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t
Test t Bank t for tAdvanced tHealth tAssessment t & t Clinical t Diagnosis t in
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t PrimarytCare t 7th t Edition t Dains
Chapter t 1: t Clinical t Reasoning, t Differential t Diagnosis, t Evidence-Based t Practice, t and
t SymptomtAnalysis t Multiple t Choice
Identify t thet choice t that t best t completes t the t statement t or t answers t the t question.
1. Which t type t t t of t t t clinical t t t decision-making t t tis t t t most t t t reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which t of t t t the t t t following t t t is t t t false? t t t To t t t obtain t t t adequate t t t history, t t t health-care t t t providers t t t must t t t be:
A. Methodical t and t systematic
B. Attentive t to t t t the t t t patient‘s t t t verbal t t t and t t
t nonverbal
language
C. Able t to t t t accurately t interpret t t t the t t t patient‘s
responses
D. Adept t at t t t reading t t t into t the t t t patient‘s t t
t statements
t 3. Essential t parts t t t of t t t a t t t health t t t history t include t t t all t t t of t t t the t t t following t t t except:
A. Chief t complaint
B. History t of t the t t illness
t present
C. Current t vital t t t signs
D. All tof tthe tabove tare essential history
tcomponents
t 4. Which t of t t t the t t t following t t t is t t t false? t t t While t t t performing t t tthe t t t physical t t t examination, t t t the t t t examiner t t
t must t t t be t t table t t t to:
A. Differentiate t between t t tnormal t t abnormal t findings
t and
B. Recall t knowledge t of t a t range conditions t t t and t t associated signs
t oftand t symptoms ttheir
C. Recognize thow tcertain tconditions affect t the t t to t other
tconditions t response
D. Foresee t unpredictable t t t findings
t 5. The t following t t tis t t t the t t t least t t t reliable t t t source t t t of t t t information t t t for t t t diagnostic t t tstatistics:
A. Evidence-based t investigations
B. Primary t reports t of t t t research
C. Estimation t based t t t on t t t a t t
tprovider‘s
experience
D. Published t meta-analyses
t 6. The t following t t t can t t t be t t t used t t t to t t t assist t t t in t t t sound t t t clinical t t t decision-making:
A. Algorithm t published in a peer-reviewed journal
article
B. Clinical t practice t guidelines
C. Evidence-based t research
D. All of the above
t 7. If t t ta t t t diagnostic t t t study t has t t t high t t t sensitivity, t t t this t t t indicates t t t a:
A. High t t t percentage t t persons with the given condition will t have an
t of
abnormal t result
B. Low t percentage t t persons with the given condition will t have an
t of
abnormal t result
C. Low t likelihood t t normal result in persons without a t given
t of
condition
D. None t of t t t the t t t above
t 8. If t t ta t t t diagnostic t t t study t has t t t high t t t specificity, t t t this t t t indicates t t t a:
A. Low t percentage of healthy t individuals will t show t t normal
result ta
B. High t percentage of healthy t individuals will t show t t normal
tresult ta
C. High t percentage of individuals with a disorder t will show a
tnormal t result
D. Low t percentage of individuals with a disorder t will show an
abnormal t result
t 9. A t likelihood t ratio t t t above t t t 1 t t t indicates t t t that t t t a t t t diagnostic t t ttest t t t showing t t t a:
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t t t t the t t
A. Positive t result t t t is t t t strongly t associated t t t with 126
t disease
B. Negative t result t t t is t t t strongly t associated t t t with t t
t absence t t t of
the t disease
C. Positive t result t t t is t t t weakly t associated t t t with t t t the t t
t disease
D. Negative t result t t t is t t t weakly t associated t t t with t t
t absence t t t of
the t disease
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10. Which t of t t t the t t t following t t t clinical t t t reasoning
t t t ttools t t t is t t t defined t t t as t t t evidence-based t t t resource t t t based t t
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t on
mathematical t modeling t to t express t the t likelihood t of t a t condition t in t select t situations,
t settings, t and/ortpatients?