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Advanced Assessment Interpreting Findings
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Test Bank: Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses 4th Edition by Goolsby - Ch. 1-22, 9780803668942, with Rationales
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TEST BANK For Advanced Assessment Interpreting Findings and Formulating Differential Diagnoses, 4th Edition by Goolsby, All Chapters 1 to 22 complete Verified editon ISBN:9780803668942
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TEST BANK
Advanced Assessment Interpreting Findings and
Formulating Differential Diagnoses
Mary Jo Goolsby; Laurie Grubbs
4th Edition
9780803668942
,Table of content
Chapter 1. Assessment and Clinical Decision Making: An Overview
Chapter 2. Genomic Assessment: Interpreting Findings and Formulating Differential Diagnoses
Chapter 3. Skin
Chapter 4. Head, Face, and Neck
Chapter 5. The Eye
Chapter 6. Ear, Nose, Mouth, and Throat
Chapter 7. Cardiac and Peripheral Vascular Systems
Chapter 8. Respiratory System
Chapter 9. Breasts
Chapter 10. Abdomen
Chapter 11. Genitourinary System
Chapter 12. Male Reproductive System
Chapter 13. Female Reproductive System
Chapter 14. Musculoskeletal System
Chapter 15. Neurological System
Chapter 16. Nonspecific Complaints
Chapter 17. Psychiatric Mental Health
Chapter 18. Pediatric Patients
Chapter 19. Pregnant Patients
Chapter 20. Assessment of the Transgender or Gender Diverse Adult
Chapter 21. Older Patients
Chapter 22. Persons With Disabilities
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Chapter 1. Assessment and Clinical Decision Making: An Overview
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MULTIPLE CHOICE
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1. Which type of clinical decision making is most reliable?
A. Analytical I
B. Augenblink
C. Experiential
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D. Intuitive
ANS: A abirb.com/test
Croskerry (2009) describes two major types of clinical diagnostic decision making: intuitive
and analytical. Intuitive decision making (similar to Augenblink decision making) is based
on the experience and intuition of the clinician and is less reliable and paired with fairly
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common errors. In contrast, analytical decision making is based on careful consideration and
has greater reliability with rare errors.
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,
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2. You are using the PQRST approach while completing the history of present illness for a
patient complaining of pain. Which of the following questions is relevant to the “P” portion
of this approach?
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A. How would you describe your pain?
B. Can you point to the area of most severe pain?
C. How has your pain changed since you first noticed it?
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D. What makes the pain worse or better?
ANS: D
In the PQRST model, “P” refers to exploring precipitating and palliative factors. Identify
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factors that make the symptom worse and/or better, any previous self-treatment or
prescribed treatment, and response.
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3. Essential parts of a health history include all of the following except:
A. Chief complaint
B. Current vital signs
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C. History of the present illness
D. Review of systems
ANS: B
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Vital signs are part of the physical examination portion of patient assessment, not part of the
health history. abirb.com/test
PTS: 1
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4. While reading an article on hypothyroidism, you find a helpful graphic depiction of the
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decision-making process recommended by the authors to find a definitive diagnosis. This
graphic is an example of:
A. A clinical prediction tool
B. Clinical guidelines abirb.com/test
C. A decision tree
D. A diagnostic finding guide
ANS: C abirb.com/test
Clinical decision trees provide a graphic depiction of the decision-making process, showing
the pathway based on findings at various steps in the process.
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PTS: 1
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5. Which of the following is the least reliable source of information for diagnostic statistics?
A. Evidence-based investigations
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B. Primary reports of research
C. Estimation based on a provider’s experience
D. Published meta-analyses
ANS: C abirb.com/test
Sources for diagnostic statistics include textbooks, primary reports of research, and
published meta-analyses. Another source of statistics, the one that has been most widely
used and available for application to the reasoning process, is the estimation based on a
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provider’s experience, although these are rarely accurate. Over the past decade, the
availability of evidence on which to base clinical reasoning is improving, and there is an
increasing expectation that clinical reasoning be based on scientific evidence.
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Evidence-based statistics are also increasingly being used to develop resources to facilitate
clinical decision making.
PTS: 1
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6. Which of the following can be used to assist in sound clinical decision making?
A. An algorithm published in a peer-reviewed journal article
B. Clinical practice guidelines
C. Evidence-based research
D. All of the above
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ANS: D
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