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Goolsby Test Bank: Advanced Assessment Interpreting Findings and Formulating
Differential Diagnoses 4th Edition
Chapter 1. Assessment and Clinical Decision-Making:
OverviewMultiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which type of clinical decision-making is most reliable?
1. Intuitive
2. Analytical
3. Experiential
4. Augenblick
2. Which of the following is false? To obtain adequate history,
health-careproviders must be:
1. Methodical and systematic
2. Attentive to the patient’s verbal and
nonverbal language
1. Able to accurately interpret the patient’s
responses
1. Adept at reading into the patient’s
statements
3. Essential parts of a health history include all of the following except:
1. Chief complaint
2. History of the present illness
3. Current vital signs
4. All of the above are essential history
components
4. Which of the following is false? While performing the
physicalexamination, the examiner must be able to:
1. Differentiate between normal and
abnormal findings
1. Recall knowledge of a range of conditions
and their associated signs and symptoms
221E3r23q4tw4y5e5u6i7r8ot98p;97ro8eiwuqy pl
, Ewgehry5ju6ki7tl98p;
1. Recognize how certain conditions affect
the response to other conditions
1. Foresee unpredictable findings
5. The following is the least reliable source of information for
diagnosticstatistics:
1. Evidence-based investigations
2. Primary reports of research
3. Estimation based on a provider’s
experience
1. Published meta-analyses
6. The following can be used to assist in sound clinical decision-making:
1. Algorithm published in a peer-reviewed
journal article
1. Clinical practice guidelines
2. Evidence-based research
3. All of the above
7. If a diagnostic study has high sensitivity, this indicates a:
1. High percentage of persons with the given
condition will have an abnormal result
1. Low percentage of persons with the given
condition will have an abnormal result
1. Low likelihood of normal result in
persons without a given condition
1. None of the above
8. If a diagnostic study has high specificity, this indicates a:
1. Low percentage of healthy individuals
will show a normal result
1. High percentage of healthy individuals
will show a normal result
1. High percentage of individuals with a
disorder will show a normal result
221E3r23q4tw4y5e5u6i7r8ot98p;97ro8eiwuqy pl
, Ewgehry5ju6ki7tl98p;
1. Low percentage of individuals with a
disorder will show an abnormal result
9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
1. Positive result is strongly associated with
the disease
1. Negative result is strongly associated with
absence of the disease
1. Positive result is weakly associated with
the disease
1. Negative result is weakly associated with
absence of the disease
10. Which of the following clinical reasoning tools is defined as
evidencebasedresource based on mathematical modeling to express the
likelihood of a condition in select situations, settings, and/or patients?
1. Clinical practice guideline
2. Clinical decision rule
3. Clinical algorithm
4. Clinical recommendation
Chapter 2. An Overview of Genetic Assessment
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The first step in the genomic assessment of a patient is
obtaininginformation regarding:
1. Family history
2. Environmental exposures
3. Lifestyle and behaviors
4. Current medications
2. An affected individual who manifests symptoms of a particular
conditionthrough whom a family with a genetic disorder is ascertained
is called a(n):
1. Consultand
221E3r23q4tw4y5e5u6i7r8ot98p;97ro8eiwuqy pl
, Ewgehry5ju6ki7tl98p;
2. Consulband
3. Index patient
4. Proband
3. An autosomal dominant disorder involves the:
1. X chromosome
2. Y chromosome
3. Mitochondrial DNA
4. Non-sex chromosomes
4. To illustrate a union between two second cousin family
members in apedigree, draw:
1. Arrows pointing to the male and female
2. Brackets around the male and female
3. Double horizontal lines between the male
and female
1. Circles around the male and female
5. To illustrate two family members in an adoptive relationship in a pedigree:
1. Arrows are drawn pointing to the male
and female
1. Brackets are drawn around the male and
female
1. Double horizontal lines are drawn
between the male and female
1. Circles are drawn around the male and
female
6. When analyzing the pedigree for autosomal dominant
disorders, it iscommon to see:
1. Several generations of affected members
2. Many consanguineous relationships
3. More members of the maternal lineage
affected than paternal
1. More members of the paternal lineage
affected than maternal
7. In autosomal recessive (AR) disorders, individuals need:
1. Only one mutated gene on the sex
221E3r23q4tw4y5e5u6i7r8ot98p;97ro8eiwuqy pl
Goolsby Test Bank: Advanced Assessment Interpreting Findings and Formulating
Differential Diagnoses 4th Edition
Chapter 1. Assessment and Clinical Decision-Making:
OverviewMultiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which type of clinical decision-making is most reliable?
1. Intuitive
2. Analytical
3. Experiential
4. Augenblick
2. Which of the following is false? To obtain adequate history,
health-careproviders must be:
1. Methodical and systematic
2. Attentive to the patient’s verbal and
nonverbal language
1. Able to accurately interpret the patient’s
responses
1. Adept at reading into the patient’s
statements
3. Essential parts of a health history include all of the following except:
1. Chief complaint
2. History of the present illness
3. Current vital signs
4. All of the above are essential history
components
4. Which of the following is false? While performing the
physicalexamination, the examiner must be able to:
1. Differentiate between normal and
abnormal findings
1. Recall knowledge of a range of conditions
and their associated signs and symptoms
221E3r23q4tw4y5e5u6i7r8ot98p;97ro8eiwuqy pl
, Ewgehry5ju6ki7tl98p;
1. Recognize how certain conditions affect
the response to other conditions
1. Foresee unpredictable findings
5. The following is the least reliable source of information for
diagnosticstatistics:
1. Evidence-based investigations
2. Primary reports of research
3. Estimation based on a provider’s
experience
1. Published meta-analyses
6. The following can be used to assist in sound clinical decision-making:
1. Algorithm published in a peer-reviewed
journal article
1. Clinical practice guidelines
2. Evidence-based research
3. All of the above
7. If a diagnostic study has high sensitivity, this indicates a:
1. High percentage of persons with the given
condition will have an abnormal result
1. Low percentage of persons with the given
condition will have an abnormal result
1. Low likelihood of normal result in
persons without a given condition
1. None of the above
8. If a diagnostic study has high specificity, this indicates a:
1. Low percentage of healthy individuals
will show a normal result
1. High percentage of healthy individuals
will show a normal result
1. High percentage of individuals with a
disorder will show a normal result
221E3r23q4tw4y5e5u6i7r8ot98p;97ro8eiwuqy pl
, Ewgehry5ju6ki7tl98p;
1. Low percentage of individuals with a
disorder will show an abnormal result
9. A likelihood ratio above 1 indicates that a diagnostic test showing a:
1. Positive result is strongly associated with
the disease
1. Negative result is strongly associated with
absence of the disease
1. Positive result is weakly associated with
the disease
1. Negative result is weakly associated with
absence of the disease
10. Which of the following clinical reasoning tools is defined as
evidencebasedresource based on mathematical modeling to express the
likelihood of a condition in select situations, settings, and/or patients?
1. Clinical practice guideline
2. Clinical decision rule
3. Clinical algorithm
4. Clinical recommendation
Chapter 2. An Overview of Genetic Assessment
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The first step in the genomic assessment of a patient is
obtaininginformation regarding:
1. Family history
2. Environmental exposures
3. Lifestyle and behaviors
4. Current medications
2. An affected individual who manifests symptoms of a particular
conditionthrough whom a family with a genetic disorder is ascertained
is called a(n):
1. Consultand
221E3r23q4tw4y5e5u6i7r8ot98p;97ro8eiwuqy pl
, Ewgehry5ju6ki7tl98p;
2. Consulband
3. Index patient
4. Proband
3. An autosomal dominant disorder involves the:
1. X chromosome
2. Y chromosome
3. Mitochondrial DNA
4. Non-sex chromosomes
4. To illustrate a union between two second cousin family
members in apedigree, draw:
1. Arrows pointing to the male and female
2. Brackets around the male and female
3. Double horizontal lines between the male
and female
1. Circles around the male and female
5. To illustrate two family members in an adoptive relationship in a pedigree:
1. Arrows are drawn pointing to the male
and female
1. Brackets are drawn around the male and
female
1. Double horizontal lines are drawn
between the male and female
1. Circles are drawn around the male and
female
6. When analyzing the pedigree for autosomal dominant
disorders, it iscommon to see:
1. Several generations of affected members
2. Many consanguineous relationships
3. More members of the maternal lineage
affected than paternal
1. More members of the paternal lineage
affected than maternal
7. In autosomal recessive (AR) disorders, individuals need:
1. Only one mutated gene on the sex
221E3r23q4tw4y5e5u6i7r8ot98p;97ro8eiwuqy pl
