Formulating Differential Diagnoses 5th Edition by Goolsby and Grubbs
, TABLE OF CONTENTS
e e
➢ Chaptere1.eAssessmenteandeClinicaleDecisioneMaking:eAneOverview
➢ Chaptere2.eGenomiceAssessment:eInterpretingeFindingseandeFormulatingeDifferentialeDiagnos
es
➢ Chaptere3.eSkin
➢ Chaptere4.eHead,eFace,eandeNeck
➢ Chaptere5.eTheeEye
➢ Chaptere6.eEar,eNose,eMouth,eandeThroat
➢ Chaptere7.eCardiaceandePeripheraleVasculareSystems
➢ Chaptere8.eRespiratoryeSystem
➢ Chaptere9.eBreasts
➢ Chaptere10.eAbdomen
➢ Chaptere11.eGenitourinaryeSystem
➢ Chaptere12.eMaleeReproductiveeSystem
➢ Chaptere13.eFemaleeReproductiveeSystem
➢ Chaptere14.eMusculoskeletaleSystem
➢ Chaptere15.eNeurologicaleSystem
➢ Chaptere16.eNonspecificeComplaints
➢ Chaptere17.ePsychiatriceMentaleHealth
➢ Chaptere18.ePediatricePatients
➢ Chaptere19.ePregnantePatients
➢ Chaptere20.eAssessmenteofetheeTransgendereoreGendereDiverseeAdult
➢ Chaptere21.eOlderePatients
➢ Chaptere22.ePersonseWitheDisabilities
, ➢ Chaptere1.eAssessmenteandeClinicaleDecisioneMaking:eAneOverview
Multiple Choice
1. Which type of clinical decision-making is most reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
Answer: B
Analytical decision-making, as described by Croskerry (2009), is based on careful reasoning and tends to be more
reliable with fewer errors, unlike intuitive or Augenblick (snap) decisions, which rely more on experience and intuition
and are more error-prone.
2. Which of the following is false? To obtain an 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
Answer: D
Providers should organize their approach, be attentive to the patient’s language, and interpret responses accurately —
but they should not “read into” statements without clarifying areas of uncertainty.
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
Answer: C
Vital signs are part of the physical examination, not the health history.
4. Which of the following is false? While performing a physical examination, the examiner must be able to:
A. Differentiate between normal and abnormal findings
B. Recall knowledge of a range of conditions with their associated signs and symptoms
C. Recognize how certain conditions affect responses to other conditions
D. Foresee unpredictable findings
Answer: D
During a physical exam, clinicians should differentiate between normal and abnormal, recall relevant disease patterns,
and understand interactions between conditions — but they cannot be expected to foresee unpredictable findings.
5. The following is the least reliable source of information for diagnostic statistics:
A. Evidence-based investigations
B. Primary research reports
C. Estimation based on a provider’s experience
D. Published meta-analyses
Answer: C
Although widely used, estimates based on provider experience are rarely accurate. Evidence-based statistics are
increasingly used to improve the reasoning process.