x
Test Bank for Advanced Health Assessment & Clinical Diagnosis in Primary Care
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
, x
x@ 7th Edition Dains
x@ x@
Chapter 1: Clinical Reasoning, Differential Diagnosis, Evidence-Based Practice, and Symptom Analysis
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Multiple Choice
x@
Identify the choice that best completes the statement or answers the question.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
1. Whichx@typex@ofx@clinicalx@decision-makingx@isx@mostx@reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Whichx@ofx@thex@followingx@isx@false?x@Tox@obtainx@adequatex@history,x@health-carex@providersx@mustx@be:
A. Methodicalx@andx@systematic
B. Attentivex@tox@thex@patient‘sx@verbalx@andx@nonverbalx@lang
uage
C. Ablex@tox@accuratelyx@interpretx@thex@patient‘sx@responses
D. Adeptx@atx@readingx@intox@thex@patient‘sx@statements
3. Essentialx@partsx@ofx@ax@healthx@historyx@includex@allx@ofx@thex@followingx@except:
A. Chiefx@complaint
B. Historyx@ofx@thex@presentx@illness
C. Currentx@vitalx@signs
D. Allx@ofx@thex@abovex@arex@essentialx@historyx@compo
nents
4. Whichx@ofx@thex@followingx@isx@false?x@Whilex@performingx@thex@physicalx@examination,x@thex@examinerx@mustx@bex@ablex@to:
A. Differentiatex@betweenx@normalx@andx@abnormalx@findings
B. Recallx@knowledgex@ofx@ax@rangex@ofx@conditionsx@andx@theirx@associatedx@signsx@andx@s
ymptoms
C. Recognizex@howx@certainx@conditionsx@affectx@thex@responsex@tox@otherx@conditions
D. Foreseex@unpredictablex @ findings
5. Thex@followingx@isx@thex@leastx@reliablex@sourcex@ofx@informationx@forx@diagnosticx@statistics:
A. Evidence-basedx @ investigations
B. Primaryx@reportsx@ofx@research
C. Estimationx@basedx@onx@ax@provider‘sx@experie
nce
D. Publishedx @ meta-analyses
6. Thex@followingx@canx@bex@usedx@tox@assistx@inx@soundx@clinicalx@decision-making:
A. Algorithmx@publishedx@inx@ax@peer-
, x
reviewedx@journalx@article
B. Clinicalx@practicex@guidelines
C. Evidence-basedx @ research
D. Allx@ofx@thex@above
7. Ifx@ax@diagnosticx@studyx@hasx@highx@sensitivity,x@ thisx@indicatesx@a:
A. Highx@percentagex@ofx@personsx@withx@thex@givenx@conditionx@willx@havex@anx@abnorm
alx@result
B. Lowx@percentagex@ofx@personsx@withx@thex@givenx@conditionx@willx@havex@anx@abnorm
alx@result
C. Lowx@likelihoodx@ofx@normalx@resultx@inx@personsx@withoutx@ax@givenx@condition
D. Nonex@ofx@thex@above
8. Ifx@ax@diagnosticx@studyx@hasx@highx@specificity,x@thisx@indicatesx@a:
A. Lowx@percentagex@ofx@healthyx@individualsx@willx@showx@ax@normalx@result
B. Highx@percentagex@ofx@healthyx@individualsx@willx@showx@ax@normalx@result
C. Highx@percentagex@ofx@individualsx@withx@ax@disorderx@willx@showx@ax@normalx@r
esult
D. Lowx@percentagex@ofx@individualsx@withx@ax@disorderx@willx@showx@anx@abnorm
alx@result
9. Ax@likelihoodx@ratiox@abovex@1x@indicatesx@thatx@ax@diagnosticx@testx@showingx@a:
A. Positivex@resultx@isx@stronglyx@associatedx@withx@thex@disease
B. Negativex@resultx@isx@stronglyx@associatedx@withx@absencex@ofx@thex@
disease
C. Positivex@resultx@isx@weaklyx@associatedx@withx@thex@disease
D. Negativex@resultx@isx@weaklyx@associatedx@withx@absencex@ofx@thex@di
sease
10. Whichx@ofx@thex@followingx@clinicalx@reasoningx@toolsx@isx@definedx@asx@evidence-
basedx@resourcex@basedx@onx@mathematicalx@modelingx@tox@expressx@thex@likelihoodx@ofx@ax@conditionx@inx@selectx@situations,x@setti
ngs,x@and/orx@patients?
, x
A. Clinicalx@practicex@guidelin
e
B. Clinicalx@decisionx@rule
C. Clinicalx@algorithm
Chapter 1: Clinical reasoning, differential diagnosis, evidence-based practice, and symptom ana
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Answer Section
x@
MULTIPLEx@CHOICE
1. ANS: B
Croskerryx@(2009)x@describesx@twox@majorx@typesx@ofx@clinicalx@diagnosticx@decision-
making:x@intuitivex@andx@analytical.x@Intuitivex@decision-x@makingx@(similarx@tox@Augenblinkx@decision-
making)x@isx@basedx@onx@thex@experiencex@andx@intuitionx@ofx@thex@clinicianx@andx@isx@lessx@reliablex@andx@pairedx@withx@fairlyx@com
monx@errors.x@Inx@contrast,x@analyticalx@decision-
makingx@isx@basedx@onx@carefulx@considerationx@andx@hasx@greaterx@reliabilityx@withx@rarex@errors.
PTS: 1
2. ANS: D
Tox@obtainx@adequatex@history,x@providersx@mustx@bex@wellx@organized,x@attentivex@tox@thex@patient‘sx@verbalx@andx@nonverbalx@langu
age,x@andx@ablex@tox@accuratelyx@interpretx@thex@patient‘sx@responsesx@tox@questions.x@Ratherx@thanx@readingx@intox@thex@patient‘sx@st
atements,x@theyx@clarifyx@anyx@areasx@ofx@uncertainty.
PTS: 1
3. ANS: C
Vitalx@signsx@arex@partx@ofx@thex@physicalx@examinationx@portionx@ofx@patientx@assessment,x@notx@partx@ofx@thex@healthx@history.
PTS: 1
4. ANS: D
Whilex@performingx@thex@physicalx@examination,x@thex@examinerx@mustx@bex@ablex@tox@differentiatex@betweenx@normalx@andx@abnor
malx@findings,x@recallx@knowledgex@ofx@ax@rangex@ofx@conditions,x@includingx@theirx@associatedx@signsx@andx@symptoms,x@recognizex@
howx@certainx@conditionsx@affectx@thex@responsex@tox@otherx@conditions,x@andx@distinguishx@thex@relevancex@ofx@variedx@abnormalx@fin
dings.
PTS: 1
5. ANS: C
Sourcesx@forx@diagnosticx@statisticsx@includex@textbooks,x@primaryx@reportsx@ofx@research,x@andx@publishedx@meta-
analyses.x@Anotherx@sourcex@ofx@statistics,x@thex@onex@thatx@hasx@beenx@mostx@widelyx@usedx@andx@availablex@forx@applicationx@tox@thex
reasoningx@process,x@isx@thex@estimationx@basedx@onx@ax@provider‘sx@experience,x@althoughx@thesex@arex@rarelyx@accurate.x@Overx@th
@
ex@pastx@decade,x@thex@availabilityx@ofx@evidencex@onx@whichx@tox@basex@clinicalx@reasoningx@isx@improving,x @ andx@therex@isx@anx@inc
reasingx@expectationx@thatx@clinicalx@reasoningx@bex@basedx@onx@scientificx@evidence.
Evidence-basedx@statisticsx@arex@ alsox@increasinglyx@beingx@usedx@tox@developx @ resourcesx@tox@facilitatex @ clinicalx @ decision-making.
PTS: 1
6. ANS: D
Test Bank for Advanced Health Assessment & Clinical Diagnosis in Primary Care
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
, x
x@ 7th Edition Dains
x@ x@
Chapter 1: Clinical Reasoning, Differential Diagnosis, Evidence-Based Practice, and Symptom Analysis
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Multiple Choice
x@
Identify the choice that best completes the statement or answers the question.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
1. Whichx@typex@ofx@clinicalx@decision-makingx@isx@mostx@reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Whichx@ofx@thex@followingx@isx@false?x@Tox@obtainx@adequatex@history,x@health-carex@providersx@mustx@be:
A. Methodicalx@andx@systematic
B. Attentivex@tox@thex@patient‘sx@verbalx@andx@nonverbalx@lang
uage
C. Ablex@tox@accuratelyx@interpretx@thex@patient‘sx@responses
D. Adeptx@atx@readingx@intox@thex@patient‘sx@statements
3. Essentialx@partsx@ofx@ax@healthx@historyx@includex@allx@ofx@thex@followingx@except:
A. Chiefx@complaint
B. Historyx@ofx@thex@presentx@illness
C. Currentx@vitalx@signs
D. Allx@ofx@thex@abovex@arex@essentialx@historyx@compo
nents
4. Whichx@ofx@thex@followingx@isx@false?x@Whilex@performingx@thex@physicalx@examination,x@thex@examinerx@mustx@bex@ablex@to:
A. Differentiatex@betweenx@normalx@andx@abnormalx@findings
B. Recallx@knowledgex@ofx@ax@rangex@ofx@conditionsx@andx@theirx@associatedx@signsx@andx@s
ymptoms
C. Recognizex@howx@certainx@conditionsx@affectx@thex@responsex@tox@otherx@conditions
D. Foreseex@unpredictablex @ findings
5. Thex@followingx@isx@thex@leastx@reliablex@sourcex@ofx@informationx@forx@diagnosticx@statistics:
A. Evidence-basedx @ investigations
B. Primaryx@reportsx@ofx@research
C. Estimationx@basedx@onx@ax@provider‘sx@experie
nce
D. Publishedx @ meta-analyses
6. Thex@followingx@canx@bex@usedx@tox@assistx@inx@soundx@clinicalx@decision-making:
A. Algorithmx@publishedx@inx@ax@peer-
, x
reviewedx@journalx@article
B. Clinicalx@practicex@guidelines
C. Evidence-basedx @ research
D. Allx@ofx@thex@above
7. Ifx@ax@diagnosticx@studyx@hasx@highx@sensitivity,x@ thisx@indicatesx@a:
A. Highx@percentagex@ofx@personsx@withx@thex@givenx@conditionx@willx@havex@anx@abnorm
alx@result
B. Lowx@percentagex@ofx@personsx@withx@thex@givenx@conditionx@willx@havex@anx@abnorm
alx@result
C. Lowx@likelihoodx@ofx@normalx@resultx@inx@personsx@withoutx@ax@givenx@condition
D. Nonex@ofx@thex@above
8. Ifx@ax@diagnosticx@studyx@hasx@highx@specificity,x@thisx@indicatesx@a:
A. Lowx@percentagex@ofx@healthyx@individualsx@willx@showx@ax@normalx@result
B. Highx@percentagex@ofx@healthyx@individualsx@willx@showx@ax@normalx@result
C. Highx@percentagex@ofx@individualsx@withx@ax@disorderx@willx@showx@ax@normalx@r
esult
D. Lowx@percentagex@ofx@individualsx@withx@ax@disorderx@willx@showx@anx@abnorm
alx@result
9. Ax@likelihoodx@ratiox@abovex@1x@indicatesx@thatx@ax@diagnosticx@testx@showingx@a:
A. Positivex@resultx@isx@stronglyx@associatedx@withx@thex@disease
B. Negativex@resultx@isx@stronglyx@associatedx@withx@absencex@ofx@thex@
disease
C. Positivex@resultx@isx@weaklyx@associatedx@withx@thex@disease
D. Negativex@resultx@isx@weaklyx@associatedx@withx@absencex@ofx@thex@di
sease
10. Whichx@ofx@thex@followingx@clinicalx@reasoningx@toolsx@isx@definedx@asx@evidence-
basedx@resourcex@basedx@onx@mathematicalx@modelingx@tox@expressx@thex@likelihoodx@ofx@ax@conditionx@inx@selectx@situations,x@setti
ngs,x@and/orx@patients?
, x
A. Clinicalx@practicex@guidelin
e
B. Clinicalx@decisionx@rule
C. Clinicalx@algorithm
Chapter 1: Clinical reasoning, differential diagnosis, evidence-based practice, and symptom ana
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Answer Section
x@
MULTIPLEx@CHOICE
1. ANS: B
Croskerryx@(2009)x@describesx@twox@majorx@typesx@ofx@clinicalx@diagnosticx@decision-
making:x@intuitivex@andx@analytical.x@Intuitivex@decision-x@makingx@(similarx@tox@Augenblinkx@decision-
making)x@isx@basedx@onx@thex@experiencex@andx@intuitionx@ofx@thex@clinicianx@andx@isx@lessx@reliablex@andx@pairedx@withx@fairlyx@com
monx@errors.x@Inx@contrast,x@analyticalx@decision-
makingx@isx@basedx@onx@carefulx@considerationx@andx@hasx@greaterx@reliabilityx@withx@rarex@errors.
PTS: 1
2. ANS: D
Tox@obtainx@adequatex@history,x@providersx@mustx@bex@wellx@organized,x@attentivex@tox@thex@patient‘sx@verbalx@andx@nonverbalx@langu
age,x@andx@ablex@tox@accuratelyx@interpretx@thex@patient‘sx@responsesx@tox@questions.x@Ratherx@thanx@readingx@intox@thex@patient‘sx@st
atements,x@theyx@clarifyx@anyx@areasx@ofx@uncertainty.
PTS: 1
3. ANS: C
Vitalx@signsx@arex@partx@ofx@thex@physicalx@examinationx@portionx@ofx@patientx@assessment,x@notx@partx@ofx@thex@healthx@history.
PTS: 1
4. ANS: D
Whilex@performingx@thex@physicalx@examination,x@thex@examinerx@mustx@bex@ablex@tox@differentiatex@betweenx@normalx@andx@abnor
malx@findings,x@recallx@knowledgex@ofx@ax@rangex@ofx@conditions,x@includingx@theirx@associatedx@signsx@andx@symptoms,x@recognizex@
howx@certainx@conditionsx@affectx@thex@responsex@tox@otherx@conditions,x@andx@distinguishx@thex@relevancex@ofx@variedx@abnormalx@fin
dings.
PTS: 1
5. ANS: C
Sourcesx@forx@diagnosticx@statisticsx@includex@textbooks,x@primaryx@reportsx@ofx@research,x@andx@publishedx@meta-
analyses.x@Anotherx@sourcex@ofx@statistics,x@thex@onex@thatx@hasx@beenx@mostx@widelyx@usedx@andx@availablex@forx@applicationx@tox@thex
reasoningx@process,x@isx@thex@estimationx@basedx@onx@ax@provider‘sx@experience,x@althoughx@thesex@arex@rarelyx@accurate.x@Overx@th
@
ex@pastx@decade,x@thex@availabilityx@ofx@evidencex@onx@whichx@tox@basex@clinicalx@reasoningx@isx@improving,x @ andx@therex@isx@anx@inc
reasingx@expectationx@thatx@clinicalx@reasoningx@bex@basedx@onx@scientificx@evidence.
Evidence-basedx@statisticsx@arex@ alsox@increasinglyx@beingx@usedx@tox@developx @ resourcesx@tox@facilitatex @ clinicalx @ decision-making.
PTS: 1
6. ANS: D
