TEST BANK FOR ADVANCED ASSESSMENT: INTERPRETING FINDINGS AND
FORMULATING DIFFERENTIAL DIAGNOSES 5TH EDITION, MARY JO
GOOLSBY, LAURIE GRUBBS ISBN-10; 1719645930 / ISBN-13;978-1719645935
,Chapter c1. cAssessment cand cClinical cDecision-Making: cOverview
Multiple cChoice
Identify cthe cchoice cthat cbest ccompletes cthe cstatement cor canswers cthe cquestion.
1. Which ctype cof cclinical cdecision-making cis cmost creliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which cof cthe cfollowing cis cfalse? cTo cobtain cadequate chistory, chealth-care cproviders cmust cbe:
A. Methodical cand csystematic
B. Attentive cto cthe cpatient’s cverbal cand cnonverbal clanguage
C. Able cto caccurately cinterpret cthe cpatient’s cresponses
D. Adept cat creading cinto cthe cpatient’s cstatements
3. Essential cparts cof ca chealth chistory cinclude call cof cthe cfollowing cexcept:
A. Chief ccomplaint
B. History cof cthe cpresent cillness
C. Current cvital csigns
D. All cof cthe cabove care cessential chistory ccomponents
4. Which cof cthe cfollowing cis cfalse? cWhile cperforming cthe cphysical cexamination, cthe cexaminer
cmust cbe cable cto:
A. Differentiate cbetween cnormal cand cabnormal cfindings
B. Recall cknowledge cof ca crange cof cconditions cand ctheir cassociated csigns cand csymptoms
C. Recognize chow ccertain cconditions caffect cthe cresponse cto cother cconditions
D. Foresee cunpredictable cfindings
5. The cfollowing cis cthe cleast creliable csource cof cinformation cfor cdiagnostic cstatistics:
A. Evidence-based cinvestigations
B. Primary creports cof cresearch
C. Estimation cbased con ca cprovider’s cexperience
D. Published cmeta-analyses
6. The cfollowing ccan cbe cused cto cassist cin csound cclinical cdecision-making:
A. Algorithm cpublished cin ca cpeer-reviewed cjournal carticle
B. Clinical cpractice cguidelines
C. Evidence-based cresearch
D. All cof cthe cabove
7. If ca cdiagnostic cstudy chas chigh csensitivity, cthis cindicates ca:
A. High cpercentage cof cpersons cwith cthe cgiven ccondition cwill chave can cabnormal cresult
B. Low cpercentage cof cpersons cwith cthe cgiven ccondition cwill chave can cabnormal cresult
C. Low clikelihood cof cnormal cresult cin cpersons cwithout ca cgiven ccondition
D. None cof cthe cabove
, 8. If ca cdiagnostic cstudy chas chigh cspecificity, cthis cindicates ca:
A. Low cpercentage cof chealthy cindividuals cwill cshow ca cnormal cresult
B. High cpercentage cof chealthy cindividuals cwill cshow ca cnormal cresult
C. High cpercentage cof cindividuals cwith ca cdisorder cwill cshow ca cnormal cresult
D. Low cpercentage cof cindividuals cwith ca cdisorder cwill cshow can cabnormal cresult
9. A clikelihood cratio cabove c1 cindicates cthat ca cdiagnostic ctest cshowing ca:
A. Positive cresult cis cstrongly cassociated cwith cthe cdisease
B. Negative cresult cis cstrongly cassociated cwith cabsence cof cthe cdisease
C. Positive cresult cis cweakly cassociated cwith cthe cdisease
D. Negative cresult cis cweakly cassociated cwith cabsence cof cthe cdisease
c 10. cWhich cof cthe cfollowing cclinical creasoning ctools cis cdefined cas cevidence-based cresource cbased
con cmathematical cmodeling cto cexpress cthe clikelihood cof ca ccondition cin cselect csituations,
csettings, cand/or cpatients?
A. Clinical cpractice cguideline
B. Clinical cdecision crule
C. Clinical calgorithm
D. Clinical crecommendation
, Answer cSection
MULTIPLE cCHOICE
1. ANS: c c B
Croskerry c(2009) cdescribes ctwo cmajor ctypes cof cclinical cdiagnostic cdecision-making: cintuitive
cand canalytical. cIntuitive cdecision-making c(similar cto cAugenblink cdecision-making) cis cbased
con cthe cexperience cand cintuition cof cthe cclinician cand cis cless creliable cand cpaired cwith cfairly
ccommon cerrors. cIn ccontrast, canalytical cdecision-making cis cbased con ccareful cconsideration
cand chas cgreater creliability cwith crare cerrors.
PTS: 1
2. ANS: c c D
To cobtain cadequate chistory, cproviders cmust cbe cwell corganized, cattentive cto cthe cpatient’s cverbal
cand cnonverbal clanguage, cand cable cto caccurately cinterpret cthe cpatient’s cresponses cto
cquestions. cRather cthan creading cinto cthe cpatient’s cstatements, cthey cclarify cany careas cof
cuncertainty.
PTS: 1
3. ANS: c c C
Vital csigns care cpart cof cthe cphysical cexamination cportion cof cpatient cassessment, cnot cpart cof cthe
chealth chistory.
PTS: 1
4. ANS: c c D
While cperforming cthe cphysical cexamination, cthe cexaminer cmust cbe cable cto cdifferentiate
cbetween cnormal cand cabnormal cfindings, crecall cknowledge cof ca crange cof cconditions,
cincluding ctheir cassociated csigns cand csymptoms, crecognize chow ccertain cconditions caffect cthe
cresponse cto cother cconditions, cand cdistinguish cthe crelevance cof cvaried cabnormal cfindings.
PTS: 1
5. ANS: c c C
Sources cfor cdiagnostic cstatistics cinclude ctextbooks, cprimary creports cof cresearch, cand
cpublished cmeta-analyses. cAnother csource cof cstatistics, cthe cone cthat chas cbeen cmost cwidely
cused cand cavailable cfor capplication cto cthe creasoning cprocess, cis cthe cestimation cbased con ca
cprovider’s cexperience, calthough cthese care crarely caccurate. cOver cthe cpast cdecade, cthe
cavailability cof cevidence con cwhich cto cbase cclinical creasoning cis cimproving, cand cthere cis can
cincreasing cexpectation cthat cclinical creasoning cbe cbased con cscientific cevidence. cEvidence-
based cstatistics care calso cincreasingly cbeing cused cto cdevelop cresources cto cfacilitate cclinical
cdecision-making.
PTS: 1
6. ANS: c c D
To cassist cin cclinical cdecision-making, ca cnumber cof cevidence-based cresources chave cbeen
cdeveloped cto cassist cthe cclinician. cResources, csuch cas calgorithms cand cclinical cpractice
cguidelines, cassist cin cclinical creasoning cwhen cproperly capplied.
FORMULATING DIFFERENTIAL DIAGNOSES 5TH EDITION, MARY JO
GOOLSBY, LAURIE GRUBBS ISBN-10; 1719645930 / ISBN-13;978-1719645935
,Chapter c1. cAssessment cand cClinical cDecision-Making: cOverview
Multiple cChoice
Identify cthe cchoice cthat cbest ccompletes cthe cstatement cor canswers cthe cquestion.
1. Which ctype cof cclinical cdecision-making cis cmost creliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which cof cthe cfollowing cis cfalse? cTo cobtain cadequate chistory, chealth-care cproviders cmust cbe:
A. Methodical cand csystematic
B. Attentive cto cthe cpatient’s cverbal cand cnonverbal clanguage
C. Able cto caccurately cinterpret cthe cpatient’s cresponses
D. Adept cat creading cinto cthe cpatient’s cstatements
3. Essential cparts cof ca chealth chistory cinclude call cof cthe cfollowing cexcept:
A. Chief ccomplaint
B. History cof cthe cpresent cillness
C. Current cvital csigns
D. All cof cthe cabove care cessential chistory ccomponents
4. Which cof cthe cfollowing cis cfalse? cWhile cperforming cthe cphysical cexamination, cthe cexaminer
cmust cbe cable cto:
A. Differentiate cbetween cnormal cand cabnormal cfindings
B. Recall cknowledge cof ca crange cof cconditions cand ctheir cassociated csigns cand csymptoms
C. Recognize chow ccertain cconditions caffect cthe cresponse cto cother cconditions
D. Foresee cunpredictable cfindings
5. The cfollowing cis cthe cleast creliable csource cof cinformation cfor cdiagnostic cstatistics:
A. Evidence-based cinvestigations
B. Primary creports cof cresearch
C. Estimation cbased con ca cprovider’s cexperience
D. Published cmeta-analyses
6. The cfollowing ccan cbe cused cto cassist cin csound cclinical cdecision-making:
A. Algorithm cpublished cin ca cpeer-reviewed cjournal carticle
B. Clinical cpractice cguidelines
C. Evidence-based cresearch
D. All cof cthe cabove
7. If ca cdiagnostic cstudy chas chigh csensitivity, cthis cindicates ca:
A. High cpercentage cof cpersons cwith cthe cgiven ccondition cwill chave can cabnormal cresult
B. Low cpercentage cof cpersons cwith cthe cgiven ccondition cwill chave can cabnormal cresult
C. Low clikelihood cof cnormal cresult cin cpersons cwithout ca cgiven ccondition
D. None cof cthe cabove
, 8. If ca cdiagnostic cstudy chas chigh cspecificity, cthis cindicates ca:
A. Low cpercentage cof chealthy cindividuals cwill cshow ca cnormal cresult
B. High cpercentage cof chealthy cindividuals cwill cshow ca cnormal cresult
C. High cpercentage cof cindividuals cwith ca cdisorder cwill cshow ca cnormal cresult
D. Low cpercentage cof cindividuals cwith ca cdisorder cwill cshow can cabnormal cresult
9. A clikelihood cratio cabove c1 cindicates cthat ca cdiagnostic ctest cshowing ca:
A. Positive cresult cis cstrongly cassociated cwith cthe cdisease
B. Negative cresult cis cstrongly cassociated cwith cabsence cof cthe cdisease
C. Positive cresult cis cweakly cassociated cwith cthe cdisease
D. Negative cresult cis cweakly cassociated cwith cabsence cof cthe cdisease
c 10. cWhich cof cthe cfollowing cclinical creasoning ctools cis cdefined cas cevidence-based cresource cbased
con cmathematical cmodeling cto cexpress cthe clikelihood cof ca ccondition cin cselect csituations,
csettings, cand/or cpatients?
A. Clinical cpractice cguideline
B. Clinical cdecision crule
C. Clinical calgorithm
D. Clinical crecommendation
, Answer cSection
MULTIPLE cCHOICE
1. ANS: c c B
Croskerry c(2009) cdescribes ctwo cmajor ctypes cof cclinical cdiagnostic cdecision-making: cintuitive
cand canalytical. cIntuitive cdecision-making c(similar cto cAugenblink cdecision-making) cis cbased
con cthe cexperience cand cintuition cof cthe cclinician cand cis cless creliable cand cpaired cwith cfairly
ccommon cerrors. cIn ccontrast, canalytical cdecision-making cis cbased con ccareful cconsideration
cand chas cgreater creliability cwith crare cerrors.
PTS: 1
2. ANS: c c D
To cobtain cadequate chistory, cproviders cmust cbe cwell corganized, cattentive cto cthe cpatient’s cverbal
cand cnonverbal clanguage, cand cable cto caccurately cinterpret cthe cpatient’s cresponses cto
cquestions. cRather cthan creading cinto cthe cpatient’s cstatements, cthey cclarify cany careas cof
cuncertainty.
PTS: 1
3. ANS: c c C
Vital csigns care cpart cof cthe cphysical cexamination cportion cof cpatient cassessment, cnot cpart cof cthe
chealth chistory.
PTS: 1
4. ANS: c c D
While cperforming cthe cphysical cexamination, cthe cexaminer cmust cbe cable cto cdifferentiate
cbetween cnormal cand cabnormal cfindings, crecall cknowledge cof ca crange cof cconditions,
cincluding ctheir cassociated csigns cand csymptoms, crecognize chow ccertain cconditions caffect cthe
cresponse cto cother cconditions, cand cdistinguish cthe crelevance cof cvaried cabnormal cfindings.
PTS: 1
5. ANS: c c C
Sources cfor cdiagnostic cstatistics cinclude ctextbooks, cprimary creports cof cresearch, cand
cpublished cmeta-analyses. cAnother csource cof cstatistics, cthe cone cthat chas cbeen cmost cwidely
cused cand cavailable cfor capplication cto cthe creasoning cprocess, cis cthe cestimation cbased con ca
cprovider’s cexperience, calthough cthese care crarely caccurate. cOver cthe cpast cdecade, cthe
cavailability cof cevidence con cwhich cto cbase cclinical creasoning cis cimproving, cand cthere cis can
cincreasing cexpectation cthat cclinical creasoning cbe cbased con cscientific cevidence. cEvidence-
based cstatistics care calso cincreasingly cbeing cused cto cdevelop cresources cto cfacilitate cclinical
cdecision-making.
PTS: 1
6. ANS: c c D
To cassist cin cclinical cdecision-making, ca cnumber cof cevidence-based cresources chave cbeen
cdeveloped cto cassist cthe cclinician. cResources, csuch cas calgorithms cand cclinical cpractice
cguidelines, cassist cin cclinical creasoning cwhen cproperly capplied.
