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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.
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zl 1. Which type of clinical decision-making is most reliable?
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A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
zl 2. Which of the following is false? To obtain adequate history, health-care providers must be:
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A. Methodical and systematic zl zl
B. Attentive to the patient’s verbal and nonverbal language zl zl zl zl zl zl zl
C. Able to accurately interpret the patient’s responses
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D. Adept at reading into the patient’s statements zl zl zl zl zl zl
Essential parts of a health history include all of the following except:
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zl 3. A. Chief complaint zl
B. History of the present illness zl zl zl zl
C. Current vital signs zl zl
D. All of the above are essential history components
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Which of the following is false? While performing the physical examination, the examiner must beab
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A. Differentiate between normal and abnormal findings zl zl zl zl zl
B. Recall knowledge of a range of conditions and their associated signs and symptoms
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C. Recognize how certain conditions affect the response to other conditions zl zl zl zl zl zl zl zl zl
D. Foresee unpredictable findings zl zl
The following is the least reliable source of information for diagnostic statistics:
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zl 5. A. Evidence-based investigations zl
B. Primary reports of research zl zl zl
C. Estimation based on a provider’s experience zl zl zl zl zl
D. Published meta-analyses zl
The following can be used to assist in sound clinical decision-making:
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zl 6. A. Algorithm published in a peer-reviewed journal article zl zl zl zl zl zl
B. Clinical practice guidelines zl zl
C. Evidence-based research zl
D. All of the above zl zl zl
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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zl 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 zl zl zl
, zl 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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zl 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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zl zlzlz l 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 select sit
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uations, settings, and/orpatients?
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A. Clinical practice guideline zl zl zl
B. Clinical decision rule Clin zl zl zl
C. ical algorithm Clinical rec
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D. ommendation
,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.
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zl 1. Which type of clinical decision-making is most reliable?
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A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
zl 2. Which of the following is false? To obtain adequate history, health-care providers must be:
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A. Methodical and systematic zl zl
B. Attentive to the patient’s verbal and nonverbal language zl zl zl zl zl zl zl
C. Able to accurately interpret the patient’s responses
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D. Adept at reading into the patient’s statements zl zl zl zl zl zl
Essential parts of a health history include all of the following except:
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zl 3. A. Chief complaint zl
B. History of the present illness zl zl zl zl
C. Current vital signs zl zl
D. All of the above are essential history components
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Which of the following is false? While performing the physical examination, the examiner must beab
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zl 4. le to: zl
A. Differentiate between normal and abnormal findings zl zl zl zl zl
B. Recall knowledge of a range of conditions and their associated signs and symptoms
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C. Recognize how certain conditions affect the response to other conditions zl zl zl zl zl zl zl zl zl
D. Foresee unpredictable findings zl zl
The following is the least reliable source of information for diagnostic statistics:
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zl 5. A. Evidence-based investigations zl
B. Primary reports of research zl zl zl
C. Estimation based on a provider’s experience zl zl zl zl zl
D. Published meta-analyses zl
The following can be used to assist in sound clinical decision-making:
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zl 6. A. Algorithm published in a peer-reviewed journal article zl zl zl zl zl zl
B. Clinical practice guidelines zl zl
C. Evidence-based research zl
D. All of the above zl zl zl
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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zl 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 zl zl zl
, zl 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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zl 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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zl zlzlz l 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 select sit
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uations, settings, and/orpatients?
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A. Clinical practice guideline zl zl zl
B. Clinical decision rule Clin zl zl zl
C. ical algorithm Clinical rec
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D. ommendation
