lOMoARcPSD|126m 5
67m 13
TEST BANK FOR ADVANCED HEALTH ASS
m m m m m
ESSMENT & CLINICAL DIAGNOSIS IN PRI
m m m m m
MARYCARE 6TH EDITIONDAINS ISBN: 9780
m m m m m
323594554
This Test Bank is Directly from The Publisher
m m m m m m m m
Has All Chapters With 100% Correct Answers
m m m m m m m
INSTANT DOWNLOAD
m
, lOMoARcPSD|126m 5
67m 13
Test Bank for Advanced Health Assessment & C
m m m m m m m
linical Diagnosis in Primary m m m m
Care6th Edition Dains m m m
Chapter 1: Clinical Reasoning, Differential Diagnosis, Evidence-
m m m m m m
Based Practice, and Symptom Analysis Multiple Choice
m m m m m m
Identifymthemchoice mthatmbestmcompletesmthemstatementmormanswersmthemquestion.
m 1. Whichmtypemofmclinicalmdecision-makingmismmostmreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
m 2. Whichmofmthemfollowingmismfalse? mTo mobtainmadequatemhistory, mhealth-caremproviders mmustmbe:
A. Methodicalmandmsystematic
B. Attentivemtomthempatient’s mverbalm andmnonverbal mlangua
ge
C. Ablemtomaccuratelyminterpretmthempatient’s mresponses
D. Adeptmatmreadingmintomthempatient’smstatements
m 3. Essentialmpartsmofmamhealthmhistorymincludemall mofmthemfollowingmexcept:
A. Chiefmcomplaint
B. Historymofmthempresentmillness
C. Currentmvitalmsigns
D. Allmofmthemabovemaremessentialmhistorymcompone
nts
m 4. Whichmofmthemfollowingmismfalse?mWhilemperformingmthemphysical mexamination, mthem examinerm mustmbemable mto:
A. Differentiatembetweenmnormalmandmabnormalmfindings
B. Recallmknowledgemofmamrangemofmconditions mandmtheirmassociatedmsigns mandmsympt
oms
C. Recognizemhow mcertainmconditions maffectmthe mresponsemtomothermconditions
D. Foreseemunpredictablemfindings
m 5. Themfollowingmismthemleastmreliablemsourcemofminformationmfor mdiagnosticmstatistics:
A. Evidence-basedminvestigations
B. Primarymreports mofmresearch
C. Estimationmbasedmonmamprovider’s mexperien
ce
D. Publishedmmeta-analyses
m 6. Themfollowingmcanmbemusedmtomassistminmsoundmclinicalmdecision-making:
A. Algorithmmpublishedminmampeer-
reviewedmjournalmarticle
B. Clinicalmpracticemguidelines
C. Evidence-basedmresearch
D. Allmofmthemabove
m 7. Ifmamdiagnosticmstudymhas mhighmsensitivity,m thismindicates ma:
A. Highmpercentagemofmpersons mwithmthemgivenmconditionmwillmhave man mabnormalmr
esult
B. Low mpercentagemofmpersons mwithmthemgivenmcondition mwillmhaveman mabnormalmre
sult
C. Low mlikelihoodmofmnormalmresultminmpersons mwithoutmamgivenmcondition
D. Nonemofmthemabove
m 8. Ifmamdiagnosticmstudymhas mhighmspecificity,m thismindicates ma:
A. Low mpercentagemofmhealthymindividuals mwillmshow mamnormalmresult
B. Highmpercentagemofmhealthymindividuals mwillmshow mamnormalmresult
C. Highmpercentagemofmindividuals mwithmamdisordermwillmshow mamnormalmresul
t
D. Low mpercentagemofmindividuals mwithmamdisordermwillmshow man mabnormalmr
esult
m 9. A mlikelihoodm ratiomabovem1mindicatesmthatmamdiagnosticmtestmshowingma:
A. Positivemresultmis mstronglymassociatedmwithmthemdisease
, m
B. Negativemresultmismstronglymassociatedmwithmabsencemofmmthe
67
mdise
lOMoARcPSD|126
13
5
ase
C. Positivemresultmismweaklymassociatedmwithmthemdisease
D. Negativemresultmismweaklymassociatedmwithmabsencemofmthemdisea
se
m 10. Whichmofmthemfollowingmclinicalmreasoningmtools mis mdefinedmas mevidence-basedmresourcembasedmonm mathematical mmodeling
tomexpress mthemlikelihoodmofmamconditionminmselectmsituations,msettings,mand/or mpatients?
, lOMoARcPSD|126m 5
67m 13
A. Clinicalmpracticemguidelin
e
B. Clinicalmdecisionmrule
C. Clinicalmalgorithm
Chapterm1:mClinicalmreasoning,mdifferentialmdiagnosis,mevidence-basedmpractice,mandmsymptom mana
AnswermSection
MULTIPLEmCHOICE
1. ANS: B
Croskerrym(2009)mdescribes mtwommajormtypes mofmclinicalmdiagnosticmdecision-
making:mintuitivemandmanalytical.mIntuitivemdecision-m makingm(similarmto mAugenblinkmdecision-
making)mis mbasedmonmthemexperiencemand mintuition mofmthe mclinicianmand mismless mreliablem andmpairedmwith mfairlymcommonmerro
rs.mInmcontrast,manalyticalmdecision-makingm ismbasedmonm carefulmconsideration mandmhasmgreatermreliabilitymwithmraremerrors.
PTS: 1
2. ANS: D
Tomobtainmadequatemhistory,mproviders mmustmbemwellmorganized,mattentive mto mthempatient’s mverbalm andmnonverbalmlanguage,ma
ndmablemtomaccuratelyminterpretm thempatient’s mresponses mtomquestions.mRathermthan mreadingminto mthempatient’s mstatements,mthey
mclarifymanymareas mofmuncertainty.
PTS: 1
3. ANS: C
Vitalmsigns marempartmofmthemphysicalmexaminationmportionmofmpatientmassessment,mnotmpart mofmthemhealthmhistory.
PTS: 1
4. ANS: D
Whilemperformingmthemphysicalmexamination,m themexaminermmust mbemablem tomdifferentiate mbetweenmnormalmand mabnormalmfindi
ngs,mrecallmknowledgemofmamrangemofmconditions,mincludingmtheirm associatedmsigns mandmsymptoms,mrecognize mhow mcertainm con
ditions maffectmthemresponsemtomothermconditions,m andmdistinguishmthemrelevance mofmvariedmabnormal mfindings.
PTS: 1
5. ANS: C
Sources mformdiagnosticmstatistics mincludemtextbooks,mprimarymreports mofmresearch,mandmpublishedm meta-
analyses.mAnothermsourcemofmstatistics,mthemonemthatmhasmbeenmmostmwidelymusedmandmavailable mformapplication mtomthemreasoni
ngmprocess,mismthemestimationmbasedmonmamprovider’s mexperience,malthoughmthesemare mrarelymaccurate.mOvermthempast mdecade,m
themavailabilitymofmevidencemonmwhichmtombasemclinicalmreasoningmismimproving,m andmtheremismanmincreasingmexpectationm thatmc
linicalmreasoningmbembasedmonmscientificmevidence.
Evidence-basedmstatistics maremalsomincreasinglymbeingmusedmtomdevelopmresources mtomfacilitatemclinical mdecision-making.
PTS: 1
6. ANS: D
Tomassistminmclinicalmdecision-making,mamnumbermofmevidence-
basedmresources mhavembeenmdevelopedmtomassistmthem clinician.mResources,msuchmasmalgorithms mandmclinicalmpracticemguidelines
,massistminmclinicalmreasoningmwhenmproperlymapplied.
PTS: 1
7. ANS: A
Themsensitivitymofmamdiagnosticmstudymismthempercentagemofm individuals mwithm them targetmconditionmwhomshow manm abnormal,mor
mpositive,mresult.mA mhighmsensitivitymindicates mthatmamgreater mpercentagemofmpersons mwithmthemgiven mconditionmwillmhavemanm abn
ormalmresult.
PTS: 1
8. ANS: B
Themspecificitymofmamdiagnosticmstudym ismthe mpercentagemofmnormal,mhealthy mindividuals mwhomhavemamnormal mresult.m Themgr
eatermthemspecificity,mthe mgreatermthempercentagemofm individuals mwhomwill mhavemnegative,mor mnormal,mresults m ifmthey mdomnotm
havemthemtargetmcondition.
PTS: 1
9. ANS: A
Themlikelihoodmratiomismthemprobabilitymthatma mpositivemtest mresultmwillmbemassociatedmwithmampersonmwhomhas mthe mtargetmcondi
tionmandmamnegativemresultmwill mbemassociated mwithm amhealthymperson.mA mlikelihoodmratiom abovem1m indicates m thatm ampositivemres
ultmis massociatedmwithmthemdisease;mamlikelihoodmratiomless mthanm1mindicates mthatmamnegative mresultmismassociatedmwithmanmabsenc
emofmthemdisease.
67m 13
TEST BANK FOR ADVANCED HEALTH ASS
m m m m m
ESSMENT & CLINICAL DIAGNOSIS IN PRI
m m m m m
MARYCARE 6TH EDITIONDAINS ISBN: 9780
m m m m m
323594554
This Test Bank is Directly from The Publisher
m m m m m m m m
Has All Chapters With 100% Correct Answers
m m m m m m m
INSTANT DOWNLOAD
m
, lOMoARcPSD|126m 5
67m 13
Test Bank for Advanced Health Assessment & C
m m m m m m m
linical Diagnosis in Primary m m m m
Care6th Edition Dains m m m
Chapter 1: Clinical Reasoning, Differential Diagnosis, Evidence-
m m m m m m
Based Practice, and Symptom Analysis Multiple Choice
m m m m m m
Identifymthemchoice mthatmbestmcompletesmthemstatementmormanswersmthemquestion.
m 1. Whichmtypemofmclinicalmdecision-makingmismmostmreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
m 2. Whichmofmthemfollowingmismfalse? mTo mobtainmadequatemhistory, mhealth-caremproviders mmustmbe:
A. Methodicalmandmsystematic
B. Attentivemtomthempatient’s mverbalm andmnonverbal mlangua
ge
C. Ablemtomaccuratelyminterpretmthempatient’s mresponses
D. Adeptmatmreadingmintomthempatient’smstatements
m 3. Essentialmpartsmofmamhealthmhistorymincludemall mofmthemfollowingmexcept:
A. Chiefmcomplaint
B. Historymofmthempresentmillness
C. Currentmvitalmsigns
D. Allmofmthemabovemaremessentialmhistorymcompone
nts
m 4. Whichmofmthemfollowingmismfalse?mWhilemperformingmthemphysical mexamination, mthem examinerm mustmbemable mto:
A. Differentiatembetweenmnormalmandmabnormalmfindings
B. Recallmknowledgemofmamrangemofmconditions mandmtheirmassociatedmsigns mandmsympt
oms
C. Recognizemhow mcertainmconditions maffectmthe mresponsemtomothermconditions
D. Foreseemunpredictablemfindings
m 5. Themfollowingmismthemleastmreliablemsourcemofminformationmfor mdiagnosticmstatistics:
A. Evidence-basedminvestigations
B. Primarymreports mofmresearch
C. Estimationmbasedmonmamprovider’s mexperien
ce
D. Publishedmmeta-analyses
m 6. Themfollowingmcanmbemusedmtomassistminmsoundmclinicalmdecision-making:
A. Algorithmmpublishedminmampeer-
reviewedmjournalmarticle
B. Clinicalmpracticemguidelines
C. Evidence-basedmresearch
D. Allmofmthemabove
m 7. Ifmamdiagnosticmstudymhas mhighmsensitivity,m thismindicates ma:
A. Highmpercentagemofmpersons mwithmthemgivenmconditionmwillmhave man mabnormalmr
esult
B. Low mpercentagemofmpersons mwithmthemgivenmcondition mwillmhaveman mabnormalmre
sult
C. Low mlikelihoodmofmnormalmresultminmpersons mwithoutmamgivenmcondition
D. Nonemofmthemabove
m 8. Ifmamdiagnosticmstudymhas mhighmspecificity,m thismindicates ma:
A. Low mpercentagemofmhealthymindividuals mwillmshow mamnormalmresult
B. Highmpercentagemofmhealthymindividuals mwillmshow mamnormalmresult
C. Highmpercentagemofmindividuals mwithmamdisordermwillmshow mamnormalmresul
t
D. Low mpercentagemofmindividuals mwithmamdisordermwillmshow man mabnormalmr
esult
m 9. A mlikelihoodm ratiomabovem1mindicatesmthatmamdiagnosticmtestmshowingma:
A. Positivemresultmis mstronglymassociatedmwithmthemdisease
, m
B. Negativemresultmismstronglymassociatedmwithmabsencemofmmthe
67
mdise
lOMoARcPSD|126
13
5
ase
C. Positivemresultmismweaklymassociatedmwithmthemdisease
D. Negativemresultmismweaklymassociatedmwithmabsencemofmthemdisea
se
m 10. Whichmofmthemfollowingmclinicalmreasoningmtools mis mdefinedmas mevidence-basedmresourcembasedmonm mathematical mmodeling
tomexpress mthemlikelihoodmofmamconditionminmselectmsituations,msettings,mand/or mpatients?
, lOMoARcPSD|126m 5
67m 13
A. Clinicalmpracticemguidelin
e
B. Clinicalmdecisionmrule
C. Clinicalmalgorithm
Chapterm1:mClinicalmreasoning,mdifferentialmdiagnosis,mevidence-basedmpractice,mandmsymptom mana
AnswermSection
MULTIPLEmCHOICE
1. ANS: B
Croskerrym(2009)mdescribes mtwommajormtypes mofmclinicalmdiagnosticmdecision-
making:mintuitivemandmanalytical.mIntuitivemdecision-m makingm(similarmto mAugenblinkmdecision-
making)mis mbasedmonmthemexperiencemand mintuition mofmthe mclinicianmand mismless mreliablem andmpairedmwith mfairlymcommonmerro
rs.mInmcontrast,manalyticalmdecision-makingm ismbasedmonm carefulmconsideration mandmhasmgreatermreliabilitymwithmraremerrors.
PTS: 1
2. ANS: D
Tomobtainmadequatemhistory,mproviders mmustmbemwellmorganized,mattentive mto mthempatient’s mverbalm andmnonverbalmlanguage,ma
ndmablemtomaccuratelyminterpretm thempatient’s mresponses mtomquestions.mRathermthan mreadingminto mthempatient’s mstatements,mthey
mclarifymanymareas mofmuncertainty.
PTS: 1
3. ANS: C
Vitalmsigns marempartmofmthemphysicalmexaminationmportionmofmpatientmassessment,mnotmpart mofmthemhealthmhistory.
PTS: 1
4. ANS: D
Whilemperformingmthemphysicalmexamination,m themexaminermmust mbemablem tomdifferentiate mbetweenmnormalmand mabnormalmfindi
ngs,mrecallmknowledgemofmamrangemofmconditions,mincludingmtheirm associatedmsigns mandmsymptoms,mrecognize mhow mcertainm con
ditions maffectmthemresponsemtomothermconditions,m andmdistinguishmthemrelevance mofmvariedmabnormal mfindings.
PTS: 1
5. ANS: C
Sources mformdiagnosticmstatistics mincludemtextbooks,mprimarymreports mofmresearch,mandmpublishedm meta-
analyses.mAnothermsourcemofmstatistics,mthemonemthatmhasmbeenmmostmwidelymusedmandmavailable mformapplication mtomthemreasoni
ngmprocess,mismthemestimationmbasedmonmamprovider’s mexperience,malthoughmthesemare mrarelymaccurate.mOvermthempast mdecade,m
themavailabilitymofmevidencemonmwhichmtombasemclinicalmreasoningmismimproving,m andmtheremismanmincreasingmexpectationm thatmc
linicalmreasoningmbembasedmonmscientificmevidence.
Evidence-basedmstatistics maremalsomincreasinglymbeingmusedmtomdevelopmresources mtomfacilitatemclinical mdecision-making.
PTS: 1
6. ANS: D
Tomassistminmclinicalmdecision-making,mamnumbermofmevidence-
basedmresources mhavembeenmdevelopedmtomassistmthem clinician.mResources,msuchmasmalgorithms mandmclinicalmpracticemguidelines
,massistminmclinicalmreasoningmwhenmproperlymapplied.
PTS: 1
7. ANS: A
Themsensitivitymofmamdiagnosticmstudymismthempercentagemofm individuals mwithm them targetmconditionmwhomshow manm abnormal,mor
mpositive,mresult.mA mhighmsensitivitymindicates mthatmamgreater mpercentagemofmpersons mwithmthemgiven mconditionmwillmhavemanm abn
ormalmresult.
PTS: 1
8. ANS: B
Themspecificitymofmamdiagnosticmstudym ismthe mpercentagemofmnormal,mhealthy mindividuals mwhomhavemamnormal mresult.m Themgr
eatermthemspecificity,mthe mgreatermthempercentagemofm individuals mwhomwill mhavemnegative,mor mnormal,mresults m ifmthey mdomnotm
havemthemtargetmcondition.
PTS: 1
9. ANS: A
Themlikelihoodmratiomismthemprobabilitymthatma mpositivemtest mresultmwillmbemassociatedmwithmampersonmwhomhas mthe mtargetmcondi
tionmandmamnegativemresultmwill mbemassociated mwithm amhealthymperson.mA mlikelihoodmratiom abovem1m indicates m thatm ampositivemres
ultmis massociatedmwithmthemdisease;mamlikelihoodmratiomless mthanm1mindicates mthatmamnegative mresultmismassociatedmwithmanmabsenc
emofmthemdisease.
