TEST BANK FOR ADVANCED ASSESSMENT: INTERPRETING FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSES 5th Edition by GoolsbyTEST BANK FOR ADVANCED ASSESSMENT: INTERPRETING FINDINGS AND FORMULATING DIFFERENTIAL DIAGNOSES 5th Edition by Goolsby
io 1. Whichiotypeioofioclinicaliodecision-makingioisiomostioreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
io 2. Whichioofiotheiofollowingioisiofalse?ioToioobtainioadequateiohistory,iohealth-careioprovidersiomustiobe:
A. Methodicalioandiosystematic
B. Attentiveiotoiotheiopatient’sioverbalioandiononverbaliolanguage
C. Ableiotoioaccuratelyiointerpretiotheiopatient’sioresponses
D. Adeptioatioreadingiointoiotheiopatient’siostatements
io 3. Essentialiopartsioofioaiohealthiohistoryioincludeioallioofiotheiofollowingioexcept:
A. Chiefiocomplaint
B. Historyioofiotheiopresentioillness
C. Currentiovitaliosigns
D. Allioofiotheioaboveioareioessentialiohistoryiocomponents
io 4. Whichioofiotheiofollowingioisiofalse?ioWhileioperformingiotheiophysicalioexamination,iotheioexaminerio
mustiobeioableioto:
A. Differentiateiobetweenionormalioandioabnormaliofindings
B. Recallioknowledgeioofioaiorangeioofioconditionsioandiotheirioassociatediosignsioandiosymptoms
C. Recognizeiohowiocertainioconditionsioaffectiotheioresponseiotoiootherioconditions
D. Foreseeiounpredictableiofindings
io 5. Theiofollowingioisiotheioleastioreliableiosourceioofioinformationioforiodiagnosticiostatistics:
A. Evidence-basedioinvestigations
B. Primaryioreportsioofioresearch
C. Estimationiobasedioonioaioprovider’sioexperience
D. Publishediometa-analyses
io 6. Theiofollowingiocaniobeiousediotoioassistioiniosoundioclinicaliodecision-making:
A. Algorithmiopublishedioinioaiopeer-reviewediojournalioarticle
B. Clinicaliopracticeioguidelines
C. Evidence-basedioresearch
D. Allioofiotheioabove
io 7. Ifioaiodiagnosticiostudyiohasiohighiosensitivity,iothisioindicatesioa:
A. Highiopercentageioofiopersonsiowithiotheiogivenioconditioniowilliohaveioanioabnormalioresult
B. Lowiopercentageioofiopersonsiowithiotheiogivenioconditioniowilliohaveioanioabnormalioresult
C. Lowiolikelihoodioofionormalioresultioiniopersonsiowithoutioaiogiveniocondition
D. Noneioofiotheioabove
,io 8. Ifioaiodiagnosticiostudyiohasiohighiospecificity,iothisioindicatesioa:
A. Lowiopercentageioofiohealthyioindividualsiowillioshowioaionormalioresult
B. Highiopercentageioofiohealthyioindividualsiowillioshowioaionormalioresult
C. Highiopercentageioofioindividualsiowithioaiodisorderiowillioshowioaionormalioresult
D. Lowiopercentageioofioindividualsiowithioaiodisorderiowillioshowioanioabnormalioresult
io 9. Aiolikelihoodioratioioaboveio1ioindicatesiothatioaiodiagnosticiotestioshowingioa:
A. Positiveioresultioisiostronglyioassociatediowithiotheiodisease
B. Negativeioresultioisiostronglyioassociatediowithioabsenceioofiotheiodisease
C. Positiveioresultioisioweaklyioassociatediowithiotheiodisease
D. Negativeioresultioisioweaklyioassociatediowithioabsenceioofiotheiodisease
io ioioio 10.ioWhichioofiotheiofollowingioclinicalioreasoningiotoolsioisiodefinedioasioevidence-
basedioresourceiobasediooniomathematicaliomodelingiotoioexpressiotheiolikelihoodioofioaioconditionioinio
selectiosituations,iosettings,ioand/oriopatients?
A. Clinicaliopracticeioguideline
B. Clinicaliodecisioniorule
C. Clinicalioalgorithm
D. Clinicaliorecommendation
, AnswerioSection
MULTIPLEioCHOICE
1. ANS:i o B
Croskerryio(2009)iodescribesiotwoiomajoriotypesioofioclinicaliodiagnosticiodecision-
making:iointuitiveioandioanalytical.ioIntuitiveiodecision-makingio(similariotoioAugenblinkiodecision-
making)ioisiobasediooniotheioexperienceioandiointuitionioofiotheioclinicianioandioisiolessioreliableioandiopa
irediowithiofairlyiocommonioerrors.ioIniocontrast,ioanalyticaliodecision-
makingioisiobasediooniocarefulioconsiderationioandiohasiogreaterioreliabilityiowithiorareioerrors.
PTS: 1
2. ANS:i o D
Toioobtainioadequateiohistory,ioprovidersiomustiobeiowellioorganized,ioattentiveiotoiotheiopatient’sioverbali
oandiononverbaliolanguage,ioandioableiotoioaccuratelyiointerpretiotheiopatient’sioresponsesiotoioquestions.i
oRatheriothanioreadingiointoiotheiopatient’siostatements,iotheyioclarifyioanyioareasioofiouncertainty.
PTS: 1
3. ANS:i o C
Vitaliosignsioareiopartioofiotheiophysicalioexaminationioportionioofiopatientioassessment,ionotiopartioofiotheioh
ealthiohistory.
PTS: 1
4. ANS:i o D
Whileioperformingiotheiophysicalioexamination,iotheioexamineriomustiobeioableiotoiodifferentiateiobetwe
enionormalioandioabnormaliofindings,iorecallioknowledgeioofioaiorangeioofioconditions,ioincludingiotheirio
associatediosignsioandiosymptoms,iorecognizeiohowiocertainioconditionsioaffectiotheioresponseiotoioothe
rioconditions,ioandiodistinguishiotheiorelevanceioofiovariedioabnormaliofindings.
PTS: 1
5. ANS:i o C
Sourcesioforiodiagnosticiostatisticsioincludeiotextbooks,ioprimaryioreportsioofioresearch,ioandiopublish
ediometa-
analyses.ioAnotheriosourceioofiostatistics,iotheiooneiothatiohasiobeeniomostiowidelyiousedioandioavailabl
eioforioapplicationiotoiotheioreasoningioprocess,ioisiotheioestimationiobasedioonioaioprovider’sioexperien
ce,ioalthoughiotheseioareiorarelyioaccurate.ioOveriotheiopastiodecade,iotheioavailabilityioofioevidenceioo
niowhichiotoiobaseioclinicalioreasoningioisioimproving,ioandiothereioisioanioincreasingioexpectationiothat
ioclinicalioreasoningiobeiobasedioonioscientificioevidence.ioEvidence-
basediostatisticsioareioalsoioincreasinglyiobeingiousediotoiodevelopioresourcesiotoiofacilitateioclinicaliod
ecision-making.
PTS: 1
6. ANS:i o D
Toioassistioinioclinicaliodecision-making,ioaionumberioofioevidence-
basedioresourcesiohaveiobeeniodevelopediotoioassistiotheioclinician.ioResources,iosuchioasioalgorithmsioan
dioclinicaliopracticeioguidelines,ioassistioinioclinicalioreasoningiowhenioproperlyioapplied.
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