, Chapter 1. Assessment and Clinical Decision Making: An Overview
QUIZ
Identify the choice that best completes the statement or answers the question.
1. Which type of clinical decision-making is most reliable?
A Intuitiv
. e
B Analyti
. cal
C Experie
. ntial
D Augenb
. lick
2. Which of the following is false? To obtain adequate history, health-care providers must be:
A Methodical and systematic
.
B Attentive to the patient’s verbal and
. nonverbal language
C Able to accurately interpret the
. patient’s responses
D Adept at reading into the patient’s
. statements
3. Essential parts of a health history include all of the following except:
A Chief complaint
.
B History of the present illness
.
C Current vital signs
.
D All of the above are essential
. history components
4. Which of the following is false? While performing the physical examination, the examiner
must be able to:
A Differentiate between normal and abnormal findings
.
B Recall knowledge of a range of conditions and their
. associated signs and symptoms
C Recognize how certain conditions affect the response to
. other conditions
D Foresee unpredictable findings
.
5. The following is the least reliable source of information for diagnostic statistics:
A Evidence-based investigations
.
B Primary reports of research
.
C Estimation based on a
. provider’s experience
D Published meta-analyses
.
6. The following can be used to assist in sound clinical decision-making:
A Algorithm published in a peer-
. reviewed journal article
B Clinical practice guidelines
.
C Evidence-based research
.
D All of the above
.
7. If a diagnostic study has high sensitivity, this indicates a:
A High percentage of persons with the given condition
. will have an abnormal result
B Low percentage of persons with the given condition
. will have an abnormal result
C Low likelihood of normal result in persons without a
. given condition
D None of the above
, .
8. If a diagnostic study has high specificity, this indicates a:
A Low percentage of healthy individuals will show a
. normal result
B High percentage of healthy individuals will show a
. normal result
C High percentage of individuals with a disorder will
. show a normal result
D 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:
A Positive result is strongly associated with
. the disease
B Negative result is strongly associated with
. absence of the disease
C Positive result is weakly associated with the
. disease
D Negative result is weakly associated with
. absence of the disease
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