Expert Mercy
Complete Test Bank
Advanced Assessment: Interpreting Findings and Formulating Differential Diagnoses,
5th Edition,
By Mary Jo Goolsby, Laurie Grubbs
Chapter 1 – 22, Latest Edition
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,Expert Mercy
Chapter 1. Assessment and Clinical Decision-Making: Overview
Multiple Choice
Answers Provided at the End of Each Chapter.
1.Which type of clinical decision-making is most reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2.Which of the following is false? To obtain 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
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
4.Which of the following is false? While performing the physical examination, the examiner
must be able to:
A. Differentiate between normal and abnormal findings
B. Recall knowledge of a range of conditions and their associated signs and symptoms
C. Recognize how certain conditions affect the response to other conditions
D. Foresee unpredictable findings
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5.The following is the least reliable source of information for diagnostic statistics:
A. Evidence-based investigations
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B. Primary reports of research
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C. Estimation based on a provider’s experience
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D. Published meta-analyses
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6.The following can be used to assist in sound clinical decision-making:
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,Expert Mercy
A. Algorithm published in a peer-reviewed journal article
B. Clinical practice guidelines
C. Evidence-based research
D. All of the above
7.If a diagnostic study has high sensitivity, this indicates a:
A. High percentage of persons with the given condition will have an abnormal result
B. Low percentage of persons with the given condition will have an abnormal result
C. Low likelihood of normal result in persons without a given condition
D. None of the above
8.If a diagnostic study has high specificity, this indicates a:
A. Low percentage of healthy individuals will show a normal result
B. High percentage of healthy individuals will show a normal result
C. High percentage of individuals with a disorder will show a normal result
D. Low percentage of individuals with a disorder will show an abnormal result
9.A likelihood ratio above 1 indicates that a diagnostic test showing a:
A. Positive result is strongly associated with the disease
B. Negative result is strongly associated with absence of the disease
C. Positive result is weakly associated with the disease
D. Negative result is weakly associated with absence of the disease
10. Which of the following clinical reasoning tools is defined as evidence-based
resource based on mathematical modeling to express the likelihood of a condition in select
situations, settings, and/or patients?
A. Clinical practice guideline
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B. Clinical decision rule
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C. Clinical algorithm
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D. Clinical recommendation
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Ex
, Expert Mercy
Answer Section
MULTIPLE CHOICE
1. ANS: B
Croskerry (2009) describes two major types of clinical diagnostic decision-making: intuitive and
analytical. Intuitive decision-making (similar to Augenblink decision-making) is based on the
experience and intuition of the clinician and is less reliable and paired with fairly common errors.
In contrast, analytical decision-making is based on careful consideration and has greater
reliability with rare errors.
PTS: 1
2. ANS: D
To obtain adequate history, providers must be well organized, attentive to the patient’s verbal
and nonverbal language, and able to accurately interpret the patient’s responses to questions.
Rather than reading into the patient’s statements, they clarify any areas of uncertainty.
PTS: 1
3. ANS: C
Vital signs are part of the physical examination portion of patient assessment, not part of the
health history.
PTS: 1
4. ANS: D
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While performing the physical examination, the examiner must be able to differentiate between
normal and abnormal findings, recall knowledge of a range of conditions, including their
er
associated signs and symptoms, recognize how certain conditions affect the response to other
conditions, and distinguish the relevance of varied abnormal findings.
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PTS: 1
5. ANS: C
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Ex
Complete Test Bank
Advanced Assessment: Interpreting Findings and Formulating Differential Diagnoses,
5th Edition,
By Mary Jo Goolsby, Laurie Grubbs
Chapter 1 – 22, Latest Edition
cy
er
tM
p er
Ex
,Expert Mercy
Chapter 1. Assessment and Clinical Decision-Making: Overview
Multiple Choice
Answers Provided at the End of Each Chapter.
1.Which type of clinical decision-making is most reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2.Which of the following is false? To obtain 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
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
4.Which of the following is false? While performing the physical examination, the examiner
must be able to:
A. Differentiate between normal and abnormal findings
B. Recall knowledge of a range of conditions and their associated signs and symptoms
C. Recognize how certain conditions affect the response to other conditions
D. Foresee unpredictable findings
cy
5.The following is the least reliable source of information for diagnostic statistics:
A. Evidence-based investigations
er
B. Primary reports of research
tM
C. Estimation based on a provider’s experience
er
D. Published meta-analyses
p
6.The following can be used to assist in sound clinical decision-making:
Ex
,Expert Mercy
A. Algorithm published in a peer-reviewed journal article
B. Clinical practice guidelines
C. Evidence-based research
D. All of the above
7.If a diagnostic study has high sensitivity, this indicates a:
A. High percentage of persons with the given condition will have an abnormal result
B. Low percentage of persons with the given condition will have an abnormal result
C. Low likelihood of normal result in persons without a given condition
D. None of the above
8.If a diagnostic study has high specificity, this indicates a:
A. Low percentage of healthy individuals will show a normal result
B. High percentage of healthy individuals will show a normal result
C. High percentage of individuals with a disorder will show a normal result
D. Low percentage of individuals with a disorder will show an abnormal result
9.A likelihood ratio above 1 indicates that a diagnostic test showing a:
A. Positive result is strongly associated with the disease
B. Negative result is strongly associated with absence of the disease
C. Positive result is weakly associated with the disease
D. Negative result is weakly associated with absence of the disease
10. Which of the following clinical reasoning tools is defined as evidence-based
resource based on mathematical modeling to express the likelihood of a condition in select
situations, settings, and/or patients?
A. Clinical practice guideline
cy
B. Clinical decision rule
er
C. Clinical algorithm
tM
D. Clinical recommendation
p er
Ex
, Expert Mercy
Answer Section
MULTIPLE CHOICE
1. ANS: B
Croskerry (2009) describes two major types of clinical diagnostic decision-making: intuitive and
analytical. Intuitive decision-making (similar to Augenblink decision-making) is based on the
experience and intuition of the clinician and is less reliable and paired with fairly common errors.
In contrast, analytical decision-making is based on careful consideration and has greater
reliability with rare errors.
PTS: 1
2. ANS: D
To obtain adequate history, providers must be well organized, attentive to the patient’s verbal
and nonverbal language, and able to accurately interpret the patient’s responses to questions.
Rather than reading into the patient’s statements, they clarify any areas of uncertainty.
PTS: 1
3. ANS: C
Vital signs are part of the physical examination portion of patient assessment, not part of the
health history.
PTS: 1
4. ANS: D
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While performing the physical examination, the examiner must be able to differentiate between
normal and abnormal findings, recall knowledge of a range of conditions, including their
er
associated signs and symptoms, recognize how certain conditions affect the response to other
conditions, and distinguish the relevance of varied abnormal findings.
tM
er
PTS: 1
5. ANS: C
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Ex
