,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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gm 1. Which type of clinical decision-making is most reliable?
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A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
gm 2. Which of the following is false? To obtain adequate history, health-care providers must be:
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A. Methodical and systematic gm gm
B. Attentive to the patient’s verbal and nonverbal language
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C. Able to accurately interpret the patient’s responses
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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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gm 3. A. Chief complaint gm
B. History of the present illness gm gm gm gm
C. Current vital signs gm gm
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 m
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gm 4. ust beable to:
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A. Differentiate between normal and abnormal findings gm gm gm gm gm
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
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D. Foresee unpredictable findings gm gm
The following is the least reliable source of information for diagnostic statistics:
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gm 5. A. Evidence-based investigations gm
B. Primary reports of research gm gm gm
C. Estimation based on a provider’s experience gm gm gm gm gm
D. Published meta-analyses gm
The following can be used to assist in sound clinical decision-making:
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gm 6. A. Algorithm published in a peer-reviewed journal article
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B. Clinical practice guidelines gm gm
C. Evidence-based research gm
D. All of the above gm gm gm
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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gm 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 gm gm gm
, gm 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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gm 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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gm gmgmg m 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
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mselect situations, settings, and/orpatients?
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A. Clinical practice guidelin gm gm
B. eClinical decision rule C
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C. linical algorithm Clinical gm gm
D. recommendation
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