TEST BANK FOR Advanced Assessment Interpreting
z z z z z
Findings and Formulating Differential Diagnoses
z z z z z z
4th Edition Goolsby Chapters 1 - 22 | Complete
z z z z z z z z z
, TABLE OF CONTENTS z z
Chapter 1. Assessment and Clinical Decision Making: An Overview
z z z z z z z z
Chapter 2. Genomic Assessment: Interpreting Findings and Formulating Differential Diagnoses
z z z z z z z z z
Chapter 3. Skin
z z
Chapter 4. Head, Face, and Neck
z z z z z
Chapter 5. The Eye
z z z
Chapter 6. Ear, Nose, Mouth, and Throat
z z z z z z
Chapter 7. Cardiac and Peripheral Vascular Systems
z z z z z z
Chapter 8. Respiratory System
z z z
Chapter 9. Breasts
z z
Chapter 10. Abdomen
z z
Chapter 11. Genitourinary System
z z z
Chapter 12. Male Reproductive System
z z z z
Chapter 13. Female Reproductive System
z z z z
Chapter 14. Musculoskeletal System
z z z
Chapter 15. Neurological System
z z z
Chapter 16. Nonspecific Complaints
z z z
Chapter 17. Psychiatric Mental Health
z z z z
Chapter 18. Pediatric Patients
z z z
Chapter 19. Pregnant Patients
z z z
Chapter 20. Assessment of the Transgender or Gender Diverse Adult
z z z z z z z z z
Chapter 21. Older Patients
z z z
Chapter 22. Persons With Disabilities
z z z z
, Chapter 1. Assessment and Clinical Decision Making: An Overview
z z z z z z z z
Multiple z Choice
Identify zthe zchoice zthat zbest zcompletes zthe zstatement zor zanswers zthe zquestion.
z 1. Which ztype zof zclinical zdecision-making zis zmost zreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
, A. Clinical zpractice zguideline
B. Clinical zdecision zrule
C. Clinical zalgorithm
Chapter 1: Clinical reasoning, differential diagnosis, evidence-based practice, and symptom ana
z z z z z z z z z z
Answer Section
z
MULTIPLE zCHOICE
1. ANS: B
Croskerry z(2009) zdescribes ztwo zmajor ztypes zof zclinical zdiagnostic zdecision-making: zintuitive zand zanalytical. zIntuitive
zdecision- zmaking z(similar zto zAugenblink zdecision-making) zis zbased zon zthe zexperience zand zintuition zof zthe zclinician zand zis
zless zreliable zandzpaired zwith zfairly zcommon zerrors. zIn zcontrast, zanalytical zdecision-making zis zbased zon zcareful zconsideration
zand zhas zgreater zreliability zwith zrare zerrors.
PTS: 1
2. ANS: D
To zobtain zadequate zhistory, zproviders zmust zbe zwell zorganized, zattentive zto zthe zpatient‘s zverbal zand znonverbal zlanguage, zand
zablezto zaccurately zinterpret zthe zpatient‘s zresponses zto zquestions. zRather zthan zreading zinto zthe zpatient‘s zstatements, zthey zclarify
zany zareas zof zuncertainty.
PTS: 1
3. ANS: C
Vital zsigns zare zpart zof zthe zphysical zexamination zportion zof zpatient zassessment, znot zpart zof zthe zhealth zhistory.
PTS: 1
4. ANS: D
While zperforming zthe zphysical zexamination, zthe zexaminer zmust zbe zable zto zdifferentiate zbetween znormal zand zabnormal zfindings,
zrecall zknowledge zof za zrange zof zconditions, zincluding ztheir zassociated zsigns zand zsymptoms, zrecognize zhow zcertain zconditions
zaffectzthe zresponse zto zother z conditions, zand zdistinguish zthe zrelevance zof zvaried zabnormal z findings.
PTS: 1
5. ANS: C
Sources zfor zdiagnostic zstatistics zinclude ztextbooks, zprimary zreports zof zresearch, zand zpublished zmeta-analyses. zAnother zsource
zofzstatistics, zthe zone zthat zhas zbeen zmost zwidelyzused zand zavailable zfor zapplication zto zthe zreasoning zprocess, zis zthe zestimation
zbased zonza zprovider‘s zexperience, zalthough zthese zare zrarely zaccurate. zOver zthe zpast zdecade, zthe zavailability zof zevidence zon
zwhich zto zbase zclinical zreasoning zis zimproving, z and zthere zis zan zincreasing zexpectation zthat zclinical zreasoning zbe zbased zon
zscientific zevidence.
Evidence-based zstatistics zare zalso zincreasinglyzbeing zused zto zdevelop zresources zto zfacilitate zclinical zdecision-making.
PTS: 1
6. ANS: D
To zassist zin zclinical zdecision-making, za znumber zof zevidence-based zresources zhave zbeen zdeveloped zto zassist zthe
zclinician.zResources, zsuch zas zalgorithms zand zclinical zpractice zguidelines, zassist zin zclinical zreasoning zwhen zproperly
zapplied.
PTS: 1
7. ANS: A
The zsensitivity zof za zdiagnostic zstudy zis zthe zpercentage zof zindividuals zwith zthe ztarget zcondition zwho zshow zan zabnormal, zor
zpositive,zresult. zAzhigh zsensitivity zindicates zthat za zgreater zpercentage zof zpersons zwith zthe zgiven zcondition zwill zhave zan zabnormal
zresult.
PTS: 1
8. ANS: B
The zspecificity zof za zdiagnostic zstudy zis zthe zpercentage zof znormal, zhealthy zindividuals zwho zhave za znormal zresult. zThe zgreater
zthezspecificity, zthe zgreater zthe zpercentage zof zindividuals zwho zwill zhave znegative, zor znormal, zresults zif zthey zdo znot zhave zthe
ztarget zcondition.
PTS: 1
9. ANS: A
The zlikelihood zratio zis zthe zprobability zthat za zpositive ztest zresult zwill zbe zassociated zwith za zperson zwho zhas zthe ztarget zcondition
zand zaznegative zresult zwill zbe zassociated zwith za zhealthy zperson. zA zlikelihood zratio zabove z1 zindicates zthat za zpositive zresult zis
zassociated zwith zthe zdisease; za zlikelihood zratio zless zthan z1 zindicates zthat za znegative zresult zis zassociated zwith zan zabsence zof zthe
zdisease.
z z z z z
Findings and Formulating Differential Diagnoses
z z z z z z
4th Edition Goolsby Chapters 1 - 22 | Complete
z z z z z z z z z
, TABLE OF CONTENTS z z
Chapter 1. Assessment and Clinical Decision Making: An Overview
z z z z z z z z
Chapter 2. Genomic Assessment: Interpreting Findings and Formulating Differential Diagnoses
z z z z z z z z z
Chapter 3. Skin
z z
Chapter 4. Head, Face, and Neck
z z z z z
Chapter 5. The Eye
z z z
Chapter 6. Ear, Nose, Mouth, and Throat
z z z z z z
Chapter 7. Cardiac and Peripheral Vascular Systems
z z z z z z
Chapter 8. Respiratory System
z z z
Chapter 9. Breasts
z z
Chapter 10. Abdomen
z z
Chapter 11. Genitourinary System
z z z
Chapter 12. Male Reproductive System
z z z z
Chapter 13. Female Reproductive System
z z z z
Chapter 14. Musculoskeletal System
z z z
Chapter 15. Neurological System
z z z
Chapter 16. Nonspecific Complaints
z z z
Chapter 17. Psychiatric Mental Health
z z z z
Chapter 18. Pediatric Patients
z z z
Chapter 19. Pregnant Patients
z z z
Chapter 20. Assessment of the Transgender or Gender Diverse Adult
z z z z z z z z z
Chapter 21. Older Patients
z z z
Chapter 22. Persons With Disabilities
z z z z
, Chapter 1. Assessment and Clinical Decision Making: An Overview
z z z z z z z z
Multiple z Choice
Identify zthe zchoice zthat zbest zcompletes zthe zstatement zor zanswers zthe zquestion.
z 1. Which ztype zof zclinical zdecision-making zis zmost zreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
, A. Clinical zpractice zguideline
B. Clinical zdecision zrule
C. Clinical zalgorithm
Chapter 1: Clinical reasoning, differential diagnosis, evidence-based practice, and symptom ana
z z z z z z z z z z
Answer Section
z
MULTIPLE zCHOICE
1. ANS: B
Croskerry z(2009) zdescribes ztwo zmajor ztypes zof zclinical zdiagnostic zdecision-making: zintuitive zand zanalytical. zIntuitive
zdecision- zmaking z(similar zto zAugenblink zdecision-making) zis zbased zon zthe zexperience zand zintuition zof zthe zclinician zand zis
zless zreliable zandzpaired zwith zfairly zcommon zerrors. zIn zcontrast, zanalytical zdecision-making zis zbased zon zcareful zconsideration
zand zhas zgreater zreliability zwith zrare zerrors.
PTS: 1
2. ANS: D
To zobtain zadequate zhistory, zproviders zmust zbe zwell zorganized, zattentive zto zthe zpatient‘s zverbal zand znonverbal zlanguage, zand
zablezto zaccurately zinterpret zthe zpatient‘s zresponses zto zquestions. zRather zthan zreading zinto zthe zpatient‘s zstatements, zthey zclarify
zany zareas zof zuncertainty.
PTS: 1
3. ANS: C
Vital zsigns zare zpart zof zthe zphysical zexamination zportion zof zpatient zassessment, znot zpart zof zthe zhealth zhistory.
PTS: 1
4. ANS: D
While zperforming zthe zphysical zexamination, zthe zexaminer zmust zbe zable zto zdifferentiate zbetween znormal zand zabnormal zfindings,
zrecall zknowledge zof za zrange zof zconditions, zincluding ztheir zassociated zsigns zand zsymptoms, zrecognize zhow zcertain zconditions
zaffectzthe zresponse zto zother z conditions, zand zdistinguish zthe zrelevance zof zvaried zabnormal z findings.
PTS: 1
5. ANS: C
Sources zfor zdiagnostic zstatistics zinclude ztextbooks, zprimary zreports zof zresearch, zand zpublished zmeta-analyses. zAnother zsource
zofzstatistics, zthe zone zthat zhas zbeen zmost zwidelyzused zand zavailable zfor zapplication zto zthe zreasoning zprocess, zis zthe zestimation
zbased zonza zprovider‘s zexperience, zalthough zthese zare zrarely zaccurate. zOver zthe zpast zdecade, zthe zavailability zof zevidence zon
zwhich zto zbase zclinical zreasoning zis zimproving, z and zthere zis zan zincreasing zexpectation zthat zclinical zreasoning zbe zbased zon
zscientific zevidence.
Evidence-based zstatistics zare zalso zincreasinglyzbeing zused zto zdevelop zresources zto zfacilitate zclinical zdecision-making.
PTS: 1
6. ANS: D
To zassist zin zclinical zdecision-making, za znumber zof zevidence-based zresources zhave zbeen zdeveloped zto zassist zthe
zclinician.zResources, zsuch zas zalgorithms zand zclinical zpractice zguidelines, zassist zin zclinical zreasoning zwhen zproperly
zapplied.
PTS: 1
7. ANS: A
The zsensitivity zof za zdiagnostic zstudy zis zthe zpercentage zof zindividuals zwith zthe ztarget zcondition zwho zshow zan zabnormal, zor
zpositive,zresult. zAzhigh zsensitivity zindicates zthat za zgreater zpercentage zof zpersons zwith zthe zgiven zcondition zwill zhave zan zabnormal
zresult.
PTS: 1
8. ANS: B
The zspecificity zof za zdiagnostic zstudy zis zthe zpercentage zof znormal, zhealthy zindividuals zwho zhave za znormal zresult. zThe zgreater
zthezspecificity, zthe zgreater zthe zpercentage zof zindividuals zwho zwill zhave znegative, zor znormal, zresults zif zthey zdo znot zhave zthe
ztarget zcondition.
PTS: 1
9. ANS: A
The zlikelihood zratio zis zthe zprobability zthat za zpositive ztest zresult zwill zbe zassociated zwith za zperson zwho zhas zthe ztarget zcondition
zand zaznegative zresult zwill zbe zassociated zwith za zhealthy zperson. zA zlikelihood zratio zabove z1 zindicates zthat za zpositive zresult zis
zassociated zwith zthe zdisease; za zlikelihood zratio zless zthan z1 zindicates zthat za znegative zresult zis zassociated zwith zan zabsence zof zthe
zdisease.
