FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSES 5th
EDITION GOOLSBY CHAPTERS 1 - 22 | COMPLETE
, ➢ Chapter 1. Assessment and Clinical Decision Making: An Overview
Y Y Y Y Y Y Y Y
Multiple Y Choice
Identify Y the Y choice Ythat Y best Y completes Y the Y statement Y or Yaccurate Yanswer:->s Y the Yquestion.
1. WhichYtype YofYclinical Ydecision-makingYis Ymost Yreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which YofYtheYfollowingYis Yfalse?YToYobtain Yadequate Yhistory, Yhealth-careYproviders YmustYbe:
A. Methodical Yand Ysystematic
B. AttentiveYto YtheYpatient’sYverbal Yand Ynonverbal Ylanguage
C. Able Yto YaccuratelyYinterpret Y the Ypatient’s Yresponses
D. Adept Yat YreadingYintoYthe Ypatient’s Ystatements
3. EssentialYpartsYofYa Yhealth YhistoryYinclude Yall YofYthe Yfollowing Yexcept:
A. ChiefYcomplaint
B. HistoryYofYthe YpresentYillness
C. CurrentYvital Ysigns
D. All YofYthe Yabove YareYessential YhistoryYcomponents
4. Which YofYthe Yfollowing Yis Yfalse? YWhile Yperforming Ythe Yphysical Y examination, YtheYexaminer Y must YbeYableYto:
A. Differentiate Ybetween Ynormal Y and Y abnormal Y findings
B. Recall Yknowledge Yof YaYrangeYof Yconditions Yand Ytheir Yassociated Ysigns Y and Ysymptoms
C. Recognize YhowYcertain Yconditions Yaffect Y theYresponseYto Yother Yconditions
D. Foresee Yunpredictable Y findings
5. The YfollowingYisYtheYleastYreliableYsource YofYinformation Yfor YdiagnosticYstatistics:
A. Evidence-based Y investigations
B. Primaryreports YofYresearch
C. Estimation Ybased Yon YaYprovider’s Yexperience
D. Published Y meta-analyses
6. TheYfollowing Ycan YbeYusedYtoYassist YinYsound Yclinical Ydecision-making:
A. Algorithmpublished Yin Y a Ypeer-reviewed Yjournal Y article
B. Clinical Y practice Y guidelines
C. Evidence-based Yresearch
D. All Yof Ythe Yabove
7. IfYa YdiagnosticYstudyYhas Yhigh Ysensitivity, Y thisYindicates Ya:
A. HighYpercentage YofYpersons YwithYtheYgiven Ycondition Ywill YhaveYanYabnormal Yresult
B. LowYpercentage YofYpersons Ywith YtheYgivenYcondition YwillYhave Yan Yabnormal Yresult
C. LowYlikelihood YofYnormal Yresult Yin Ypersons Ywithout Ya Ygiven Ycondition
D. None Yof YtheYabove
8. IfYa YdiagnosticYstudyYhas Y high Yspecificity, Y this Yindicates Ya:
A. Low Ypercentage YofYhealthyYindividuals Y will YshowYa Ynormal Yresult
B. High Ypercentage YofYhealthyYindividuals Y will Y showYa Ynormal Yresult
C. HighYpercentageYofYindividuals YwithYaYdisorder Ywill YshowYaYnormalYresult
D. LowYpercentageYofYindividuals YwithYaYdisorder Ywill YshowYan Yabnormal Yresult
9. Alikelihood Yratio Yabove Y1 Yindicates Ythat YaYdiagnostic Ytest YshowingYa:
A. Positive Yresult Yis YstronglyYassociated Y with Ythe Ysickness
B. NegativeYresult Yis YstronglyYassociated Y with Yabsence Y of Ythe Ysickness
C. PositiveYresultYis Yweakly Yassociated Ywith Ythe Ysickness
D. NegativeYresult Yis YweaklyYassociated Y with Yabsence Yof YtheYsickness
, 10. WhichYofYthe YfollowingYclinical YreasoningYtools Yis Ydefined YasYevidence-based Yresource Ybased Yon Ymathematical
Y modeling Y
A. Clinical Ypractice Yguideline
B. Clinical Ydecision Yrule
C. Clinical Y algorithm
Chapter 1: Clinical reasoning, differential diagnosis, evidence-based practice, and symptom ana
Y Y Y Y Y Y Y Y Y Y
Accurate answer:-> Section
Y Y
MULTIPLE YCHOICE
1. ACCURATE YANSWER:->: B
CroskerryY(2009) Ydescribes Ytwo Ymajor Ytypes Yof Yclinical Ydiagnostic Ydecision-making:Yintuitive Yand Yanalytical. YIntuitive Ydecision-
Ymaking Y(similar Yto YAugenblink Ydecision-making) Yis Ybased Yon Ythe Yexperience Yand Yintuition Yof Ythe Yclinician Yand Yis Yless Yreliable
Yandpaired Ywith Yfairly Ycommon Yerrors. YIn Ycontrast, Yanalytical Ydecision-making Yis Ybased Yon Ycareful Yconsideration Yand Yhas
Ygreater Yreliability Ywith Yrare Yerrors.
POINTS: 1
2. ACCURATE YANSWER:->: D
To Yobtain Yadequate Yhistory, Yproviders Ymust Ybe Ywell Yorganized, Yattentive Yto Ythe Ypatient’s Yverbal Yand Ynonverbal Ylanguage,
Yand Yableto Yaccurately Yinterpret Ythe Ypatient’s Yresponses Yto Yquestions. YRather Ythan Yreading Yinto Ythe Ypatient’s Ystatements, Ythey
Yclarify Yany Yareas Yof Yuncertainty.
POINTS: 1
3. ACCURATE YANSWER:->: C
VitalYsigns YareYpart YofYthe Yphysical Yexamination Yportion YofYpatient Yassessment, Ynot Ypart YofYthe Yhealth Yhistory.
POINTS: 1
4. ACCURATE YANSWER:->: D
WhileYperformingYthe Yphysical Yexamination,YtheYexaminer Ymust YbeYable YtoYdifferentiate Ybetween Ynormal Yand Yabnormal Yfindings,
Yrecall Yknowledge Yof Ya Yrange Yof Yconditions, Yincluding Ytheir Yassociated Ysigns Yand Ysymptoms, Yrecognize Yhow Ycertain
Yconditions Yaffectthe Yresponse Yto Yother Yconditions, Yand Ydistinguish Ythe Yrelevance Yof Yvaried Yabnormal Y findings.
POINTS: 1
5. ACCURATE YANSWER:->: C
Sources Yfor Ydiagnostic Ystatistics Yinclude Ytextbooks, Yprimary Yreports YofYresearch, Yand Ypublished Ymeta-analyses. YAnother Ysource
Yof Y statistics, Ythe YoneYthat Yhas Ybeen Ymost Ywidelyused Yand Yavailable Y for Yapplication YtoYthe YreasoningYprocess, YisYthe Yestimation
Ybased Yona Yprovider’s Yexperience, Yalthough Ythese Yare YrarelyYaccurate. YOver Ythe Ypast Ydecade, Ythe Y availability Yof Yevidence Yon Ywhich
Yto Ybase Yclinical YreasoningYisYimproving, Yand Ythere Yis Yan Yincreasing Yexpectation Ythat Yclinical Yreasoning Ybe Ybased Yon Yscientific
Yevidence.
Evidence-based Ystatistics Yare YalsoYincreasinglyYbeingYused YtoYdevelop Yresources Yto Y facilitate Y clinical Y decision-making.
POINTS: 1
6. ACCURATE YANSWER:->: D
To Yassist Yin Yclinical Ydecision-making, Ya Ynumber Yof Yevidence-based Yresources Yhave Ybeen Ydeveloped Yto Yassist Ythe Yclinician.
YResources, Ysuch Yas Yalgorithms Yand Yclinical Ypractice Yguidelines, Yassist YinYclinical Yreasoning Ywhen YproperlyYapplied.
POINTS: 1
7. ACCURATE YANSWER:->: A
The YsensitivityYofYa Ydiagnostic YstudyYis Ythe Ypercentage YofYindividuals Ywith Ythe Ytarget Ycondition Ywho Yshow Yan Yabnormal, Yor
Ypositive,result. YAYhigh YsensitivityYindicates Ythat Ya Ygreater Ypercentage Yof Ypersons Ywith Ythe Ygiven Ycondition Ywill Yhave Yan Yabnormal
Yresult.
POINTS: 1
8. ACCURATE YANSWER:->: B
The Yspecificity Yof Ya Ydiagnostic Ystudy Yis Ythe Ypercentage Yof Ynormal, Yhealthy Yindividuals Ywho Yhave Ya Ynormal Yresult. YThe
Ygreater Ythe Yspecificity, Ythe Ygreater Ythe Ypercentage Yof Yindividuals Ywho Ywill Yhave Ynegative, Yor Ynormal, Yresults Yif Ythey Ydo
Ynot Yhave Ythe Ytarget Ycondition.
POINTS: 1
9. ACCURATE YANSWER:->: A
The Ylikelihood Yratio Yis Ythe Yprobability Ythat Ya Ypositive Ytest Yresult Ywill Ybe Yassociated Ywith Ya Yperson Ywho Yhas Ythe Ytarget
Ycondition Yand Ya Ynegative Yresult Ywill Ybe Yassociated Ywith Ya YhealthyYperson. YAYlikelihood Yratio Yabove Y1 Yindicates Ythat Ya Ypositive
Yresult YisYassociated Ywith Ythe Ysickness; YaYlikelihood YratioYless Ythan Y1 Yindicates Ythat Ya Ynegative Yresult Yis Yassociated Ywith Yan
Yabsence Yof Ythe Ysickness.
, POINTS: 1
10. ACCURATE YANSWER:->: B
Clinical Ydecision Y(or Yprediction) Yrules Yprovide Yanother Ysupport Yfor Yclinical Yreasoning. YClinical Ydecision Yrules Yare Yevidence-
based YresourcesYthat Yprovide YprobabilisticYstatements Yregarding YtheYlikelihood Ythat Ya YconditionYexists Yif Ycertain Yvariables Yare
Ymet Y with Yregard Yto Ythe Yprognosis Yof Ypatients Ywith Yspecific Yfindings. YDecision Yrules Yuse Ymathematical Ymodels Yand Yare
Yspecific Yto Ycertain Ysituations, Ysettings, Yand/or Ypatient Ycharacteristics.
POINTS: 1