Test Bank Advanced Health Assessment & Clinical Diagnosis in
Primary Care 7th Edition by Joyce E. Dains, Linda C. Baumann
100% Expert Verified Answers| A+
1
, Chapter 1: Clinical reasoning, differential diagnosis, evidence-
p p p p p p
based practice, and symptom analysis
p p p p
Multiple Choice
p
Identifypthepchoicepthatpbestpcompletespthepstatementporpanswerspthepquestion.
1. Whichptypepofpclinicalpdecision-makingpispmostpreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Whichpofpthepfollowingpispfalse?pTopobtainpadequatephistory,phealth-carepproviderspmustpbe:
A. Methodicalpandpsystematic
B. Attentiveptoptheppatient‘spverbalpandpnonverbalplanguage
C. Ableptopaccuratelypinterpretptheppatient‘spresponses
D. Adeptpatpreadingpintoptheppatient‘spstatements
3. Essentialppartspofpaphealthphistorypincludepallpofpthepfollowingpexcept:
A. Chiefpcomplaint
B. Historypofptheppresentpillness
C. Currentpvitalpsigns
D. Allpofpthepaboveparepessentialphistorypcomponents
4. Whichpofpthepfollowingpispfalse?pWhilepperformingpthepphysicalpexamination,pthepmustpbepablepto:
A. Differentiatepbetweenpnormalpandpabnormalpfindings
B. Recallpknowledgepofpaprangepofpconditionspandptheirpassociatedpsignspandpsymptoms
C. Recognizephowpcertainpconditionspaffectpthepresponseptopotherpconditions
D. Foreseepunpredictablepfindings
2
,5. Thepfollowingpispthepleastpreliablepsourcepofpinformationpforpdiagnosticpstatistics:
A. Evidence-basedpinvestigations
B. Primarypreportspofpresearch
C. Estimationpbasedponpapprovider‘spexperience
D. Publishedpmeta-analyses
6. Thepfollowingpcanpbepusedptopassistpinpsoundpclinicalpdecision-making:
A. Algorithmppublishedpinpappeer-reviewedpjournalparticle
B. Clinicalppracticepguidelines
C. Evidence-basedpresearch
D. Allpofpthepabove
7. Ifpapdiagnosticpstudyphasphighpsensitivity,pthispindicatespa:
A. Highppercentagepofppersonspwithpthepgivenpconditionpwillphavepanpabnormalpresult
B. Lowppercentagepofppersonspwithpthepgivenpconditionpwillphavepanpabnormalpresult
C. Lowplikelihoodpofpnormalpresultpinppersonspwithoutpapgivenpcondition
D. Nonepofpthepabove
8. Ifpapdiagnosticpstudyphasphighpspecificity,pthispindicatespa:
A. Lowppercentagepofphealthypindividualspwillpshowpapnormalpresult
B. Highppercentagepofphealthypindividualspwillpshowpapnormalpresult
C. Highppercentagepofpindividualspwithpapdisorderpwillpshowpapnormalpresult
D. Lowppercentagepofpindividualspwithpapdisorderpwillpshowpanpabnormalpresult
9. Aplikelihoodpratiopabovep1pindicatespthatpapdiagnosticptestpshowingpa:
A. Positivepresultpispstronglypassociatedpwithpthepdisease
B. Negativepresultpispstronglypassociatedpwithpabsencepofpthepdisease
3
, C. Positivepresultpispweaklypassociatedpwithpthepdisease
D. Negativepresultpispweaklypassociatedpwithpabsencepofpthepdisease
10. Whichpofpthepfollowingpclinicalpreasoningptoolspispdefinedpaspevidence-
basedpresourcepbasedponpmathematicalpmodelingptopexpressptheplikelihoodpofpapconditionpinpselectp
situations,psettings,pand/orppatients?
A. Clinicalppracticepguideline
B. Clinicalpdecisionprule
C. Clinicalpalgorithm
Chapter 1: Clinical reasoning, differential diagnosis, evidence-
p p p p p p
based practice, and symptom analysis
p p p p
Answer Section MULTI
p p
PLE CHOICEp
1. ANS:pB
Croskerryp(2009)pdescribesptwopmajorptypespofpclinicalpdiagnosticpdecision-
making:pintuitivepandpanalytical.pIntuitivepdecision-pmakingp(similarptopAugenblinkpdecision-
making)pispbasedponpthepexperiencepandpintuitionpofpthepclinicianpandpisplesspreliablepandppairedpwithp
fairlypcommonperrors.pInpcontrast,panalyticalpdecision-
makingpispbasedponpcarefulpconsiderationpandphaspgreaterpreliabilitypwithprareperrors.
PTS: 1
2. ANS:pD
Topobtainpadequatephistory,pproviderspmustpbepwellporganized,pattentiveptoptheppatient‘spverbalpan
dpnonverbalplanguage,pandpableptopaccuratelypinterpretptheppatient‘spresponsesptopquestions.pRathe
rpthanpreadingpintoptheppatient‘spstatements,ptheypclarifypanypareaspofpuncertainty.
PTS: 1
3. ANS:pC
Vitalpsignspareppartpofpthepphysicalpexaminationpportionpofppatientpassessment,pnotppartpofpthephealth
phistory.
4
Primary Care 7th Edition by Joyce E. Dains, Linda C. Baumann
100% Expert Verified Answers| A+
1
, Chapter 1: Clinical reasoning, differential diagnosis, evidence-
p p p p p p
based practice, and symptom analysis
p p p p
Multiple Choice
p
Identifypthepchoicepthatpbestpcompletespthepstatementporpanswerspthepquestion.
1. Whichptypepofpclinicalpdecision-makingpispmostpreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Whichpofpthepfollowingpispfalse?pTopobtainpadequatephistory,phealth-carepproviderspmustpbe:
A. Methodicalpandpsystematic
B. Attentiveptoptheppatient‘spverbalpandpnonverbalplanguage
C. Ableptopaccuratelypinterpretptheppatient‘spresponses
D. Adeptpatpreadingpintoptheppatient‘spstatements
3. Essentialppartspofpaphealthphistorypincludepallpofpthepfollowingpexcept:
A. Chiefpcomplaint
B. Historypofptheppresentpillness
C. Currentpvitalpsigns
D. Allpofpthepaboveparepessentialphistorypcomponents
4. Whichpofpthepfollowingpispfalse?pWhilepperformingpthepphysicalpexamination,pthepmustpbepablepto:
A. Differentiatepbetweenpnormalpandpabnormalpfindings
B. Recallpknowledgepofpaprangepofpconditionspandptheirpassociatedpsignspandpsymptoms
C. Recognizephowpcertainpconditionspaffectpthepresponseptopotherpconditions
D. Foreseepunpredictablepfindings
2
,5. Thepfollowingpispthepleastpreliablepsourcepofpinformationpforpdiagnosticpstatistics:
A. Evidence-basedpinvestigations
B. Primarypreportspofpresearch
C. Estimationpbasedponpapprovider‘spexperience
D. Publishedpmeta-analyses
6. Thepfollowingpcanpbepusedptopassistpinpsoundpclinicalpdecision-making:
A. Algorithmppublishedpinpappeer-reviewedpjournalparticle
B. Clinicalppracticepguidelines
C. Evidence-basedpresearch
D. Allpofpthepabove
7. Ifpapdiagnosticpstudyphasphighpsensitivity,pthispindicatespa:
A. Highppercentagepofppersonspwithpthepgivenpconditionpwillphavepanpabnormalpresult
B. Lowppercentagepofppersonspwithpthepgivenpconditionpwillphavepanpabnormalpresult
C. Lowplikelihoodpofpnormalpresultpinppersonspwithoutpapgivenpcondition
D. Nonepofpthepabove
8. Ifpapdiagnosticpstudyphasphighpspecificity,pthispindicatespa:
A. Lowppercentagepofphealthypindividualspwillpshowpapnormalpresult
B. Highppercentagepofphealthypindividualspwillpshowpapnormalpresult
C. Highppercentagepofpindividualspwithpapdisorderpwillpshowpapnormalpresult
D. Lowppercentagepofpindividualspwithpapdisorderpwillpshowpanpabnormalpresult
9. Aplikelihoodpratiopabovep1pindicatespthatpapdiagnosticptestpshowingpa:
A. Positivepresultpispstronglypassociatedpwithpthepdisease
B. Negativepresultpispstronglypassociatedpwithpabsencepofpthepdisease
3
, C. Positivepresultpispweaklypassociatedpwithpthepdisease
D. Negativepresultpispweaklypassociatedpwithpabsencepofpthepdisease
10. Whichpofpthepfollowingpclinicalpreasoningptoolspispdefinedpaspevidence-
basedpresourcepbasedponpmathematicalpmodelingptopexpressptheplikelihoodpofpapconditionpinpselectp
situations,psettings,pand/orppatients?
A. Clinicalppracticepguideline
B. Clinicalpdecisionprule
C. Clinicalpalgorithm
Chapter 1: Clinical reasoning, differential diagnosis, evidence-
p p p p p p
based practice, and symptom analysis
p p p p
Answer Section MULTI
p p
PLE CHOICEp
1. ANS:pB
Croskerryp(2009)pdescribesptwopmajorptypespofpclinicalpdiagnosticpdecision-
making:pintuitivepandpanalytical.pIntuitivepdecision-pmakingp(similarptopAugenblinkpdecision-
making)pispbasedponpthepexperiencepandpintuitionpofpthepclinicianpandpisplesspreliablepandppairedpwithp
fairlypcommonperrors.pInpcontrast,panalyticalpdecision-
makingpispbasedponpcarefulpconsiderationpandphaspgreaterpreliabilitypwithprareperrors.
PTS: 1
2. ANS:pD
Topobtainpadequatephistory,pproviderspmustpbepwellporganized,pattentiveptoptheppatient‘spverbalpan
dpnonverbalplanguage,pandpableptopaccuratelypinterpretptheppatient‘spresponsesptopquestions.pRathe
rpthanpreadingpintoptheppatient‘spstatements,ptheypclarifypanypareaspofpuncertainty.
PTS: 1
3. ANS:pC
Vitalpsignspareppartpofpthepphysicalpexaminationpportionpofppatientpassessment,pnotppartpofpthephealth
phistory.
4
