Test Bank for Advanced Assessment: Interpreting Findings
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and Formulating Differential Diagnoses, 5th Edition, Mary Jo
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Goolsby, Laurie GrubbsChapter 1 - 22 | Complete
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,
,Chapter 1. Assessment and Clinical Decision-Making: Overview
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
n9 1. Which type of clinical decision-making is most reliable?
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A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
n9 2. Which of the following is false? To obtain adequate history, health-care providers must be:
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
A. Methodical and systematic n9 n9
B. Attentive to the patient’s verbal and nonverbal languagen9 n9 n9 n9 n9 n9 n9
C. Able to accurately interpret the patient’s responses
n9 n9 n9 n9 n9 n9
D. Adept at reading into the patient’s statements
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Essential parts of a health history include all of the following except:
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n9 3. A. Chief complaint n9
B. History of the present illness n9 n9 n9 n9
C. Current vital signs n9 n9
D. All of the above are essential history components
n9 n9 n9 n9 n9 n9 n9
Which of the following is false? While performing the physical examination, the examiner mus
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
n9 4. t beable to:
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n n9
A. Differentiate between normal and abnormal findings n9 n9 n9 n9 n9
B. Recall knowledge of a range of conditions and their associated signs and symptoms
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
C. Recognize how certain conditions affect the response to other conditions
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D. Foresee unpredictable findings n9 n9
The following is the least reliable source of information for diagnostic statistics:
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n9 5. A. Evidence-based investigations n9
B. Primary reports of research n9 n9 n9
C. Estimation based on a provider’s experience n9 n9 n9 n9 n9
D. Published meta-analyses n9
The following can be used to assist in sound clinical decision-making:
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
n9 6. A. Algorithm published in a peer-reviewed journal article n9 n9 n9 n9 n9 n9
B. Clinical practice guidelines n9 n9
C. Evidence-based research n9
D. All of the above n9 n9 n9
If a diagnostic study has high sensitivity, this indicates a:
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A. High percentage of persons with the given condition will have an abnormal result
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n9 7. B. Low percentage of persons with the given condition will have an abnormal result
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C. Low likelihood of normal result in persons without a given condition
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D. None of the above n9 n9 n9
, n9 8. If a diagnostic study has high specificity, this indicates a:
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A. Low percentage of healthy individuals will show a normal result
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B. High percentage of healthy individuals will show a normal result
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C. High percentage of individuals with a disorder will show a normal result
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D. Low percentage of individuals with a disorder will show an abnormal result
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n9 9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
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A. Positive result is strongly associated with the disease
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B. Negative result is strongly associated with absence of the disease
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C. Positive result is weakly associated with the disease
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D. Negative result is weakly associated with absence of the disease
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n9 n9n9n 9 10. Which of the following clinical reasoning tools is defined as evidence-
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based resource based on mathematical modeling to express the likelihood of a condition in se
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
lect situations, settings, and/orpatients?
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n
A. Clinical practice guidelin n9 n9
B. eClinical decision rule Cl
9
n n9 n9 n9
C. inical algorithm Clinical n9 n9 n9
D. recommendation
n9 n9 n9 n9 n9 n9 n9
and Formulating Differential Diagnoses, 5th Edition, Mary Jo
n9 n9 n9 n9 n9 n9 n9 9
n
Goolsby, Laurie GrubbsChapter 1 - 22 | Complete
n9 n9 9
n n9 n9 n9 n9 n9
,
,Chapter 1. Assessment and Clinical Decision-Making: Overview
n9 n9 n9 n9 n9 n9
Multiple Choice
n9
Identify the choice that best completes the statement or answers the question.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
n9 1. Which type of clinical decision-making is most reliable?
n9 n9 n9 n9 n9 n9 n9
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
n9 2. Which of the following is false? To obtain adequate history, health-care providers must be:
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
A. Methodical and systematic n9 n9
B. Attentive to the patient’s verbal and nonverbal languagen9 n9 n9 n9 n9 n9 n9
C. Able to accurately interpret the patient’s responses
n9 n9 n9 n9 n9 n9
D. Adept at reading into the patient’s statements
n9 n9 n9 n9 n9 n9
Essential parts of a health history include all of the following except:
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
n9 3. A. Chief complaint n9
B. History of the present illness n9 n9 n9 n9
C. Current vital signs n9 n9
D. All of the above are essential history components
n9 n9 n9 n9 n9 n9 n9
Which of the following is false? While performing the physical examination, the examiner mus
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
n9 4. t beable to:
n9 9
n n9
A. Differentiate between normal and abnormal findings n9 n9 n9 n9 n9
B. Recall knowledge of a range of conditions and their associated signs and symptoms
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
C. Recognize how certain conditions affect the response to other conditions
n9 n9 n9 n9 n9 n9 n9 n9 n9
D. Foresee unpredictable findings n9 n9
The following is the least reliable source of information for diagnostic statistics:
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
n9 5. A. Evidence-based investigations n9
B. Primary reports of research n9 n9 n9
C. Estimation based on a provider’s experience n9 n9 n9 n9 n9
D. Published meta-analyses n9
The following can be used to assist in sound clinical decision-making:
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
n9 6. A. Algorithm published in a peer-reviewed journal article n9 n9 n9 n9 n9 n9
B. Clinical practice guidelines n9 n9
C. Evidence-based research n9
D. All of the above n9 n9 n9
If a diagnostic study has high sensitivity, this indicates a:
n9 n9 n9 n9 n9 n9 n9 n9 n9
A. High percentage of persons with the given condition will have an abnormal result
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
n9 7. B. Low percentage of persons with the given condition will have an abnormal result
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
C. Low likelihood of normal result in persons without a given condition
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D. None of the above n9 n9 n9
, n9 8. If a diagnostic study has high specificity, this indicates a:
n9 n9 n9 n9 n9 n9 n9 n9 n9
A. Low percentage of healthy individuals will show a normal result
n9 n9 n9 n9 n9 n9 n9 n9 n9
B. High percentage of healthy individuals will show a normal result
n9 n9 n9 n9 n9 n9 n9 n9 n9
C. High percentage of individuals with a disorder will show a normal result
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
D. Low percentage of individuals with a disorder will show an abnormal result
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
n9 9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
A. Positive result is strongly associated with the disease
n9 n9 n9 n9 n9 n9 n9
B. Negative result is strongly associated with absence of the disease
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C. Positive result is weakly associated with the disease
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D. Negative result is weakly associated with absence of the disease
n9 n9 n9 n9 n9 n9 n9 n9 n9
n9 n9n9n 9 10. Which of the following clinical reasoning tools is defined as evidence-
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
based resource based on mathematical modeling to express the likelihood of a condition in se
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
lect situations, settings, and/orpatients?
n9 n9 n9 9
n
A. Clinical practice guidelin n9 n9
B. eClinical decision rule Cl
9
n n9 n9 n9
C. inical algorithm Clinical n9 n9 n9
D. recommendation