TEST BANK FOR ADVANCED ASSESSMENT: I
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NTERPRETING FINDINGS AND FORMULATI
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NG DIFFERENTIAL DIAGNOSES 5TH EDITIO
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N, MARY JO
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GOOLSBY, LAURIE GRUBBS ISBN-10;
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1719645930 / ISBN-13; 978-1719645935
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,Chapter8 1.8 Assessment8 and8 Clinical8 Decision-Making:8 Overview
Multiple8Choice
Identify8the8choice8that8best8completes8the8statement8or8answers8the8question.
8 1. Which8type8of8clinical8decision-making8is8most8reliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
8 2. Which8of8the8following8is8false?8To8obtain8adequate8history,8health-care8providers8must8be:
A. Methodical8and8systematic
B. Attentive8to8the8patient’s8verbal8and8nonverbal8language
C. Able8to8accurately8interpret8the8patient’s8responses
D. Adept8at8reading8into8the8patient’s8statements
8 3. Essential8parts8of8a8health8history8include8all8of8the8following8except:
A. Chief8complaint
B. History8of8the8present8illness
C. Current8vital8signs
D. All8of8the8above8are8essential8history8components
8 4. Which8of8the8following8is8false?8While8performing8the8physical8examination,8the8examiner8must8be8
able8to:
A. Differentiate8between8normal8and8abnormal8findings
B. Recall8knowledge8of8a8range8of8conditions8and8their8associated8signs8and8symptoms
C. Recognize8how8certain8conditions8affect8the8response8to8other8conditions
D. Foresee8unpredictable8findings
8 5. The8following8is8the8least8reliable8source8of8information8for8diagnostic8statistics:
A. Evidence-based8investigations
B. Primary8reports8of8research
C. Estimation8based8on8a8provider’s8experience
D. Published8meta-analyses
8 6. The8following8can8be8used8to8assist8in8sound8clinical8decision-making:
A. Algorithm8published8in8a8peer-reviewed8journal8article
B. Clinical8practice8guidelines
C. Evidence-based8research
D. All8of8the8above
8 7. If8a8diagnostic8study8has8high8sensitivity,8this8indicates8a:
A. High8percentage8of8persons8with8the8given8condition8will8have8an8abnormal8result
B. Low8percentage8of8persons8with8the8given8condition8will8have8an8abnormal8result
C. Low8likelihood8of8normal8result8in8persons8without8a8given8condition
D. None8of8the8above
,8 8. If8a8diagnostic8study8has8high8specificity,8this8indicates8a:
A. Low8percentage8of8healthy8individuals8will8show8a8normal8result
B. High8percentage8of8healthy8individuals8will8show8a8normal8result
C. High8percentage8of8individuals8with8a8disorder8will8show8a8normal8result
D. Low8percentage8of8individuals8with8a8disorder8will8show8an8abnormal8result
8 9. A8likelihood8ratio8above818indicates8that8a8diagnostic8test8showing8a:
A. Positive8result8is8strongly8associated8with8the8disease
B. Negative8result8is8strongly8associated8with8absence8of8the8disease
C. Positive8result8is8weakly8associated8with8the8disease
D. Negative8result8is8weakly8associated8with8absence8of8the8disease
8 888 10.8Which8of8the8following8clinical8reasoning8tools8is8defined8as8evidence-
based8resource8based8on8mathematical8modeling8to8express8the8likelihood8of8a8condition8in8select8s
ituations,8settings,8and/or8patients?
A. Clinical8practice8guideline
B. Clinical8decision8rule
C. Clinical8algorithm
D. Clinical8recommendation
, Answer8Section
MULTIPLE8CHOICE
1. ANS:8 B
Croskerry8(2009)8describes8two8major8types8of8clinical8diagnostic8decision-
making:8intuitive8and8analytical.8Intuitive8decision-making8(similar8to8Augenblink8decision-
making)8is8based8on8the8experience8and8intuition8of8the8clinician8and8is8less8reliable8and8paired8wit
h8fairly8common8errors.8In8contrast,8analytical8decision-
making8is8based8on8careful8consideration8and8has8greater8reliability8with8rare8errors.
PTS: 1
2. ANS:8 D
To8obtain8adequate8history,8providers8must8be8well8organized,8attentive8to8the8patient’s8verbal8and8n
onverbal8language,8and8able8to8accurately8interpret8the8patient’s8responses8to8questions.8Rather8tha
n8reading8into8the8patient’s8statements,8they8clarify8any8areas8of8uncertainty.
PTS: 1
3. ANS:8 C
Vital8signs8are8part8of8the8physical8examination8portion8of8patient8assessment,8not8part8of8the8health8his
tory.
PTS: 1
4. ANS:8 D
While8performing8the8physical8examination,8the8examiner8must8be8able8to8differentiate8between8nor
mal8and8abnormal8findings,8recall8knowledge8of8a8range8of8conditions,8including8their8associated8si
gns8and8symptoms,8recognize8how8certain8conditions8affect8the8response8to8other8conditions,8and8d
istinguish8the8relevance8of8varied8abnormal8findings.
PTS: 1
5. ANS:8 C
Sources8for8diagnostic8statistics8include8textbooks,8primary8reports8of8research,8and8published8me
ta-
analyses.8Another8source8of8statistics,8the8one8that8has8been8most8widely8used8and8available8for8a
pplication8to8the8reasoning8process,8is8the8estimation8based8on8a8provider’s8experience,8although8t
hese8are8rarely8accurate.8Over8the8past8decade,8the8availability8of8evidence8on8which8to8base8clini
cal8reasoning8is8improving,8and8there8is8an8increasing8expectation8that8clinical8reasoning8be8based8
on8scientific8evidence.8Evidence-
based8statistics8are8also8increasingly8being8used8to8develop8resources8to8facilitate8clinical8decision
-making.
PTS: 1
6. ANS:8 D
To8assist8in8clinical8decision-making,8a8number8of8evidence-
based8resources8have8been8developed8to8assist8the8clinician.8Resources,8such8as8algorithms8and8clin
ical8practice8guidelines,8assist8in8clinical8reasoning8when8properly8applied.
