TEST BANK FOR ADVANCED ASSESSMENT: INTERPRETING FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSES 5th Edition by Goolsb

TEST BANK FOR ADVANCED ASSESSMENT:
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INTERPRETING FINDINGS AND FORMULA
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TING DIFFERENTIAL DIAGNOSES 5TH EDI
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TION, MARY JO GOOLSBY, LAURIE GRUBB
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S ISBN-10; 1719645930 / ISBN-13;978-
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1719645935

,Chapter3f1.3fAssessment3fand3fClinical3fDecision-Making:3fOverview

Multiple3fChoice
Identify3fthe3fchoice3fthat3fbest3fcompletes3fthe3fstatement3for3fanswers3fthe3fquestion.

1. Which3ftype3fof3fclinical3fdecision-making3fis3fmost3freliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick

2. Which3fof3fthe3ffollowing3fis3ffalse?3fTo3fobtain3fadequate3fhistory,3fhealth-care3fproviders3fmust3fbe:
A. Methodical3fand3fsystematic
B. Attentive3fto3fthe3fpatient’s3fverbal3fand3fnonverbal3flanguage
C. Able3fto3faccurately3finterpret3fthe3fpatient’s3fresponses
D. Adept3fat3freading3finto3fthe3fpatient’s3fstatements

3. Essential3fparts3fof3fa3fhealth3fhistory3finclude3fall3fof3fthe3ffollowing3fexcept:
A. Chief3fcomplaint
B. History3fof3fthe3fpresent3fillness
C. Current3fvital3fsigns
D. All3fof3fthe3fabove3fare3fessential3fhistory3fcomponents

4. Which3fof3fthe3ffollowing3fis3ffalse?3fWhile3fperforming3fthe3fphysical3fexamination,3fthe3fexaminer3f
must3fbe3fable3fto:
A. Differentiate3fbetween3fnormal3fand3fabnormal3ffindings
B. Recall3fknowledge3fof3fa3frange3fof3fconditions3fand3ftheir3fassociated3fsigns3fand3fsymptoms
C. Recognize3fhow3fcertain3fconditions3faffect3fthe3fresponse3fto3fother3fconditions
D. Foresee3funpredictable3ffindings

5. The3ffollowing3fis3fthe3fleast3freliable3fsource3fof3finformation3ffor3fdiagnostic3fstatistics:
A. Evidence-based3finvestigations
B. Primary3freports3fof3fresearch
C. Estimation3fbased3fon3fa3fprovider’s3fexperience
D. Published3fmeta-analyses

6. The3ffollowing3fcan3fbe3fused3fto3fassist3fin3fsound3fclinical3fdecision-making:
A. Algorithm3fpublished3fin3fa3fpeer-reviewed3fjournal3farticle
B. Clinical3fpractice3fguidelines
C. Evidence-based3fresearch
D. All3fof3fthe3fabove

7. If3fa3fdiagnostic3fstudy3fhas3fhigh3fsensitivity,3fthis3findicates3fa:
A. High3fpercentage3fof3fpersons3fwith3fthe3fgiven3fcondition3fwill3fhave3fan3fabnormal3fresult
B. Low3fpercentage3fof3fpersons3fwith3fthe3fgiven3fcondition3fwill3fhave3fan3fabnormal3fresult
C. Low3flikelihood3fof3fnormal3fresult3fin3fpersons3fwithout3fa3fgiven3fcondition
D. None3fof3fthe3fabove

, 8. If3fa3fdiagnostic3fstudy3fhas3fhigh3fspecificity,3fthis3findicates3fa:
A. Low3fpercentage3fof3fhealthy3findividuals3fwill3fshow3fa3fnormal3fresult
B. High3fpercentage3fof3fhealthy3findividuals3fwill3fshow3fa3fnormal3fresult
C. High3fpercentage3fof3findividuals3fwith3fa3fdisorder3fwill3fshow3fa3fnormal3fresult
D. Low3fpercentage3fof3findividuals3fwith3fa3fdisorder3fwill3fshow3fan3fabnormal3fresult
9. A3flikelihood3fratio3fabove3f13findicates3fthat3fa3fdiagnostic3ftest3fshowing3fa:
A. Positive3fresult3fis3fstrongly3fassociated3fwith3fthe3fdisease
B. Negative3fresult3fis3fstrongly3fassociated3fwith3fabsence3fof3fthe3fdisease
C. Positive3fresult3fis3fweakly3fassociated3fwith3fthe3fdisease
D. Negative3fresult3fis3fweakly3fassociated3fwith3fabsence3fof3fthe3fdisease
3 f 10.3fWhich3fof3fthe3ffollowing3fclinical3freasoning3ftools3fis3fdefined3fas3fevidence-
based3fresource3fbased3fon3fmathematical3fmodeling3fto3fexpress3fthe3flikelihood3fof3fa3fcondition3fin3
fselect3fsituations,3fsettings,3fand/or3fpatients?
A. Clinical3fpractice3fguideline
B. Clinical3fdecision3frule
C. Clinical3falgorithm
D. Clinical3frecommendation

, Answer3fSection

MULTIPLE3fCHOICE

1. ANS:3 f 3 f B
Croskerry3f(2009)3fdescribes3ftwo3fmajor3ftypes3fof3fclinical3fdiagnostic3fdecision-
making:3fintuitive3fand3fanalytical.3fIntuitive3fdecision-making3f(similar3fto3fAugenblink3fdecision-
making)3fis3fbased3fon3fthe3fexperience3fand3fintuition3fof3fthe3fclinician3fand3fis3fless3freliable3fand3fp
aired3fwith3ffairly3fcommon3ferrors.3fIn3fcontrast,3fanalytical3fdecision-
making3fis3fbased3fon3fcareful3fconsideration3fand3fhas3fgreater3freliability3fwith3frare3ferrors.

PTS: 1
2. ANS:3 f 3 f D
To3fobtain3fadequate3fhistory,3fproviders3fmust3fbe3fwell3forganized,3fattentive3fto3fthe3fpatient’s3fverba
l3fand3fnonverbal3flanguage,3fand3fable3fto3faccurately3finterpret3fthe3fpatient’s3fresponses3fto3fquestio
ns.3fRather3fthan3freading3finto3fthe3fpatient’s3fstatements,3fthey3fclarify3fany3fareas3fof3funcertainty.

PTS: 1
3. ANS:3 f 3 f C
Vital3fsigns3fare3fpart3fof3fthe3fphysical3fexamination3fportion3fof3fpatient3fassessment,3fnot3fpart3fof3fthe
3fhealth3fhistory.


PTS: 1
4. ANS:3 f 3 f D
While3fperforming3fthe3fphysical3fexamination,3fthe3fexaminer3fmust3fbe3fable3fto3fdifferentiate3fbetw
een3fnormal3fand3fabnormal3ffindings,3frecall3fknowledge3fof3fa3frange3fof3fconditions,3fincluding3fth
eir3fassociated3fsigns3fand3fsymptoms,3frecognize3fhow3fcertain3fconditions3faffect3fthe3fresponse3fto3
fother3fconditions,3fand3fdistinguish3fthe3frelevance3fof3fvaried3fabnormal3ffindings.


PTS: 1
5. ANS:3 f 3 f C
Sources3ffor3fdiagnostic3fstatistics3finclude3ftextbooks,3fprimary3freports3fof3fresearch,3fand3fpublish
ed3fmeta-
analyses.3fAnother3fsource3fof3fstatistics,3fthe3fone3fthat3fhas3fbeen3fmost3fwidely3fused3fand3favailab
le3ffor3fapplication3fto3fthe3freasoning3fprocess,3fis3fthe3festimation3fbased3fon3fa3fprovider’s3fexperi
ence,3falthough3fthese3fare3frarely3faccurate.3fOver3fthe3fpast3fdecade,3fthe3favailability3fof3fevidence
3fon3fwhich3fto3fbase3fclinical3freasoning3fis3fimproving,3fand3fthere3fis3fan3fincreasing3fexpectation3ft
hat3fclinical3freasoning3fbe3fbased3fon3fscientific3fevidence.3fEvidence-
based3fstatistics3fare3falso3fincreasingly3fbeing3fused3fto3fdevelop3fresources3fto3ffacilitate3fclinical3f
decision-making.

PTS: 1
6. ANS:3 f 3 f D
To3fassist3fin3fclinical3fdecision-making,3fa3fnumber3fof3fevidence-
based3fresources3fhave3fbeen3fdeveloped3fto3fassist3fthe3fclinician.3fResources,3fsuch3fas3falgorithms3
fand3fclinical3fpractice3fguidelines,3fassist3fin3fclinical3freasoning3fwhen3fproperly3fapplied.