TEST BANK FOR
Advanced Assessment Interpreting Findingseand Formulating Differential Diagnoses 4th Edition by Mary Jo
Goolsby,Laurie Grubbs
Chapter1-22
careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares students for leadership and management roles in various industries. It focuses on critical
thinking, decision-making, problem
, 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
careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares students for leadership and management roles in various industries. It
focuses on critical thinking, decision-making, problem
, ➢ Chaptere1.eAssessmenteandeClinicaleDecisioneMaking:eAneOverview
MultipleeChoice
Identifyetheechoiceethatebestecompletesetheestatementeoreanswersetheequestion.
e 1. Whichetypeeofeclinicaledecision-makingeisemostereliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
e 2. Whicheofetheefollowingeisefalse?eToeobtaineadequateehistory,ehealth-careeprovidersemustebe:
A. Methodicaleandesystematic
B. Attentiveetoetheepatient’severbaleandenonverbalelanguag
e
C. Ableetoeaccuratelyeinterpretetheepatient’seresponses
D. Adepteatereadingeintoetheepatient’sestatements
e 3. Essentialepartseofeaehealthehistoryeincludeealleofetheefollowingeexcept:
A. Chiefecomplaint
B. Historyeofetheepresenteillness
C. Currentevitalesigns
D. Alleofetheeaboveeareeessentialehistoryecomponen
ts
e 4. Whicheofetheefollowingeisefalse?eWhileeperformingetheephysicaleexamination,etheeexamineremustebeeableeto:
A. Differentiateebetweenenormaleandeabnormalefindings
B. Recalleknowledgeeofeaerangeeofeconditionseandetheireassociatedesignseandesympto
ms
C. Recognizeehowecertaineconditionseaffectetheeresponseetoeothereconditions
D. Foreseeeunpredictableefindings
e 5. Theefollowingeisetheeleastereliableesourceeofeinformationeforediagnosticestatistics:
A. Evidence-basedeinvestigations
B. Primaryereportseoferesearch
C. Estimationebasedeoneaeprovider’seexperienc
e
D. Publishedemeta-analyses
e 6. Theefollowingecanebeeusedetoeassisteinesoundeclinicaledecision-making:
careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares students for leadership and management roles in various industries. It focuses on critical
thinking, decision-making, problem
A. Algorithmepublishedeineaepeer-
reviewedejournalearticle
B. Clinicalepracticeeguidelines
C. Evidence-basederesearch
D. Alleofetheeabove
e 7. Ifeaediagnosticestudyehasehighesensitivity,ethiseindicatesea:
A. Highepercentageeofepersonsewithetheegiveneconditionewillehaveeaneabnormaleres
ult
B. Lowepercentageeofepersonsewithetheegiveneconditionewillehaveeaneabnormaleres
ult
C. Lowelikelihoodeofenormaleresulteinepersonsewithouteaegivenecondition
D. Noneeofetheeabove
e 8. Ifeaediagnosticestudyehasehighespecificity,ethiseindicatesea:
A. Lowepercentageeof healthyeindividualsewilleshoweaenormaleresult
B. Highepercentageeofehealthyeindividualsewilleshoweaenormaleresult
C. Highepercentageeofeindividualsewitheaedisorderewilleshoweaenormaleresult
D. Lowepercentageeofeindividualsewitheaedisorderewilleshoweaneabnormaleres
ult
e 9. Aelikelihooderatioeabovee1eindicatesethateaediagnosticetesteshowingea:
A. Positiveeresulteisestronglyeassociatedewithetheedisease
B. Negativeeresulteisestronglyeassociatedewitheabsenceeofetheedisea
se
C. Positiveeresulteiseweaklyeassociatedewithetheedisease
D. Negativeeresulteiseweaklyeassociatedewitheabsenceeofetheediseas
e
, e 10. Whicheofetheefollowingeclinicalereasoningetoolseisedefinedeaseevidence-basederesourceebasedeonemathematicalemodeling
toeexpressetheelikelihoodeofeaeconditioneineselectesituations,esettings,eand/orepatients?
A. Clinicalepracticeeguideline
B. Clinicaledecisionerule
C. Clinicalealgorithm
AnswereSection
careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares students for leadership and management roles in various industries. It focuses on critical
thinking, decision-making, problem
MULTIPLEeCHOICE
1. ANS: B
Croskerrye(2009)edescribesetwoemajoretypeseofeclinicalediagnosticedecision-
making:eintuitiveeandeanalytical.eIntuitiveedecision-emakinge(similaretoeAugenblinkedecision-
making)eisebasedeonetheeexperienceeandeintuitioneofetheeclinicianeandeiselessereliableeandepairedewithefairlyecommoneerrors.eI
necontrast,eanalyticaledecision-makingeisebasedeonecarefuleconsiderationeandehasegreaterereliabilityewitherareeerrors.
PTS: 1
2. ANS: D
Toeobtaineadequateehistory,eprovidersemustebeewelleorganized,eattentiveetoetheepatient’severbaleandenonverbalelanguage,eande
ableetoeaccuratelyeinterpretetheepatient’seresponsesetoequestions.eRatherethanereadingeintoetheepatient’sestatements,etheyeclarif
yeanyeareaseofeuncertainty.
PTS: 1
3. ANS: C
Vitalesignseareeparteofetheephysicaleexaminationeportioneofepatienteassessment,enoteparteofetheehealthehistory.
PTS: 1
4. ANS: D
Whileeperformingetheephysicaleexamination,etheeexamineremustebeeableetoedifferentiateebetweenenormaleandeabnormalefindings
,erecalleknowledgeeofeaerangeeofeconditions,eincludingetheireassociatedesignseandesymptoms,erecognizeehowecertaineconditionse
affectetheeresponseetoeothereconditions,eandedistinguishetheerelevanceeofevariedeabnormalefindings.
PTS: 1
5. ANS: C
Sourceseforediagnosticestatisticseincludeetextbooks,eprimaryereportseoferesearch,eandepublishedemeta-
analyses.eAnotheresourceeofestatistics,etheeoneethatehasebeenemostewidelyeusedeandeavailableeforeapplicationetoetheereasoninge
process,eisetheeestimationebasedeoneaeprovider’seexperience,ealthoughetheseeareerarelyeaccurate.eOveretheepastedecade,etheeav
ailabilityeofeevidenceeonewhichetoebaseeclinicalereasoningeiseimproving,eandethereeiseaneincreasingeexpectationethateclinicalere
asoningebeebasedeonescientificeevidence.
Evidence-basedestatisticseareealsoeincreasinglyebeingeusedetoedeveloperesourcesetoefacilitateeclinicaledecision-making.
PTS: 1
6. ANS: D
Toeassisteineclinicaledecision-making,eaenumbereofeevidence-
basederesourcesehaveebeenedevelopedetoeassistetheeclinician.eResources,esucheasealgorithmseandeclinicalepracticeeguid
elines,eassisteineclinicalereasoningewheneproperlyeapplied.
PTS: 1
7. ANS: A
Theesensitivityeofeaediagnosticestudyeisetheepercentageeofeindividualsewithetheetargeteconditionewhoeshoweaneabnormal,eoreposi
tive,eresult.eAehighesensitivityeindicatesethateaegreaterepercentageeofepersonsewithetheegiveneconditionewillehaveeaneabnormalere
sult.
PTS: 1
8. ANS: B
Theespecificityeofeaediagnosticestudyeisetheepercentageeofenormal,ehealthyeindividualsewhoehaveeaenormaleresult.eTheegreate
retheespecificity,etheegreateretheepercentageeofeindividualsewhoewillehaveenegative,eorenormal,eresultseifetheyedoenotehaveeth
eetargetecondition.
PTS: 1
9. ANS: A
Theelikelihooderatioeisetheeprobabilityethateaepositiveetesteresultewillebeeassociatedewitheaepersonewhoehasetheetargeteconditione
andeaenegativeeresultewillebeeassociatedewitheaehealthyeperson.eAelikelihooderatioeabovee1eindicatesethateaepositiveeresulteiseass
ociatedewithetheedisease;eaelikelihooderatioelessethane1eindicatesethateaenegativeeresulteiseassociatedewitheaneabsenceeofetheedis
ease.
Advanced Assessment Interpreting Findingseand Formulating Differential Diagnoses 4th Edition by Mary Jo
Goolsby,Laurie Grubbs
Chapter1-22
careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares students for leadership and management roles in various industries. It focuses on critical
thinking, decision-making, problem
, 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
careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares students for leadership and management roles in various industries. It
focuses on critical thinking, decision-making, problem
, ➢ Chaptere1.eAssessmenteandeClinicaleDecisioneMaking:eAneOverview
MultipleeChoice
Identifyetheechoiceethatebestecompletesetheestatementeoreanswersetheequestion.
e 1. Whichetypeeofeclinicaledecision-makingeisemostereliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
e 2. Whicheofetheefollowingeisefalse?eToeobtaineadequateehistory,ehealth-careeprovidersemustebe:
A. Methodicaleandesystematic
B. Attentiveetoetheepatient’severbaleandenonverbalelanguag
e
C. Ableetoeaccuratelyeinterpretetheepatient’seresponses
D. Adepteatereadingeintoetheepatient’sestatements
e 3. Essentialepartseofeaehealthehistoryeincludeealleofetheefollowingeexcept:
A. Chiefecomplaint
B. Historyeofetheepresenteillness
C. Currentevitalesigns
D. Alleofetheeaboveeareeessentialehistoryecomponen
ts
e 4. Whicheofetheefollowingeisefalse?eWhileeperformingetheephysicaleexamination,etheeexamineremustebeeableeto:
A. Differentiateebetweenenormaleandeabnormalefindings
B. Recalleknowledgeeofeaerangeeofeconditionseandetheireassociatedesignseandesympto
ms
C. Recognizeehowecertaineconditionseaffectetheeresponseetoeothereconditions
D. Foreseeeunpredictableefindings
e 5. Theefollowingeisetheeleastereliableesourceeofeinformationeforediagnosticestatistics:
A. Evidence-basedeinvestigations
B. Primaryereportseoferesearch
C. Estimationebasedeoneaeprovider’seexperienc
e
D. Publishedemeta-analyses
e 6. Theefollowingecanebeeusedetoeassisteinesoundeclinicaledecision-making:
careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares students for leadership and management roles in various industries. It focuses on critical
thinking, decision-making, problem
A. Algorithmepublishedeineaepeer-
reviewedejournalearticle
B. Clinicalepracticeeguidelines
C. Evidence-basederesearch
D. Alleofetheeabove
e 7. Ifeaediagnosticestudyehasehighesensitivity,ethiseindicatesea:
A. Highepercentageeofepersonsewithetheegiveneconditionewillehaveeaneabnormaleres
ult
B. Lowepercentageeofepersonsewithetheegiveneconditionewillehaveeaneabnormaleres
ult
C. Lowelikelihoodeofenormaleresulteinepersonsewithouteaegivenecondition
D. Noneeofetheeabove
e 8. Ifeaediagnosticestudyehasehighespecificity,ethiseindicatesea:
A. Lowepercentageeof healthyeindividualsewilleshoweaenormaleresult
B. Highepercentageeofehealthyeindividualsewilleshoweaenormaleresult
C. Highepercentageeofeindividualsewitheaedisorderewilleshoweaenormaleresult
D. Lowepercentageeofeindividualsewitheaedisorderewilleshoweaneabnormaleres
ult
e 9. Aelikelihooderatioeabovee1eindicatesethateaediagnosticetesteshowingea:
A. Positiveeresulteisestronglyeassociatedewithetheedisease
B. Negativeeresulteisestronglyeassociatedewitheabsenceeofetheedisea
se
C. Positiveeresulteiseweaklyeassociatedewithetheedisease
D. Negativeeresulteiseweaklyeassociatedewitheabsenceeofetheediseas
e
, e 10. Whicheofetheefollowingeclinicalereasoningetoolseisedefinedeaseevidence-basederesourceebasedeonemathematicalemodeling
toeexpressetheelikelihoodeofeaeconditioneineselectesituations,esettings,eand/orepatients?
A. Clinicalepracticeeguideline
B. Clinicaledecisionerule
C. Clinicalealgorithm
AnswereSection
careers.________________________________________1. Business Exams1.1. Overview of Business EducationBusiness education prepares students for leadership and management roles in various industries. It focuses on critical
thinking, decision-making, problem
MULTIPLEeCHOICE
1. ANS: B
Croskerrye(2009)edescribesetwoemajoretypeseofeclinicalediagnosticedecision-
making:eintuitiveeandeanalytical.eIntuitiveedecision-emakinge(similaretoeAugenblinkedecision-
making)eisebasedeonetheeexperienceeandeintuitioneofetheeclinicianeandeiselessereliableeandepairedewithefairlyecommoneerrors.eI
necontrast,eanalyticaledecision-makingeisebasedeonecarefuleconsiderationeandehasegreaterereliabilityewitherareeerrors.
PTS: 1
2. ANS: D
Toeobtaineadequateehistory,eprovidersemustebeewelleorganized,eattentiveetoetheepatient’severbaleandenonverbalelanguage,eande
ableetoeaccuratelyeinterpretetheepatient’seresponsesetoequestions.eRatherethanereadingeintoetheepatient’sestatements,etheyeclarif
yeanyeareaseofeuncertainty.
PTS: 1
3. ANS: C
Vitalesignseareeparteofetheephysicaleexaminationeportioneofepatienteassessment,enoteparteofetheehealthehistory.
PTS: 1
4. ANS: D
Whileeperformingetheephysicaleexamination,etheeexamineremustebeeableetoedifferentiateebetweenenormaleandeabnormalefindings
,erecalleknowledgeeofeaerangeeofeconditions,eincludingetheireassociatedesignseandesymptoms,erecognizeehowecertaineconditionse
affectetheeresponseetoeothereconditions,eandedistinguishetheerelevanceeofevariedeabnormalefindings.
PTS: 1
5. ANS: C
Sourceseforediagnosticestatisticseincludeetextbooks,eprimaryereportseoferesearch,eandepublishedemeta-
analyses.eAnotheresourceeofestatistics,etheeoneethatehasebeenemostewidelyeusedeandeavailableeforeapplicationetoetheereasoninge
process,eisetheeestimationebasedeoneaeprovider’seexperience,ealthoughetheseeareerarelyeaccurate.eOveretheepastedecade,etheeav
ailabilityeofeevidenceeonewhichetoebaseeclinicalereasoningeiseimproving,eandethereeiseaneincreasingeexpectationethateclinicalere
asoningebeebasedeonescientificeevidence.
Evidence-basedestatisticseareealsoeincreasinglyebeingeusedetoedeveloperesourcesetoefacilitateeclinicaledecision-making.
PTS: 1
6. ANS: D
Toeassisteineclinicaledecision-making,eaenumbereofeevidence-
basederesourcesehaveebeenedevelopedetoeassistetheeclinician.eResources,esucheasealgorithmseandeclinicalepracticeeguid
elines,eassisteineclinicalereasoningewheneproperlyeapplied.
PTS: 1
7. ANS: A
Theesensitivityeofeaediagnosticestudyeisetheepercentageeofeindividualsewithetheetargeteconditionewhoeshoweaneabnormal,eoreposi
tive,eresult.eAehighesensitivityeindicatesethateaegreaterepercentageeofepersonsewithetheegiveneconditionewillehaveeaneabnormalere
sult.
PTS: 1
8. ANS: B
Theespecificityeofeaediagnosticestudyeisetheepercentageeofenormal,ehealthyeindividualsewhoehaveeaenormaleresult.eTheegreate
retheespecificity,etheegreateretheepercentageeofeindividualsewhoewillehaveenegative,eorenormal,eresultseifetheyedoenotehaveeth
eetargetecondition.
PTS: 1
9. ANS: A
Theelikelihooderatioeisetheeprobabilityethateaepositiveetesteresultewillebeeassociatedewitheaepersonewhoehasetheetargeteconditione
andeaenegativeeresultewillebeeassociatedewitheaehealthyeperson.eAelikelihooderatioeabovee1eindicatesethateaepositiveeresulteiseass
ociatedewithetheedisease;eaelikelihooderatioelessethane1eindicatesethateaenegativeeresulteiseassociatedewitheaneabsenceeofetheedis
ease.
