TEST BANK FOR ADVANCED
ASSESSMENT: INTERPRETING FINDINGS
AND FORMULATING DIFFERENTIAL
DIAGNOSES
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,Chapter 1. Assessment and Clinical Decision-Making: Overview
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which type of clinical decision-making is most reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which of the following is false? To obtain adequate history, health-care providers must be:
A. Methodical and systematic
B. Attentive to the patient’s verbal and nonverbal language
C. Able to accurately interpret the patient’s responses
D. Adept at reading into the patient’s statements
3. Essential parts of a health history include all of the following except:
A. Chief complaint
B. History of the present illness
C. Current vital signs
D. All of the above are essential history components
4. Which of the following is false? While performing the physical examination, the examiner
must be able to:
A. Differentiate between normal and abnormal findings
B. Recall knowledge of a range of conditions and their associated signs and symptoms
C. Recognize how certain conditions affect the response to other conditions
D. Foresee unpredictable findings
5. The following is the least reliable source of information for diagnostic statistics:
A. Evidence-based investigations
B. Primary reports of research
C. Estimation based on a provider’s experience
D. Published meta-analyses
6. The following can be used to assist in sound clinical decision-making:
A. Algorithm published in a peer-reviewed journal article
B. Clinical practice guidelines
C. Evidence-based research
D. All of the above
7. If a diagnostic study has high sensitivity, this indicates a:
A. High percentage of persons with the given condition will have an abnormal result
B. Low percentage of persons with the given condition will have an abnormal result
C. Low likelihood of normal result in persons without a given condition
D. None of the above
, 8. If a diagnostic study has high specificity, this indicates a:
A. Low percentage of healthy individuals will show a normal result
B. High percentage of healthy individuals will show a normal result
C. High percentage of individuals with a disorder will show a normal result
D. Low percentage of individuals with a disorder will show an abnormal result
9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
A. Positive result is strongly associated with the disease
B. Negative result is strongly associated with absence of the disease
C. Positive result is weakly associated with the disease
D. Negative result is weakly associated with absence of the disease
10. Which of the following clinical reasoning tools is defined as evidence-based resource based
on mathematical modeling to express the likelihood of a condition in select situations,
settings, and/or patients?
A. Clinical practice guideline
B. Clinical decision rule
C. Clinical algorithm
D. Clinical recommendation
, Chapter 1. Assessment and Clinical Decision-Making: Overview
Answer Section
MULTIPLE CHOICE
1. ANS: B
Croskerry (2009) describes two major types of clinical diagnostic decision-making: intuitive
and analytical. Intuitive decision-making (similar to Augenblink decision-making) is based
on the experience and intuition of the clinician and is less reliable and paired with fairly
common errors. In contrast, analytical decision-making is based on careful consideration
and has greater reliability with rare errors.
PTS: 1
2. ANS: D
To obtain adequate history, providers must be well organized, attentive to the patient’s
verbal and nonverbal language, and able to accurately interpret the patient’s responses to
questions. Rather than reading into the patient’s statements, they clarify any areas of
uncertainty.
PTS: 1
3. ANS: C
Vital signs are part of the physical examination portion of patient assessment, not part of the
health history.
PTS: 1
4. ANS: D
While performing the physical examination, the examiner must be able to differentiate
between normal and abnormal findings, recall knowledge of a range of conditions, including
their associated signs and symptoms, recognize how certain conditions affect the response to
other conditions, and distinguish the relevance of varied abnormal findings.
PTS: 1
5. ANS: C
Sources for diagnostic statistics include textbooks, primary reports of research, and
published meta-analyses. Another source of statistics, the one that has been most widely
used and available for application to the reasoning process, is the estimation based on a
provider’s experience, although these are rarely accurate. Over the past decade, the
availability of evidence on which to base clinical reasoning is improving, and there is an
increasing expectation that clinical reasoning be based on scientific evidence. Evidence-
based statistics are also increasingly being used to develop resources to facilitate clinical
decision-making.
PTS: 1
6. ANS: D
To assist in clinical decision-making, a number of evidence-based resources have been
developed to assist the clinician. Resources, such as algorithms and clinical practice
guidelines, assist in clinical reasoning when properly applied.
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ASSESSMENT: INTERPRETING FINDINGS
AND FORMULATING DIFFERENTIAL
DIAGNOSES
This Is A Test Bank Of Test (Study Questions) To Help You Prepare For the Tests
To Clarify, This Is A Test Bank, Not A Textbook You Have Immediate
Access To Download Your Test Bank.
No Delays In Loading Is Fast And Instant Immediately After Purchase! You Will
Receive A Full Bank Of Tests, In Other Words, All Chapters Will Be There.
Test Banks Are Presented In PDF Format Therefore, No Special Software
Is Required To Download Them
,Chapter 1. Assessment and Clinical Decision-Making: Overview
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which type of clinical decision-making is most reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which of the following is false? To obtain adequate history, health-care providers must be:
A. Methodical and systematic
B. Attentive to the patient’s verbal and nonverbal language
C. Able to accurately interpret the patient’s responses
D. Adept at reading into the patient’s statements
3. Essential parts of a health history include all of the following except:
A. Chief complaint
B. History of the present illness
C. Current vital signs
D. All of the above are essential history components
4. Which of the following is false? While performing the physical examination, the examiner
must be able to:
A. Differentiate between normal and abnormal findings
B. Recall knowledge of a range of conditions and their associated signs and symptoms
C. Recognize how certain conditions affect the response to other conditions
D. Foresee unpredictable findings
5. The following is the least reliable source of information for diagnostic statistics:
A. Evidence-based investigations
B. Primary reports of research
C. Estimation based on a provider’s experience
D. Published meta-analyses
6. The following can be used to assist in sound clinical decision-making:
A. Algorithm published in a peer-reviewed journal article
B. Clinical practice guidelines
C. Evidence-based research
D. All of the above
7. If a diagnostic study has high sensitivity, this indicates a:
A. High percentage of persons with the given condition will have an abnormal result
B. Low percentage of persons with the given condition will have an abnormal result
C. Low likelihood of normal result in persons without a given condition
D. None of the above
, 8. If a diagnostic study has high specificity, this indicates a:
A. Low percentage of healthy individuals will show a normal result
B. High percentage of healthy individuals will show a normal result
C. High percentage of individuals with a disorder will show a normal result
D. Low percentage of individuals with a disorder will show an abnormal result
9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
A. Positive result is strongly associated with the disease
B. Negative result is strongly associated with absence of the disease
C. Positive result is weakly associated with the disease
D. Negative result is weakly associated with absence of the disease
10. Which of the following clinical reasoning tools is defined as evidence-based resource based
on mathematical modeling to express the likelihood of a condition in select situations,
settings, and/or patients?
A. Clinical practice guideline
B. Clinical decision rule
C. Clinical algorithm
D. Clinical recommendation
, Chapter 1. Assessment and Clinical Decision-Making: Overview
Answer Section
MULTIPLE CHOICE
1. ANS: B
Croskerry (2009) describes two major types of clinical diagnostic decision-making: intuitive
and analytical. Intuitive decision-making (similar to Augenblink decision-making) is based
on the experience and intuition of the clinician and is less reliable and paired with fairly
common errors. In contrast, analytical decision-making is based on careful consideration
and has greater reliability with rare errors.
PTS: 1
2. ANS: D
To obtain adequate history, providers must be well organized, attentive to the patient’s
verbal and nonverbal language, and able to accurately interpret the patient’s responses to
questions. Rather than reading into the patient’s statements, they clarify any areas of
uncertainty.
PTS: 1
3. ANS: C
Vital signs are part of the physical examination portion of patient assessment, not part of the
health history.
PTS: 1
4. ANS: D
While performing the physical examination, the examiner must be able to differentiate
between normal and abnormal findings, recall knowledge of a range of conditions, including
their associated signs and symptoms, recognize how certain conditions affect the response to
other conditions, and distinguish the relevance of varied abnormal findings.
PTS: 1
5. ANS: C
Sources for diagnostic statistics include textbooks, primary reports of research, and
published meta-analyses. Another source of statistics, the one that has been most widely
used and available for application to the reasoning process, is the estimation based on a
provider’s experience, although these are rarely accurate. Over the past decade, the
availability of evidence on which to base clinical reasoning is improving, and there is an
increasing expectation that clinical reasoning be based on scientific evidence. Evidence-
based statistics are also increasingly being used to develop resources to facilitate clinical
decision-making.
PTS: 1
6. ANS: D
To assist in clinical decision-making, a number of evidence-based resources have been
developed to assist the clinician. Resources, such as algorithms and clinical practice
guidelines, assist in clinical reasoning when properly applied.
This study source was downloaded by 100000826342158 from CourseHero.com on 05-25-2021 21:32:19 GMT -05:00
Downloaded by: Stuviaaa |
Distribution of this document is illegal
