And Formulating Differential Diagnoses, 5th Edition,MaryJo
Goolsby, Laurie GrubbsChapter 1 -22 |Complete
,Chapter 1. Assessment and Clinical Decision-Making: Overview
J J J J J J
MultipleJChoice
IdentifyJtheJchoiceJthatJbestJcompletesJtheJstatementJorJanswersJtheJquestion.
1. WhichJtypeJofJclinicalJdecision-makingJisJmostJreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. WhichJofJtheJfollowingJisJfalse?JToJobtainJadequateJhistory,Jhealth-careJprovidersJmustJbe:
A. MethodicalJandJsystematic
B. AttentiveJtoJtheJpatient’sJverbalJandJnonverbalJlanguage
C. AbleJtoJaccuratelyJinterpretJtheJpatient’sJresponses
D. AdeptJatJreadingJintoJtheJpatient’sJstatements
EssentialJpartsJofJaJhealthJhistoryJincludeJallJofJtheJfollowingJexcept:
3.
A.J ChiefJcomplaint
B.J HistoryJofJtheJpresentJillness
C.J CurrentJvitalJsigns
D.J AllJofJtheJaboveJareJessentialJhistoryJcomponents
WhichJofJtheJfollowingJisJfalse?JWhileJperformingJtheJphysicalJexamination,JtheJexaminerJmustJbe
4. ableJto:
A. DifferentiateJbetweenJnormalJandJabnormalJfindings
B. RecallJknowledgeJofJaJrangeJofJconditionsJandJtheirJassociatedJsignsJandJsymptoms
C. RecognizeJhowJcertainJconditionsJaffectJtheJresponseJtoJotherJconditions
D. ForeseeJunpredictableJfindings
TheJfollowingJisJtheJleastJreliableJsourceJofJinformationJforJdiagnosticJstatistics:
5. A.J Evidence-basedJinvestigations
B.J PrimaryJreportsJofJresearch
C.J EstimationJbasedJonJaJprovider’sJexperience
D.J PublishedJmeta-analyses
TheJfollowingJcanJbeJusedJtoJassistJinJsoundJclinicalJdecision-making:
6. A.J AlgorithmJpublishedJinJaJpeer-reviewedJjournalJarticle
B.J ClinicalJpracticeJguidelines
C.J Evidence-basedJresearch
D.J AllJofJtheJabove
IfJaJdiagnosticJstudyJhasJhighJsensitivity,JthisJindicatesJa:
A.J HighJpercentageJofJpersonsJwithJtheJgivenJconditionJwillJhaveJanJabnormalJresult
7. B.J LowJpercentageJofJpersonsJwithJtheJgivenJconditionJwillJhaveJanJabnormalJresult
C.J LowJlikelihoodJofJnormalJresultJinJpersonsJwithoutJaJgivenJcondition
D.J NoneJofJtheJabove
, 8. IfJaJdiagnosticJstudyJhasJhighJspecificity,JthisJindicatesJa:
A. LowJpercentageJofJhealthyJindividualsJwillJshowJaJnormalJresult
B. HighJpercentageJofJhealthyJindividualsJwillJshowJaJnormalJresult
C. HighJpercentageJofJindividualsJwithJaJdisorderJwillJshowJaJnormalJresult
D. LowJpercentageJofJindividualsJwithJaJdisorderJwillJshowJanJabnormalJresult
9. AJlikelihoodJratioJaboveJ1JindicatesJthatJaJdiagnosticJtestJshowingJa:
A. PositiveJresultJisJstronglyJassociatedJwithJtheJdisease
B. NegativeJresultJisJstronglyJassociatedJwithJabsenceJofJtheJdisease
C. PositiveJresultJisJweaklyJassociatedJwithJtheJdisease
D. NegativeJresultJisJweaklyJassociatedJwithJabsenceJofJtheJdisease
J 10.JWhichJofJtheJfollowingJclinicalJreasoningJtoolsJisJdefinedJasJevidence-
basedJresourceJbasedJonJmathematicalJmodelingJtoJexpressJtheJlikelihoodJofJaJconditionJinJsele
ctJsituations,Jsettings,Jand/orpatients?
A. ClinicalJpracticeJguidelineJ
B. ClinicalJdecisionJruleJClin
C. icalJalgorithmJClinicalJrec
D. ommendation
, Chapter 1. Assessment and Clinical Decision-Making: Overview
J J J J J J
Answer Section
J
MULTIPLEJCHOICE
1. ANS:J B
CroskerryJ(2009)JdescribesJtwoJmajorJtypesJofJclinicalJdiagnosticJdecision-
making:JintuitiveJandJanalytical.JIntuitiveJdecision-makingJ(similarJtoJAugenblinkJdecision-
making)JisJbasedJonJtheJexperienceJandJintuitionJofJtheJclinicianJandJisJlessJreliableJandJpairedJwithJfa
irlyJcommonJerrors.JInJcontrast,JanalyticalJdecision-
makingJisJbasedJonJcarefulJconsiderationJandJhasJgreaterJreliabilitywithJrareJerrors.
PTS: 1
2. ANS:J D
ToJobtainJadequateJhistory,JprovidersJmustJbeJwellJorganized,JattentiveJtoJtheJpatient’sJverbalJan
dnonverbalJlanguage,JandJableJtoJaccuratelyJinterpretJtheJpatient’sJresponsesJtoJquestions.JRath
erJthanJreadingJintoJtheJpatient’sJstatements,JtheyJclarifyJanyJareasJofJuncertainty.
PTS: 1
3. ANS:J C
VitalJsignsJareJpartJofJtheJphysicalJexaminationJportionJofJpatientJassessment,JnotJpartJofJtheJhealthJhisto
ry.
PTS: 1
4. ANS:J D
WhileJperformingJtheJphysicalJexamination,JtheJexaminerJmustJbeJableJtoJdifferentiateJbetweenJnor
malJandJabnormalJfindings,JrecallJknowledgeJofJaJrangeJofJconditions,JincludingJtheirJassociatedJsign
sJandJsymptoms,JrecognizeJhowJcertainJconditionsJaffectJtheJresponseJtoJotherJconditions,JandJdisti
nguishJtheJrelevanceJofJvariedJabnormalJfindings.
PTS: 1
5. ANS:J C
SourcesJforJdiagnosticJstatisticsJincludeJtextbooks,JprimaryJreportsJofJresearch,JandJpublishedJmet
a-
analyses.JAnotherJsourceJofJstatistics,JtheJoneJthatJhasJbeenJmostJwidelyJusedJandJavailableJforJap
plicationJtoJtheJreasoningJprocess,JisJtheJestimationJbasedJonJaJprovider’sJexperience,JalthoughJth
eseJareJrarelyJaccurate.JOverJtheJpastJdecade,JtheJavailabilityJofJevidenceJonJwhichJtoJbaseJclinicalJr
easoningJisJimproving,JandJthereJisJanJincreasingJexpectationJthatJclinicalJreasoningbeJbasedJonJsci
entificJevidence.JEvidence-
basedJstatisticsJareJalsoJincreasinglyJbeingJusedJtoJdevelopJresourcesJtoJfacilitateJclinicalJdecision-
making.
PTS: 1
6. ANS:J D
ToJassistJinJclinicalJdecision-making,JaJnumberJofJevidence-
basedJresourcesJhaveJbeenJdevelopedJtoJassistJtheJclinician.JResources,JsuchJasJalgorithmsJandJclinic
alJpracticeJguidelines,JassistJinJclinicalJreasoningJwhenJproperlyJapplied.
ThisJstudyJsourceJwasJdownloadedJbyJ100000826342158JfromJCourseHero.comJonJ05-25-2021J21:32:19JGMTJ-05:00