f
TEST BANK FOR ADVANCED HEALTH ASSESSMENT &
f f f f f f
f CLINICAL DIAGNOSIS IN PRIMARYCARE 6TH EDITION
f f f f f
DAINS ISBN: 9780323594554
f f f
This Test Bank is Directly from The Publisher
f f f f f f f
f Has All Chapters With 100% Correct Answers
f f f f f f
INSTANT DOWNLOAD
f f
, f
Test Bank for Advanced Health Assessment & Clinical Diagnosis in Primary Care 6th
f f f f f f f f f f f f
Edition Dains f f
Chapter f1: fClinical fReasoning, fDifferential fDiagnosis, fEvidence-Based fPractice, fand fSymptom fAnalysis
Multiple fChoice
Identify fthe fchoice fthat fbest fcompletes fthe fstatement for fanswers fthe fquestion.
1. Which ftype fof fclinical fdecision-making fis fmost freliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which fof fthe ffollowing fis ffalse? fTo fobtain fadequate fhistory, fhealth-care fproviders fmust fbe:
A. Methodical fand fsystematic
B. Attentive fto fthe fpatient‘s fverbal fand fnonverbal flanguage
C. Able fto faccurately finterpret fthe fpatient‘s fresponses
D. Adept fat freading finto fthe fpatient‘s fstatements
3. Essential fparts fof fa fhealth fhistory finclude fall fof fthe ffollowing fexcept:
A. Chief fcomplaint
B. History fof fthe fpresent fillness
C. Current fvital fsigns
D. All fof fthe fabove fare fessential fhistory fcomponents
4. Which fof fthe ffollowing fis ffalse? fWhile fperforming fthe fphysical fexamination, fthe fexaminer fmust fbe fable fto:
A. Differentiate fbetween fnormal fand fabnormal ffindings
B. Recall fknowledge fof fa frange fof fconditions fand ftheir fassociated fsigns fand fsymptoms
C. Recognize fhow fcertain fconditions faffect fthe fresponse fto fother fconditions
D. Foresee funpredictable f findings
5. The ffollowing fis fthe fleast freliable fsource fof finformation ffor fdiagnostic fstatistics:
A. Evidence-based f investigations
B. Primary freports fof fresearch
C. Estimation fbased fon fa fprovider‘s fexperience
D. Published f meta-analyses
6. The ffollowing fcan fbe fused fto fassist fin fsound fclinical fdecision-making:
A. Algorithm fpublished fin fa fpeer-reviewed fjournal farticle
B. Clinical fpractice fguidelines
C. Evidence-based f research
D. All fof fthe fabove
7. If fa fdiagnostic fstudy fhas fhigh fsensitivity, fthis findicates fa:
A. High fpercentage fof fpersons fwith fthe fgiven fcondition fwill fhave fan fabnormal fresult
B. Low fpercentage fof fpersons fwith fthe fgiven fcondition fwill fhave fan fabnormal fresult
C. Low flikelihood fof fnormal fresult fin fpersons fwithout fa fgiven fcondition
D. None fof fthe fabove
8. If fa fdiagnostic fstudy fhas fhigh fspecificity, fthis findicates fa:
A. Low fpercentage fof fhealthy findividuals fwill fshow fa fnormal fresult
B. High fpercentage fof fhealthy findividuals fwill fshow fa fnormal fresult
C. High fpercentage fof findividuals fwith fa fdisorder fwill fshow fa fnormal fresult
D. Low fpercentage fof findividuals fwith fa fdisorder fwill fshow fan fabnormal fresult
9. A flikelihood fratio fabove f1 findicates fthat fa fdiagnostic ftest fshowing fa:
A. Positive fresult fis fstrongly fassociated fwith fthe fdisease
B. Negative fresult fis fstrongly fassociated fwith fabsence fof fthe fdisease
C. Positive fresult fis fweakly fassociated fwith fthe fdisease
D. Negative fresult fis fweakly fassociated fwith fabsence fof fthe fdisease
10. Which fof fthe ffollowing fclinical freasoning ftools fis fdefined fas fevidence-based fresource fbased fon fmathematical
fmodeling fto fexpress fthe flikelihood fof fa fcondition fin fselect fsituations, fsettings, fand/or fpatients?
, f
A. Clinical fpractice fguideline
B. Clinical fdecision frule
C. Clinical falgorithm
Chapter f1: fClinical freasoning, fdifferential fdiagnosis, fevidence-based fpractice, fand fsymptom fana
Answer fSection
MULTIPLE fCHOICE
1. ANS: B
Croskerry f(2009) fdescribes ftwo fmajor ftypes fof fclinical fdiagnostic fdecision-making: fintuitive fand fanalytical. fIntuitive
fdecision- fmaking f(similar fto fAugenblink fdecision-making) fis fbased fon fthe fexperience fand fintuition fof fthe fclinician fand fis fless
freliable fand fpaired fwith ffairly fcommon ferrors. fIn fcontrast, fanalytical fdecision-making fis fbased fon fcareful fconsideration fand
fhas fgreater freliability fwith frare ferrors.
PTS: 1
2. ANS: D
To fobtain fadequate fhistory, fproviders fmust fbe fwell forganized, fattentive fto fthe fpatient‘s fverbal fand fnonverbal flanguage, fand
fable fto faccurately finterpret fthe fpatient‘s fresponses fto fquestions. fRather fthan freading finto fthe fpatient‘s fstatements, fthey fclarify
fany fareas fof funcertainty.
PTS: 1
3. ANS: C
Vital fsigns fare fpart fof fthe fphysical fexamination fportion fof fpatient fassessment, fnot fpart fof fthe fhealth fhistory.
PTS: 1
4. ANS: D
While fperforming fthe fphysical fexamination, fthe fexaminer fmust fbe fable fto fdifferentiate fbetween fnormal fand fabnormal ffindings,
frecall fknowledge fof fa frange fof fconditions, fincluding ftheir fassociated fsigns fand fsymptoms, frecognize fhow fcertain fconditions
faffect fthe fresponse fto fother fconditions, fand fdistinguish fthe frelevance fof fvaried fabnormal ffindings.
PTS: 1
5. ANS: C
Sources ffor fdiagnostic fstatistics finclude ftextbooks, fprimary freports fof fresearch, fand fpublished fmeta-analyses. fAnother fsource
fof fstatistics, fthe fone fthat fhas fbeen fmost fwidely fused fand favailable ffor fapplication fto fthe freasoning fprocess, fis fthe festimation
fbased fon fa fprovider‘s fexperience, falthough fthese fare frarely faccurate. fOver fthe fpast fdecade, fthe favailability fof fevidence fon
fwhich fto fbase fclinical freasoning fis fimproving, f and fthere fis fan fincreasing fexpectation fthat fclinical freasoning fbe fbased fon
fscientific fevidence.
Evidence-based fstatistics fare f also fincreasingly fbeing fused fto fdevelop f resources fto ffacilitate f clinical f decision-making.
PTS: 1
6. ANS: D
To fassist fin fclinical fdecision-making, fa fnumber fof fevidence-based fresources fhave fbeen fdeveloped fto fassist fthe fclinician.
fResources, fsuch fas falgorithms fand fclinical fpractice fguidelines, fassist fin fclinical freasoning fwhen fproperly fapplied.
PTS: 1
7. ANS: A
The fsensitivity fof fa fdiagnostic fstudy fis fthe fpercentage fof findividuals fwith fthe ftarget fcondition fwho fshow fan fabnormal, for
f positive, fresult. fA fhigh fsensitivity findicates fthat fa fgreater fpercentage fof fpersons fwith fthe fgiven fcondition fwill fhave fan
fabnormal fresult.
PTS: 1
8. ANS: B
The fspecificity fof fa fdiagnostic fstudy fis fthe fpercentage fof fnormal, fhealthy findividuals fwho fhave fa fnormal fresult. fThe fgreater
fthe fspecificity, fthe fgreater fthe fpercentage fof findividuals fwho fwill fhave fnegative, for fnormal, fresults fif fthey fdo fnot fhave fthe
ftarget fcondition.
PTS: 1
9. ANS: A
The flikelihood fratio fis fthe fprobability fthat fa fpositive ftest fresult fwill fbe fassociated fwith fa fperson fwho fhas fthe ftarget fcondition
fand fa fnegative fresult fwill fbe fassociated fwith fa fhealthy fperson. fA flikelihood fratio fabove f1 findicates fthat fa fpositive fresult fis
fassociated fwith fthe fdisease; fa flikelihood fratio fless fthan f1 findicates fthat fa fnegative fresult fis fassociated fwith fan fabsence fof fthe
fdisease.
, f
PTS: 1
10. ANS: B
Clinical fdecision f(or fprediction) frules fprovide fanother fsupport ffor fclinical freasoning. fClinical fdecision frules fare fevidence-
based fresources fthat fprovide fprobabilistic fstatements fregarding fthe flikelihood fthat fa fcondition fexists fif fcertain fvariables fare
fmet fwith fregard fto fthe fprognosis fof fpatients fwith fspecific ffindings. fDecision frules fuse fmathematical fmodels fand fare fspecific
fto fcertain fsituations, fsettings, fand/or fpatient fcharacteristics.
PTS: 1
TEST BANK FOR ADVANCED HEALTH ASSESSMENT &
f f f f f f
f CLINICAL DIAGNOSIS IN PRIMARYCARE 6TH EDITION
f f f f f
DAINS ISBN: 9780323594554
f f f
This Test Bank is Directly from The Publisher
f f f f f f f
f Has All Chapters With 100% Correct Answers
f f f f f f
INSTANT DOWNLOAD
f f
, f
Test Bank for Advanced Health Assessment & Clinical Diagnosis in Primary Care 6th
f f f f f f f f f f f f
Edition Dains f f
Chapter f1: fClinical fReasoning, fDifferential fDiagnosis, fEvidence-Based fPractice, fand fSymptom fAnalysis
Multiple fChoice
Identify fthe fchoice fthat fbest fcompletes fthe fstatement for fanswers fthe fquestion.
1. Which ftype fof fclinical fdecision-making fis fmost freliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which fof fthe ffollowing fis ffalse? fTo fobtain fadequate fhistory, fhealth-care fproviders fmust fbe:
A. Methodical fand fsystematic
B. Attentive fto fthe fpatient‘s fverbal fand fnonverbal flanguage
C. Able fto faccurately finterpret fthe fpatient‘s fresponses
D. Adept fat freading finto fthe fpatient‘s fstatements
3. Essential fparts fof fa fhealth fhistory finclude fall fof fthe ffollowing fexcept:
A. Chief fcomplaint
B. History fof fthe fpresent fillness
C. Current fvital fsigns
D. All fof fthe fabove fare fessential fhistory fcomponents
4. Which fof fthe ffollowing fis ffalse? fWhile fperforming fthe fphysical fexamination, fthe fexaminer fmust fbe fable fto:
A. Differentiate fbetween fnormal fand fabnormal ffindings
B. Recall fknowledge fof fa frange fof fconditions fand ftheir fassociated fsigns fand fsymptoms
C. Recognize fhow fcertain fconditions faffect fthe fresponse fto fother fconditions
D. Foresee funpredictable f findings
5. The ffollowing fis fthe fleast freliable fsource fof finformation ffor fdiagnostic fstatistics:
A. Evidence-based f investigations
B. Primary freports fof fresearch
C. Estimation fbased fon fa fprovider‘s fexperience
D. Published f meta-analyses
6. The ffollowing fcan fbe fused fto fassist fin fsound fclinical fdecision-making:
A. Algorithm fpublished fin fa fpeer-reviewed fjournal farticle
B. Clinical fpractice fguidelines
C. Evidence-based f research
D. All fof fthe fabove
7. If fa fdiagnostic fstudy fhas fhigh fsensitivity, fthis findicates fa:
A. High fpercentage fof fpersons fwith fthe fgiven fcondition fwill fhave fan fabnormal fresult
B. Low fpercentage fof fpersons fwith fthe fgiven fcondition fwill fhave fan fabnormal fresult
C. Low flikelihood fof fnormal fresult fin fpersons fwithout fa fgiven fcondition
D. None fof fthe fabove
8. If fa fdiagnostic fstudy fhas fhigh fspecificity, fthis findicates fa:
A. Low fpercentage fof fhealthy findividuals fwill fshow fa fnormal fresult
B. High fpercentage fof fhealthy findividuals fwill fshow fa fnormal fresult
C. High fpercentage fof findividuals fwith fa fdisorder fwill fshow fa fnormal fresult
D. Low fpercentage fof findividuals fwith fa fdisorder fwill fshow fan fabnormal fresult
9. A flikelihood fratio fabove f1 findicates fthat fa fdiagnostic ftest fshowing fa:
A. Positive fresult fis fstrongly fassociated fwith fthe fdisease
B. Negative fresult fis fstrongly fassociated fwith fabsence fof fthe fdisease
C. Positive fresult fis fweakly fassociated fwith fthe fdisease
D. Negative fresult fis fweakly fassociated fwith fabsence fof fthe fdisease
10. Which fof fthe ffollowing fclinical freasoning ftools fis fdefined fas fevidence-based fresource fbased fon fmathematical
fmodeling fto fexpress fthe flikelihood fof fa fcondition fin fselect fsituations, fsettings, fand/or fpatients?
, f
A. Clinical fpractice fguideline
B. Clinical fdecision frule
C. Clinical falgorithm
Chapter f1: fClinical freasoning, fdifferential fdiagnosis, fevidence-based fpractice, fand fsymptom fana
Answer fSection
MULTIPLE fCHOICE
1. ANS: B
Croskerry f(2009) fdescribes ftwo fmajor ftypes fof fclinical fdiagnostic fdecision-making: fintuitive fand fanalytical. fIntuitive
fdecision- fmaking f(similar fto fAugenblink fdecision-making) fis fbased fon fthe fexperience fand fintuition fof fthe fclinician fand fis fless
freliable fand fpaired fwith ffairly fcommon ferrors. fIn fcontrast, fanalytical fdecision-making fis fbased fon fcareful fconsideration fand
fhas fgreater freliability fwith frare ferrors.
PTS: 1
2. ANS: D
To fobtain fadequate fhistory, fproviders fmust fbe fwell forganized, fattentive fto fthe fpatient‘s fverbal fand fnonverbal flanguage, fand
fable fto faccurately finterpret fthe fpatient‘s fresponses fto fquestions. fRather fthan freading finto fthe fpatient‘s fstatements, fthey fclarify
fany fareas fof funcertainty.
PTS: 1
3. ANS: C
Vital fsigns fare fpart fof fthe fphysical fexamination fportion fof fpatient fassessment, fnot fpart fof fthe fhealth fhistory.
PTS: 1
4. ANS: D
While fperforming fthe fphysical fexamination, fthe fexaminer fmust fbe fable fto fdifferentiate fbetween fnormal fand fabnormal ffindings,
frecall fknowledge fof fa frange fof fconditions, fincluding ftheir fassociated fsigns fand fsymptoms, frecognize fhow fcertain fconditions
faffect fthe fresponse fto fother fconditions, fand fdistinguish fthe frelevance fof fvaried fabnormal ffindings.
PTS: 1
5. ANS: C
Sources ffor fdiagnostic fstatistics finclude ftextbooks, fprimary freports fof fresearch, fand fpublished fmeta-analyses. fAnother fsource
fof fstatistics, fthe fone fthat fhas fbeen fmost fwidely fused fand favailable ffor fapplication fto fthe freasoning fprocess, fis fthe festimation
fbased fon fa fprovider‘s fexperience, falthough fthese fare frarely faccurate. fOver fthe fpast fdecade, fthe favailability fof fevidence fon
fwhich fto fbase fclinical freasoning fis fimproving, f and fthere fis fan fincreasing fexpectation fthat fclinical freasoning fbe fbased fon
fscientific fevidence.
Evidence-based fstatistics fare f also fincreasingly fbeing fused fto fdevelop f resources fto ffacilitate f clinical f decision-making.
PTS: 1
6. ANS: D
To fassist fin fclinical fdecision-making, fa fnumber fof fevidence-based fresources fhave fbeen fdeveloped fto fassist fthe fclinician.
fResources, fsuch fas falgorithms fand fclinical fpractice fguidelines, fassist fin fclinical freasoning fwhen fproperly fapplied.
PTS: 1
7. ANS: A
The fsensitivity fof fa fdiagnostic fstudy fis fthe fpercentage fof findividuals fwith fthe ftarget fcondition fwho fshow fan fabnormal, for
f positive, fresult. fA fhigh fsensitivity findicates fthat fa fgreater fpercentage fof fpersons fwith fthe fgiven fcondition fwill fhave fan
fabnormal fresult.
PTS: 1
8. ANS: B
The fspecificity fof fa fdiagnostic fstudy fis fthe fpercentage fof fnormal, fhealthy findividuals fwho fhave fa fnormal fresult. fThe fgreater
fthe fspecificity, fthe fgreater fthe fpercentage fof findividuals fwho fwill fhave fnegative, for fnormal, fresults fif fthey fdo fnot fhave fthe
ftarget fcondition.
PTS: 1
9. ANS: A
The flikelihood fratio fis fthe fprobability fthat fa fpositive ftest fresult fwill fbe fassociated fwith fa fperson fwho fhas fthe ftarget fcondition
fand fa fnegative fresult fwill fbe fassociated fwith fa fhealthy fperson. fA flikelihood fratio fabove f1 findicates fthat fa fpositive fresult fis
fassociated fwith fthe fdisease; fa flikelihood fratio fless fthan f1 findicates fthat fa fnegative fresult fis fassociated fwith fan fabsence fof fthe
fdisease.
, f
PTS: 1
10. ANS: B
Clinical fdecision f(or fprediction) frules fprovide fanother fsupport ffor fclinical freasoning. fClinical fdecision frules fare fevidence-
based fresources fthat fprovide fprobabilistic fstatements fregarding fthe flikelihood fthat fa fcondition fexists fif fcertain fvariables fare
fmet fwith fregard fto fthe fprognosis fof fpatients fwith fspecific ffindings. fDecision frules fuse fmathematical fmodels fand fare fspecific
fto fcertain fsituations, fsettings, fand/or fpatient fcharacteristics.
PTS: 1
