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TEST BANK FOR ADVANCED HEALTH ASSESSMENT &
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CLINICAL DIAGNOSIS IN PRIMARYCARE 6TH
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EDITION DAINS ISBN: 9780323594554
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This Test Bank is Directly from The
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Publisher Has All Chapters With 100%
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Correct Answers INSTANT DOWNLOAD
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Test Bank for Advanced Health Assessment & Clinical Diagnosis in Primary Care
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6th Edition Dains bb bb bb
Chapter 1: Clinical Reasoning, Differential Diagnosis, Evidence-Based Practice, and Symptom Analysis
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Multiple Choicebb
Identify the choice that best completes the statement or answers the question.
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1. Which bbtype bbof bbclinical bbdecision-making bbis bbmost bbreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which bbof bbthe bbfollowing bbis bbfalse? bbTo bbobtain bbadequate bbhistory, bbhealth-care bbproviders bbmust bbbe:
A. Methodical bband bbsystematic
B. Attentive bbto bbthe bbpatient‘s bbverbal bband bbnonverbal
bblanguage
C. Able bbto bbaccuratelybbinterpret bbthe bbpatient‘s bbresponses
D. Adept bbat bbreading bbintobbthe bbpatient‘s bbstatements
3. Essential bbparts bbof bba bbhealth bbhistorybbinclude bball bbof bbthe bbfollowing bbexcept:
A. Chief bbcomplaint
B. Historybbof bbthe bbpresent bbillness
C. Current bbvital bbsigns
D. All bbof bbthe bbabove bbare bbessential bbhistory
bbcomponents
4. Which bbof bbthe bbfollowing bbis bbfalse? bbWhile bbperforming bbthe bbphysical bbexamination, bbthe bbexaminer bbmust bbbe bbable bbto:
A. Differentiate bbbetween bbnormal bband bbabnormal bbfindings
B. Recall bbknowledge bbof bba bbrange bbof bbconditions bband bbtheir bbassociated bbsigns bband
bbsymptoms
C. Recognize bbhow bbcertain bbconditions bbaffect bbthe bbresponse bbto bbother bbconditions
D. Foresee bbunpredictable b b findings
5. The bbfollowing bbis bbthe bbleast bbreliable bbsource bbof bbinformation bbfor bbdiagnostic bbstatistics:
A. Evidence-based b b investigations
B. Primarybbreports bbof bbresearch
C. Estimation bbbased bbon bba bbprovider‘s
bbexperience
D. Published b b meta-analyses
6. The bbfollowing bbcan bbbe bbused bbto bbassist bbin bbsound bbclinical bbdecision-making:
A. Algorithmbbpublished bbin bba bbpeer-reviewed bbjournal
bbarticle
B. Clinical bbpractice bbguidelines
C. Evidence-based b b research
D. All bbof bbthe bbabove
7. If bba bbdiagnostic bbstudybbhas bbhigh bbsensitivity, bb this bbindicates bba:
A. High bbpercentage bbof bbpersons bbwith bbthe bbgiven bbcondition bbwill bbhave bban bbabnormal
bbresult
B. Low bbpercentage bbof bbpersons bbwith bbthe bbgiven bbcondition bbwill bbhave bban bbabnormal
bbresult
C. Low bblikelihood bbof bbnormal bbresult bbin bbpersons bbwithout bba bbgiven bbcondition
D. None bbof bbthe bbabove
8. If bba bbdiagnostic bbstudybbhas bbhigh bbspecificity, bbthis bbindicates bba:
A. Low bbpercentage bbof bbhealthybbindividuals bbwill bbshow bba bbnormal bbresult
B. High bbpercentage bbof bbhealthybbindividuals bbwill bbshow bba bbnormal bbresult
C. High bbpercentage bbof bbindividuals bbwith bba bbdisorder bbwill bbshow bba bbnormal
bbresult
D. Low bbpercentage bbof bbindividuals bbwith bba bbdisorder bbwill bbshow bban bbabnormal
bbresult
9. A bblikelihood bbratio bbabove bb1 bbindicates bbthat bba bbdiagnostic bbtest bbshowing bba:
A. Positive bbresult bbis bbstronglybbassociated bbwith bbthe bbdisease
B. Negative bbresult bbis bbstronglybbassociated bbwith bbabsence bbof bbthe
bbdisease
C. Positive bbresult bbis bbweaklybbassociated bbwith bbthe bbdisease
D. Negative bbresult bbis bbweaklybbassociated bbwith bbabsence bbof bbthe
bbdisease
10. Which bbof bbthe bbfollowing bbclinical bbreasoning bbtools bbis bbdefined bbas bbevidence-based bbresource bbbased bbon bbmathematical
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bb modeling bbto bbexpress bbthe bblikelihood bbof bba bbcondition bbin bbselect bbsituations, bbsettings, bband/or bbpatients?
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A. Clinical bbpractice
bbguideline
B. Clinical bbdecision bbrule
C. Clinical bbalgorithm
Chapter 1: Clinical reasoning, differential diagnosis, evidence-based practice, and symptom ana
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Answer Section
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MULTIPLE bbCHOICE
1. ANS: B
Croskerry bb(2009) bbdescribes bbtwo bbmajor bbtypes bbof bbclinical bbdiagnostic bbdecision-making: bbintuitive bband bbanalytical. bbIntuitive
bbdecision- bbmaking bb(similar bbto bbAugenblink bbdecision-making) bbis bbbased bbon bbthe bbexperience bband bbintuition bbof bbthe bbclinician
bband bbis bbless bbreliable bband bbpaired bbwith bbfairly bbcommon bberrors. bbIn bbcontrast, bbanalytical bbdecision-making bbis bbbased bbon
bbcareful bbconsideration bband bbhas bbgreater bbreliability bbwith bbrare bberrors.
PTS: 1
2. ANS: D
To bbobtain bbadequate bbhistory, bbproviders bbmust bbbe bbwell bborganized, bbattentive bbto bbthe bbpatient‘s bbverbal bband bbnonverbal
bblanguage, bband bbable bbto bbaccurately bbinterpret bbthe bbpatient‘s bbresponses bbto bbquestions. bbRather bbthan bbreading bbinto bbthe bbpatient‘s
bbstatements, bbthey bbclarify bbany bbareas bbof bbuncertainty.
PTS: 1
3. ANS: C
Vital bbsigns bbare bbpart bbof bbthe bbphysical bbexamination bbportion bbof bbpatient bbassessment, bbnot bbpart bbof bbthe bbhealth bbhistory.
PTS: 1
4. ANS: D
While bbperforming bbthe bbphysical bbexamination, bbthe bbexaminer bbmust bbbe bbable bbto bbdifferentiate bbbetween bbnormal bband bbabnormal
bbfindings, bbrecall bbknowledge bbof bba bbrange bbof bbconditions, bbincluding bbtheir bbassociated bbsigns bband bbsymptoms, bbrecognize bbhow
bbcertain bbconditions bbaffect bbthe bbresponse bbto bbother bbconditions, bband bbdistinguish bbthe bbrelevance bbof bbvaried bbabnormal bbfindings.
PTS: 1
5. ANS: C
Sources bbfor bbdiagnostic bbstatistics bbinclude bbtextbooks, bbprimary bbreports bbof bbresearch, bband bbpublished bbmeta-analyses. bbAnother
bbsource bbof bbstatistics, bbthe bbone bbthat bbhas bbbeen bbmost bbwidely bbused bband bbavailable bbfor bbapplication bbto bbthe bbreasoning bbprocess, bbis
bbthe bbestimation bbbased bbon bba bbprovider‘s bbexperience, bbalthough bbthese bbare bbrarely bbaccurate. bbOver bbthe bbpast bbdecade, bbthe
bbavailability bbof bbevidence bbon bbwhich bbto bbbase bbclinical bbreasoning bbis bbimproving, b b and bbthere bbis bban bbincreasing bbexpectation
bbthat bbclinical bbreasoning bbbe bbbased bbon bbscientific bbevidence.
Evidence-based bbstatistics bbare bb also bbincreasingly bbbeing bbused bbto bbdevelop b b resources bbto bbfacilitate b b clinical b b decision-making.
PTS: 1
6. ANS: D
To bbassist bbin bbclinical bbdecision-making, bba bbnumber bbof bbevidence-based bbresources bbhave bbbeen bbdeveloped bbto bbassist bbthe
bbclinician. bbResources, bbsuch bbas bbalgorithms bband bbclinical bbpractice bbguidelines, bbassist bbin bbclinical bbreasoning bbwhen bbproperly
bbapplied.
PTS: 1
7. ANS: A
The bbsensitivity bbof bba bbdiagnostic bbstudy bbis bbthe bbpercentage bbof bbindividuals bbwith bbthe bbtarget bbcondition bbwho bbshow bban bbabnormal,
bbor b b positive, bbresult. bbA bbhigh bbsensitivity bbindicates bbthat bba bbgreater bbpercentage bbof bbpersons bbwith bbthe bbgiven bbcondition bbwill
bbhave bban bbabnormal bbresult.
PTS: 1
8. ANS: B
The bbspecificity bbof bba bbdiagnostic bbstudy bbis bbthe bbpercentage bbof bbnormal, bbhealthy bbindividuals bbwho bbhave bba bbnormal bbresult. bbThe
bbgreater bbthe bbspecificity, bbthe bbgreater bbthe bbpercentage bbof bbindividuals bbwho bbwill bbhave bbnegative, bbor bbnormal, bbresults bbif bbthey
bbdo bbnot bbhave bbthe bbtarget bbcondition.
PTS: 1
9. ANS: A
The bblikelihood bbratio bbis bbthe bbprobability bbthat bba bbpositive bbtest bbresult bbwill bbbe bbassociated bbwith bba bbperson bbwho bbhas bbthe bbtarget
bbcondition bband bba bbnegative bbresult bbwill bbbe bbassociated bbwith bba bbhealthy bbperson. bbA bblikelihood bbratio bbabove bb1 bbindicates bbthat bba
bbpositive bbresult bbis bbassociated bbwith bbthe bbdisease; bba bblikelihood bbratio bbless bbthan bb1 bbindicates bbthat bba bbnegative bbresult bbis
bbassociated bbwith bban bbabsence bbof bbthe bbdisease.