidence-based investigations
2. Primary reports of research
3. Estimation based on a provider’s
experience

1. Published meta-analyses


6. The following can be used to assist in sound clinical decision-making:

1. Algorithm published in a peer-reviewed
journal article

1. Clinical practice guidelines
2. Evidence-based research
3. All of the above
7. If a diagnostic study has high sensitivity, this indicates a:

1. High percentage of persons with the given
condition will have an abnormal result

1. Low percentage of persons with the given
condition will have an abnormal result

1. Low likelihood of normal result in
persons without a given condition

1. None of the above
8. If a diagnostic study has high specificity, this indicates a:

1. Low percentage of healthy individuals
will show a normal result

1. High percentage of healthy individuals
will show a normal result

1. High percentage of individuals with a
disorder will show a normal result

1. Low percentage of individuals with a
disorder will show an abnormal result

9. A likelihood ratio above 1 indicates that a diagnostic test showing a:

1. Positive result is strongly associated with

, the disease

1. Negative iresult iis istrongly iassociated
iwith iabsence iof ithe idisease


1. Positive iresult iis iweakly iassociated
iwith ithe idisease


1. Negative iresult iis iweakly iassociated
iwith iabsence iof ithe idisease


10. iWhich iof ithe ifollowing iclinical ireasoning itools iis idefined ias

evidencebasedresource ibased ion imathematical imodeling ito iexpress ithe

ilikelihood iof ia icondition iin iselect isituations, isettings, iand/or ipatients?


1. Clinical i practice i guideline
2. Clinical i decision i rule
3. Clinical i algorithm
4. Clinical irecommendation

Chapter i2. iAn iOverview iof iGenetic iAssessment
iMultiple iChoice
Identify ithe ichoice ithat ibest icompletes ithe istatement ior ianswers ithe iquestion.
1. iThe ifirst istep iin ithe igenomic iassessment iof ia ipatient iis

obtaininginformation iregarding:

1. Family ihistory
2. Environmental iexposures
3. Lifestyle iand ibehaviors
4. Current imedications
2. iAn iaffected iindividual iwho imanifests isymptoms iof ia iparticular

conditionthrough iwhom ia ifamily iwith ia igenetic idisorder iis

iascertained iis icalled ia(n):


1. Consultand
2. Consulband
3. Index ipatient
4. Proband
3. iAn iautosomal idominant idisorder iinvolves ithe:

1. X ichromosome