lOMoARcPSD| 126 C/ 5
C/
67 13
, lOMoARcPSD| 126 C/ 5
C/
67 13
Test Bank for Advanced Health Assessment & Clinical Diagnosis in Primary Care 7th
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
Edition Dains C/ C/
Chapter 1: Clinical Reasoning, Differential Diagnosis, Evidence-Based Practice, and Symptom Analysis
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
Multiple ChoiceC/
Identify the choice that best completes the statement or answers the question.
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
1. WhichC/typeC/ofC/clinicalC/decision-makingC/isC/mostC/reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. WhichC/ofC/theC/followingC/isC/false?C/ToC/obtainC/adequateC/history,C/health-careC/providersC/mustC/be:
A. MethodicalC/andC/systematic
B. AttentiveC/toC/theC/patient’sC/verbalC/andC/nonverbalC/languag
e
C. AbleC/toC/accuratelyC/interpretC/theC/patient’sC/responses
D. AdeptC/atC/readingC/intoC/theC/patient’sC/statements
3. EssentialC/partsC/ofC/aC/healthC/historyC/includeC/allC/ofC/theC/followingC/except:
A. ChiefC/complaint
B. HistoryC/ofC/theC/presentC/illness
C. CurrentC/vitalC/signs
D. AllC/ofC/theC/aboveC/areC/essentialC/historyC/component
s
4. WhichC/ofC/theC/followingC/isC/false?C/WhileC/performingC/theC/physicalC/examination,C/theC/examinerC/mustC/beC/ableC/to:
A. DifferentiateC/betweenC/normalC/andC/abnormalC/findings
B. RecallC/knowledgeC/ofC/aC/rangeC/ofC/conditionsC/andC/theirC/associatedC/signsC/andC/sympto
ms
C. RecognizeC/howC/certainC/conditionsC/affectC/theC/responseC/toC/otherC/conditions
D. ForeseeC/unpredictableC / findings
5. TheC/followingC/isC/theC/leastC/reliableC/sourceC/ofC/informationC/forC/diagnosticC/statistics:
A. Evidence-basedC / investigations
B. PrimaryC/reportsC/ofC/research
C. EstimationC/basedC/onC/aC/provider’sC/experienc
e
D. PublishedC / meta-analyses
6. TheC/followingC/canC/beC/usedC/toC/assistC/inC/soundC/clinicalC/decision-making:
A. AlgorithmC/publishedC/inC/aC/peer-
reviewedC/journalC/article
B. ClinicalC/practiceC/guidelines
C. Evidence-basedC / research
D. AllC/ofC/theC/above
7. IfC/aC/diagnosticC/studyC/hasC/highC/sensitivity,C/ thisC/indicatesC/a:
A. HighC/percentageC/ofC/personsC/withC/theC/givenC/conditionC/willC/haveC/anC/abnormalC/res
ult
B. LowC/percentageC/ofC/personsC/withC/theC/givenC/conditionC/willC/haveC/anC/abnormalC/res
ult
C. LowC/likelihoodC/ofC/normalC/resultC/inC/personsC/withoutC/aC/givenC/condition
D. NoneC/ofC/theC/above
8. IfC/aC/diagnosticC/studyC/hasC/highC/specificity,C/thisC/indicatesC/a:
A. LowC/percentageC/ofC/healthyC/individualsC/willC/showC/aC/normalC/result
B. HighC/percentageC/ofC/healthyC/individualsC/willC/showC/aC/normalC/result
C. HighC/percentageC/ofC/individualsC/withC/aC/disorderC/willC/showC/aC/normalC/result
D. LowC/percentageC/ofC/individualsC/withC/aC/disorderC/willC/showC/anC/abnormalC/res
ult
9. AC/likelihoodC/ratioC/aboveC/1C/indicatesC/thatC/aC/diagnosticC/testC/showingC/a:
A. PositiveC/resultC/isC/stronglyC/associatedC/withC/theC/disease
B. NegativeC/resultC/isC/stronglyC/associatedC/withC/absenceC/ofC/theC/disea
se
C. PositiveC/resultC/isC/weaklyC/associatedC/withC/theC/disease
D. NegativeC/resultC/isC/weaklyC/associatedC/withC/absenceC/ofC/theC/diseas
e
10. WhichC/ofC/theC/followingC/clinicalC/reasoningC/toolsC/isC/definedC/asC/evidence-
, C/
basedC/resourceC/basedC/onC/mathematicalC/modelingC/toC/expressC/C/theC/likelihoodC/ofC/aC/conditionC/inC/selectC/situations,C/settings,C/and/
lOMoARcPSD| 126 5
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orC/patients?
, lOMoARcPSD| 126 C/ 5
C/
67 13
A. ClinicalC/practiceC/guideline
B. ClinicalC/decisionC/rule
C. ClinicalC/algorithm
Chapter 1: Clinical reasoning, differential diagnosis, evidence-based practice, and symptom ana
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
Answer Section
C/
MULTIPLEC/CHOICE
1. ANS: B
CroskerryC/(2009)C/describesC/twoC/majorC/typesC/ofC/clinicalC/diagnosticC/decision-
making:C/intuitiveC/andC/analytical.C/IntuitiveC/decision-C/makingC/(similarC/toC/AugenblinkC/decision-
making)C/isC/basedC/onC/theC/experienceC/andC/intuitionC/ofC/theC/clinicianC/andC/isC/lessC/reliableC/andC/pairedC/withC/fairlyC/commonC/error
s.C/InC/contrast,C/analyticalC/decision-makingC/isC/basedC/onC/carefulC/considerationC/andC/hasC/greaterC/reliabilityC/withC/rareC/errors.
PTS: 1
2. ANS: D
ToC/obtainC/adequateC/history,C/providersC/mustC/beC/wellC/organized,C/attentiveC/toC/theC/patient’sC/verbalC/andC/nonverbalC/language,C/an
dC/ableC/toC/accuratelyC/interpretC/theC/patient’sC/responsesC/toC/questions.C/RatherC/thanC/readingC/intoC/theC/patient’sC/statements,C/theyC/
clarifyC/anyC/areasC/ofC/uncertainty.
PTS: 1
3. ANS: C
VitalC/signsC/areC/partC/ofC/theC/physicalC/examinationC/portionC/ofC/patientC/assessment,C/notC/partC/ofC/theC/healthC/history.
PTS: 1
4. ANS: D
WhileC/performingC/theC/physicalC/examination,C/theC/examinerC/mustC/beC/ableC/toC/differentiateC/betweenC/normalC/andC/abnormalC/findi
ngs,C/recallC/knowledgeC/ofC/aC/rangeC/ofC/conditions,C/includingC/theirC/associatedC/signsC/andC/symptoms,C/recognizeC/howC/certainC/condi
tionsC/affectC/theC/responseC/toC/otherC/conditions,C/andC/distinguishC/theC/relevanceC/ofC/variedC/abnormalC/findings.
PTS: 1
5. ANS: C
SourcesC/forC/diagnosticC/statisticsC/includeC/textbooks,C/primaryC/reportsC/ofC/research,C/andC/publishedC/meta-
analyses.C/AnotherC/sourceC/ofC/statistics,C/theC/oneC/thatC/hasC/beenC/mostC/widelyC/usedC/andC/availableC/forC/applicationC/toC/theC/reasoning
C/process,C/isC/theC/estimationC/basedC/onC/aC/provider’sC/experience,C/althoughC/theseC/areC/rarelyC/accurate.C/OverC/theC/pastC/decade,C/theC/
availabilityC/ofC/evidenceC/onC/whichC/toC/baseC/clinicalC/reasoningC/isC/improving,C / andC/thereC/isC/anC/increasingC/expectationC/thatC/clini
calC/reasoningC/beC/basedC/onC/scientificC/evidence.
Evidence-basedC/statisticsC/ areC / alsoC/increasinglyC/beingC/usedC/toC/developC / resourcesC/toC/facilitateC / clinicalC / decision-making.
PTS: 1
6. ANS: D
ToC/assistC/inC/clinicalC/decision-making,C/aC/numberC/ofC/evidence-
basedC/resourcesC/haveC/beenC/developedC/toC/assistC/theC/clinician.C/Resources,C/suchC/asC/algorithmsC/andC/clinicalC/practiceC/guidelines
,C/assistC/inC/clinicalC/reasoningC/whenC/properlyC/applied.
PTS: 1
7. ANS: A
TheC/sensitivityC/ofC/aC/diagnosticC/studyC/isC/theC/percentageC/ofC/individualsC/withC/theC/targetC/conditionC/whoC/showC/anC/abnormal,C/orC / p
ositive,C/result.C/AC/highC/sensitivityC/indicatesC/thatC/aC/greaterC/percentageC/ofC/personsC/withC/theC/givenC/conditionC/willC/haveC/anC/abnor
malC/result.
PTS: 1
8. ANS: B
TheC/specificityC/ofC/aC/diagnosticC/studyC/isC/theC/percentageC/ofC/normal,C/healthyC/individualsC/whoC/haveC/aC/normalC/result.C/TheC/great
erC/theC/specificity,C/theC/greaterC/theC/percentageC/ofC/individualsC/whoC/willC/haveC/negative,C/orC/normal,C/resultsC/ifC/theyC/doC/notC/hav
eC/theC/targetC/condition.
PTS: 1
9. ANS: A
TheC/likelihoodC/ratioC/isC/theC/probabilityC/thatC/aC/positiveC/testC/resultC/willC/beC/associatedC/withC/aC/personC/whoC/hasC/theC/targetC/conditio
nC/andC/aC/negativeC/resultC/willC/beC/associatedC/withC/aC/healthyC/person.C/AC/likelihoodC/ratioC/aboveC/1C/indicatesC/thatC/aC/positiveC/result
C/isC/associatedC/withC/theC/disease;C/aC/likelihoodC/ratioC/lessC/thanC/1C/indicatesC/thatC/aC/negativeC/resultC/isC/associatedC/withC/anC/absenceC/
ofC/theC/disease.
C/
67 13
, lOMoARcPSD| 126 C/ 5
C/
67 13
Test Bank for Advanced Health Assessment & Clinical Diagnosis in Primary Care 7th
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
Edition Dains C/ C/
Chapter 1: Clinical Reasoning, Differential Diagnosis, Evidence-Based Practice, and Symptom Analysis
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
Multiple ChoiceC/
Identify the choice that best completes the statement or answers the question.
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
1. WhichC/typeC/ofC/clinicalC/decision-makingC/isC/mostC/reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. WhichC/ofC/theC/followingC/isC/false?C/ToC/obtainC/adequateC/history,C/health-careC/providersC/mustC/be:
A. MethodicalC/andC/systematic
B. AttentiveC/toC/theC/patient’sC/verbalC/andC/nonverbalC/languag
e
C. AbleC/toC/accuratelyC/interpretC/theC/patient’sC/responses
D. AdeptC/atC/readingC/intoC/theC/patient’sC/statements
3. EssentialC/partsC/ofC/aC/healthC/historyC/includeC/allC/ofC/theC/followingC/except:
A. ChiefC/complaint
B. HistoryC/ofC/theC/presentC/illness
C. CurrentC/vitalC/signs
D. AllC/ofC/theC/aboveC/areC/essentialC/historyC/component
s
4. WhichC/ofC/theC/followingC/isC/false?C/WhileC/performingC/theC/physicalC/examination,C/theC/examinerC/mustC/beC/ableC/to:
A. DifferentiateC/betweenC/normalC/andC/abnormalC/findings
B. RecallC/knowledgeC/ofC/aC/rangeC/ofC/conditionsC/andC/theirC/associatedC/signsC/andC/sympto
ms
C. RecognizeC/howC/certainC/conditionsC/affectC/theC/responseC/toC/otherC/conditions
D. ForeseeC/unpredictableC / findings
5. TheC/followingC/isC/theC/leastC/reliableC/sourceC/ofC/informationC/forC/diagnosticC/statistics:
A. Evidence-basedC / investigations
B. PrimaryC/reportsC/ofC/research
C. EstimationC/basedC/onC/aC/provider’sC/experienc
e
D. PublishedC / meta-analyses
6. TheC/followingC/canC/beC/usedC/toC/assistC/inC/soundC/clinicalC/decision-making:
A. AlgorithmC/publishedC/inC/aC/peer-
reviewedC/journalC/article
B. ClinicalC/practiceC/guidelines
C. Evidence-basedC / research
D. AllC/ofC/theC/above
7. IfC/aC/diagnosticC/studyC/hasC/highC/sensitivity,C/ thisC/indicatesC/a:
A. HighC/percentageC/ofC/personsC/withC/theC/givenC/conditionC/willC/haveC/anC/abnormalC/res
ult
B. LowC/percentageC/ofC/personsC/withC/theC/givenC/conditionC/willC/haveC/anC/abnormalC/res
ult
C. LowC/likelihoodC/ofC/normalC/resultC/inC/personsC/withoutC/aC/givenC/condition
D. NoneC/ofC/theC/above
8. IfC/aC/diagnosticC/studyC/hasC/highC/specificity,C/thisC/indicatesC/a:
A. LowC/percentageC/ofC/healthyC/individualsC/willC/showC/aC/normalC/result
B. HighC/percentageC/ofC/healthyC/individualsC/willC/showC/aC/normalC/result
C. HighC/percentageC/ofC/individualsC/withC/aC/disorderC/willC/showC/aC/normalC/result
D. LowC/percentageC/ofC/individualsC/withC/aC/disorderC/willC/showC/anC/abnormalC/res
ult
9. AC/likelihoodC/ratioC/aboveC/1C/indicatesC/thatC/aC/diagnosticC/testC/showingC/a:
A. PositiveC/resultC/isC/stronglyC/associatedC/withC/theC/disease
B. NegativeC/resultC/isC/stronglyC/associatedC/withC/absenceC/ofC/theC/disea
se
C. PositiveC/resultC/isC/weaklyC/associatedC/withC/theC/disease
D. NegativeC/resultC/isC/weaklyC/associatedC/withC/absenceC/ofC/theC/diseas
e
10. WhichC/ofC/theC/followingC/clinicalC/reasoningC/toolsC/isC/definedC/asC/evidence-
, C/
basedC/resourceC/basedC/onC/mathematicalC/modelingC/toC/expressC/C/theC/likelihoodC/ofC/aC/conditionC/inC/selectC/situations,C/settings,C/and/
lOMoARcPSD| 126 5
67 13
orC/patients?
, lOMoARcPSD| 126 C/ 5
C/
67 13
A. ClinicalC/practiceC/guideline
B. ClinicalC/decisionC/rule
C. ClinicalC/algorithm
Chapter 1: Clinical reasoning, differential diagnosis, evidence-based practice, and symptom ana
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
Answer Section
C/
MULTIPLEC/CHOICE
1. ANS: B
CroskerryC/(2009)C/describesC/twoC/majorC/typesC/ofC/clinicalC/diagnosticC/decision-
making:C/intuitiveC/andC/analytical.C/IntuitiveC/decision-C/makingC/(similarC/toC/AugenblinkC/decision-
making)C/isC/basedC/onC/theC/experienceC/andC/intuitionC/ofC/theC/clinicianC/andC/isC/lessC/reliableC/andC/pairedC/withC/fairlyC/commonC/error
s.C/InC/contrast,C/analyticalC/decision-makingC/isC/basedC/onC/carefulC/considerationC/andC/hasC/greaterC/reliabilityC/withC/rareC/errors.
PTS: 1
2. ANS: D
ToC/obtainC/adequateC/history,C/providersC/mustC/beC/wellC/organized,C/attentiveC/toC/theC/patient’sC/verbalC/andC/nonverbalC/language,C/an
dC/ableC/toC/accuratelyC/interpretC/theC/patient’sC/responsesC/toC/questions.C/RatherC/thanC/readingC/intoC/theC/patient’sC/statements,C/theyC/
clarifyC/anyC/areasC/ofC/uncertainty.
PTS: 1
3. ANS: C
VitalC/signsC/areC/partC/ofC/theC/physicalC/examinationC/portionC/ofC/patientC/assessment,C/notC/partC/ofC/theC/healthC/history.
PTS: 1
4. ANS: D
WhileC/performingC/theC/physicalC/examination,C/theC/examinerC/mustC/beC/ableC/toC/differentiateC/betweenC/normalC/andC/abnormalC/findi
ngs,C/recallC/knowledgeC/ofC/aC/rangeC/ofC/conditions,C/includingC/theirC/associatedC/signsC/andC/symptoms,C/recognizeC/howC/certainC/condi
tionsC/affectC/theC/responseC/toC/otherC/conditions,C/andC/distinguishC/theC/relevanceC/ofC/variedC/abnormalC/findings.
PTS: 1
5. ANS: C
SourcesC/forC/diagnosticC/statisticsC/includeC/textbooks,C/primaryC/reportsC/ofC/research,C/andC/publishedC/meta-
analyses.C/AnotherC/sourceC/ofC/statistics,C/theC/oneC/thatC/hasC/beenC/mostC/widelyC/usedC/andC/availableC/forC/applicationC/toC/theC/reasoning
C/process,C/isC/theC/estimationC/basedC/onC/aC/provider’sC/experience,C/althoughC/theseC/areC/rarelyC/accurate.C/OverC/theC/pastC/decade,C/theC/
availabilityC/ofC/evidenceC/onC/whichC/toC/baseC/clinicalC/reasoningC/isC/improving,C / andC/thereC/isC/anC/increasingC/expectationC/thatC/clini
calC/reasoningC/beC/basedC/onC/scientificC/evidence.
Evidence-basedC/statisticsC/ areC / alsoC/increasinglyC/beingC/usedC/toC/developC / resourcesC/toC/facilitateC / clinicalC / decision-making.
PTS: 1
6. ANS: D
ToC/assistC/inC/clinicalC/decision-making,C/aC/numberC/ofC/evidence-
basedC/resourcesC/haveC/beenC/developedC/toC/assistC/theC/clinician.C/Resources,C/suchC/asC/algorithmsC/andC/clinicalC/practiceC/guidelines
,C/assistC/inC/clinicalC/reasoningC/whenC/properlyC/applied.
PTS: 1
7. ANS: A
TheC/sensitivityC/ofC/aC/diagnosticC/studyC/isC/theC/percentageC/ofC/individualsC/withC/theC/targetC/conditionC/whoC/showC/anC/abnormal,C/orC / p
ositive,C/result.C/AC/highC/sensitivityC/indicatesC/thatC/aC/greaterC/percentageC/ofC/personsC/withC/theC/givenC/conditionC/willC/haveC/anC/abnor
malC/result.
PTS: 1
8. ANS: B
TheC/specificityC/ofC/aC/diagnosticC/studyC/isC/theC/percentageC/ofC/normal,C/healthyC/individualsC/whoC/haveC/aC/normalC/result.C/TheC/great
erC/theC/specificity,C/theC/greaterC/theC/percentageC/ofC/individualsC/whoC/willC/haveC/negative,C/orC/normal,C/resultsC/ifC/theyC/doC/notC/hav
eC/theC/targetC/condition.
PTS: 1
9. ANS: A
TheC/likelihoodC/ratioC/isC/theC/probabilityC/thatC/aC/positiveC/testC/resultC/willC/beC/associatedC/withC/aC/personC/whoC/hasC/theC/targetC/conditio
nC/andC/aC/negativeC/resultC/willC/beC/associatedC/withC/aC/healthyC/person.C/AC/likelihoodC/ratioC/aboveC/1C/indicatesC/thatC/aC/positiveC/result
C/isC/associatedC/withC/theC/disease;C/aC/likelihoodC/ratioC/lessC/thanC/1C/indicatesC/thatC/aC/negativeC/resultC/isC/associatedC/withC/anC/absenceC/
ofC/theC/disease.
