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and Formulating Differential Diagnoses, 5th Edition, Mary JoG
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oolsby, Laurie GrubbsChapter 1 - 22 | Complete
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,Chapter 1. Assessment and Clinical Decision-Making: Overview
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MultipletiChoice
Identifytithetichoicetithattibestticompletestithetistatementtiortianswerstithetiquestion.
ti 1. Whichtitypetiofticlinicaltidecision-makingtiistimosttireliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
ti 2. Whichtioftithetifollowingtiistifalse?tiTotiobtaintiadequatetihistory,tihealth-caretiproviderstimusttibe:
A. Methodicaltiandtisystematic
B. Attentivetitotithetipatient’stiverbaltiandtinonverbaltilanguage
C. Abletitotiaccuratelytiinterprettithetipatient’stiresponses
D. Adepttiattireadingtiintotithetipatient’stistatements
Essentialtipartstioftiatihealthtihistorytiincludetialltioftithetifollowingtiexcept:
ti 3. A. Chiefticomplaint
B. Historytioftithetipresenttiillness
C. Currenttivitaltisigns
D. Alltioftithetiabovetiaretiessentialtihistoryticomponents
Whichtioftithetifollowingtiistifalse?tiWhiletiperformingtithetiphysicaltiexamination,tithetiexaminertimusttibeit
ti 4. abletito:
A. Differentiatetibetweentinormaltiandtiabnormaltifindings
B. Recalltiknowledgetioftiatirangetiofticonditionstiandtitheirtiassociatedtisignstiandtisymptoms
C. Recognizetihowticertainticonditionstiaffecttithetiresponsetitotiotherticonditions
D. Foreseetiunpredictabletifindings
Thetifollowingtiistithetileasttireliabletisourcetioftiinformationtifortidiagnostictistatistics:
ti 5. A. Evidence-basedtiinvestigations
B. Primarytireportstioftiresearch
C. Estimationtibasedtiontiatiprovider’stiexperience
D. Publishedtimeta-analyses
Thetifollowingticantibetiusedtitotiassisttiintisoundticlinicaltidecision-making:
ti 6. A. Algorithmtipublishedtiintiatipeer-reviewedtijournaltiarticle
B. Clinicaltipracticetiguidelines
C. Evidence-basedtiresearch
D. Alltioftithetiabove
Iftiatidiagnostictistudytihastihightisensitivity,tithistiindicatestia:
A. Hightipercentagetioftipersonstiwithtithetigiventiconditiontiwilltihavetiantiabnormaltiresult
ti 7. B. Lowtipercentagetioftipersonstiwithtithetigiventiconditiontiwilltihavetiantiabnormaltiresult
C. Lowtilikelihoodtioftinormaltiresulttiintipersonstiwithouttiatigiventicondition
D. Nonetioftithetiabove
,ti 8. Iftiatidiagnostictistudytihastihightispecificity,tithistiindicatestia:
A. Lowtipercentagetioftihealthytiindividualstiwilltishowtiatinormaltiresult
B. Hightipercentagetioftihealthytiindividualstiwilltishowtiatinormaltiresult
C. Hightipercentagetioftiindividualstiwithtiatidisordertiwilltishowtiatinormaltiresult
D. Lowtipercentagetioftiindividualstiwithtiatidisordertiwilltishowtiantiabnormaltiresult
ti 9. Atilikelihoodtiratioti aboveti1tiindicatestithattiatidiagnostictitesttishowingtia:
A. Positivetiresulttiististronglytiassociatedtiwithtithetidisease
B. Negativetiresultti ististronglytiassociatedtiwithtiabsencetioftithetidisease
C. Positivetiresulttiistiweaklytiassociatedtiwithtithetidisease
D. Negativetiresultti istiweaklytiassociatedtiwithtiabsencetioftithetidisease
ti tititi 10.tiWhichtioftithetifollowingticlinicaltireasoningtitoolstiistidefinedtiastievidence-
basedtiresourcetibasedtiontimathematicaltimodelingtitotiexpresstithetilikelihoodtioftiaticonditiontiintiselect
ti situations,tisettings,tiand/oritpatients?
A. Clinicaltipracticetiguidelineti
B. ClinicaltidecisiontiruletiClin
C. icalt i algorithmtiClinicaltirec
D. ommendation
, Chapter 1. Assessment and Clinical Decision-Making: Overview
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Answer Section
ti
MULTIPLEtiCHOICE
1. ANS:t i B
Croskerryti(2009)tidescribestitwotimajortitypestiofticlinicaltidiagnostictidecision-
making:tiintuitivetiandtianalytical.tiIntuitivetidecision-makingti(similartitotiAugenblinktidecision-
making)tiistibasedtiontithetiexperiencetiandtiintuitiontioftitheticliniciantiandtiistilesstireliabletiandtipairedtiw
ithtifairlyticommontierrors.tiInticontrast,tianalyticaltidecision-
makingtiistibasedtionticarefulticonsiderationtiandtihastigreatertireliabilityitwithtiraretierrors.
PTS: 1
2. ANS:t i D
Totiobtaintiadequatetihistory,tiproviderstimusttibetiwelltiorganized,tiattentivetitotithetipatient’stiverbaltiandit
nonverbaltilanguage,tiandtiabletitotiaccuratelytiinterprettithetipatient’stiresponsestitotiquestions.tiRathe
rtithantireadingtiintotithetipatient’stistatements,titheyticlarifytianytiareastioftiuncertainty.
PTS: 1
3. ANS:t i C
Vitaltisignstiaretiparttioftithetiphysicaltiexaminationtiportiontioftipatienttiassessment,tinottiparttioftithetihealthih
t is
tory.
PTS: 1
4. ANS:t i D
Whiletiperformingtithetiphysicaltiexamination,tithetiexaminertimusttibetiabletitotidifferentiatetibetweenin t
ormaltiandtiabnormaltifindings,tirecalltiknowledgetioftiatirangetiofticonditions,tiincludingtitheirtiassociate
dtisignstiandtisymptoms,tirecognizetihowticertainticonditionstiaffecttithetiresponsetitotiotherticonditions,
ti andtidistinguishtithetirelevanceti oftivariedti abnormaltifindings.
PTS: 1
5. ANS:t i C
Sourcestifortidiagnostictistatisticstiincludetitextbooks,tiprimarytireportstioftiresearch,tiandtipublishedti
meta-
analyses.tiAnothertisourcetioftistatistics,tithetionetithattihastibeentimosttiwidelytiusedtiandtiavailabletifor
tiapplicationtitotithetireasoningtiprocess,tiistithetiestimationtibasedtiontiatiprovider’stiexperience,tialtho
ughtithesetiaretirarelytiaccurate.tiOvertithetipasttidecade,tithetiavailabilitytioftievidencetiontiwhichtitotiba
seticlinicaltireasoningtiistiimproving,tiandtitheretiistiantiincreasingtiexpectationtithatticlinicaltireasoningitb
etibasedtiontiscientifictievidence.tiEvidence-
basedtistatisticstiaretialsotiincreasinglytibeingtiusedtitotideveloptiresourcestitotifacilitateticlinicaltidecisi
on-making.
PTS: 1
6. ANS:t i D
Totiassisttiinticlinicaltidecision-making,tiatinumbertioftievidence-
basedtiresourcestihavetibeentidevelopedittotiassisttitheticlinician.tiResources,tisuchtiastialgorithmstiandticli
nicaltipracticetiguidelines,tiassisttiinticlinicaltireasoningtiwhentiproperlytiapplied.
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