TEST BANK FOR ADVANCED HEALTH ASSESSMENT & CLINICAL DIAGNOSIS IN PRIMARYCARE 6TH EDITION DAINS
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Advanced health assessment
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Advanced Health Assessment
TEST BANK FOR ADVANCED HEALTH ASSESSMENT & CLINICAL DIAGNOSIS IN PRIMARYCARE 6TH EDITION DAINS
TEST BANK FOR ADVANCED HEALTH ASSESSMENT & CLINICAL DIAGNOSIS IN PRIMARYCARE 6TH EDITION DAINS
BaseduyPractice,uyanduySymptomuyAnalysisuyMultipleuyChoice
Identifyuytheuychoiceuythatuybestuycompletesuytheuystatementuyoruyanswersuytheuyquestion.
uy 1. Whichuytypeuyofuyclinicaluydecision-makinguyisuymostuyreliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
uy 2. Whichuyofuytheuyfollowinguyisuyfalse?uyTouyobtainuyadequateuyhistory,uyhealth-careuyprovidersuymustuybe:
A. Methodicaluyanduysystematic
B. Attentiveuytouytheuypatient‘suyverbaluyanduynonverbaluylan
guage
C. Ableuytouyaccuratelyuyinterpretuytheuypatient‘suyresponses
D. Adeptuyatuyreadinguyintouytheuypatient‘suystatements
uy 3. Essentialuypartsuyofuyauyhealthuyhistoryuyincludeuyalluyofuytheuyfollowinguyexcept:
A. Chiefuycomplaint
B. Historyuyofuytheuypresentuyillness
C. Currentuyvitaluysigns
D. Alluyofuytheuyaboveuyareuyessentialuyhistoryuycomp
onents
uy 4. Whichuyofuytheuyfollowinguyisuyfalse?uyWhileuyperforminguytheuyphysicaluyexamination,uytheuyexamineruymustuybeuyableuyto:
A. Differentiateuybetweenuynormaluyanduyabnormaluyfindings
B. Recalluyknowledgeuyofuyauyrangeuyofuyconditionsuyanduytheiruyassociateduysignsuyanduy
symptoms
C. Recognizeuyhowuycertainuyconditionsuyaffectuytheuyresponseuytouyotheruyconditions
D. Foreseeuyunpredictableuyfindings
uy 5. Theuyfollowinguyisuytheuyleastuyreliableuysourceuyofuyinformationuyforuydiagnosticuystatistics:
A. Evidence-baseduyinvestigations
B. Primaryuyreportsuyofuyresearch
C. Estimationuybaseduyonuyauyprovider‘suyexperi
ence
D. Publisheduymeta-analyses
uy 6. Theuyfollowinguycanuybeuyuseduytouyassistuyinuysounduyclinicaluydecision-making:
A. Algorithmuypublisheduyinuyauypeer-
revieweduyjournaluyarticle
B. Clinicaluypracticeuyguidelines
C. Evidence-baseduyresearch
D. Alluyofuytheuyabove
uy 7. Ifuyauydiagnosticuystudyuyhasuyhighuysensitivity,u y thisuyindicatesuya:
A. Highuypercentageuyofuypersonsuywithuytheuygivenuyconditionuywilluyhaveuyanuyabnor
maluyresult
B. Lowuypercentageuyofuypersonsuywithuytheuygivenuyconditionuywilluyhaveuyanuyabnor
maluyresult
C. Lowuylikelihooduyofuynormaluyresultuyinuypersonsuywithoutuyauygivenuycondition
D. Noneuyofuytheuyabove
uy 8. Ifuyauydiagnosticuystudyuyhasuyhighuyspecificity,u y thisuyindicatesuya:
A. Lowuypercentageuyofuyhealthyuyindividualsuywilluyshowuyauynormaluyresult
B. Highuypercentageuyofuyhealthyuyindividualsuywilluyshowuyauynormaluyresult
C. Highuypercentageuyofuyindividualsuywithuyauydisorderuywilluyshowuyauynormalu
yresult
D. Lowuypercentageuyofuyindividualsuywithuyauydisorderuywilluyshowuyanuyabnor
maluyresult
uy 9. Auylikelihooduy ratiouyaboveuy1uyindicatesuythatuyauydiagnosticuytestuyshowinguya:
A. Positiveuyresultuyisuystronglyuyassociateduywithuytheuydisease
B. Negativeuyresultuyisuystronglyuyassociateduywithuyabsenceuyofuytheu
ydisease
C. Positiveuyresultuyisuyweaklyuyassociateduywithuytheuydisease
D. Negativeuyresultuyisuyweaklyuyassociateduywithuyabsenceuyofuytheuy
disease
uy 10. Whichuyofuytheuyfollowinguyclinicaluyreasoninguytoolsuyisuydefineduyasuyevidence-baseduyresourceuybaseduyonuymathematicaluymodeling
, u
touyexpressuytheuylikelihooduyofuyauyconditionuyinuyselectuysituations,
y uy
uysettings,uyand/oruypatients?
lOMoARcPSD| 126
567 1
3
, u
lOMoARcPSD| 126
y uy
3
567 1
A. Clinicaluypracticeuyguideli
ne
B. Clinicaluydecisionuyrule
C. Clinicaluyalgorithm
Chapteruy1:uyClinicaluyreasoning,uydifferentialuydiagnosis,uyevidence-baseduypractice,uyanduysymptomuyana
AnsweruySection
MULTIPLEuyCHOICE
1. ANS: B
Croskerryuy(2009)uydescribesuytwouymajoruytypesuyofuyclinicaluydiagnosticuydecision-
making:uyintuitiveuyanduyanalytical.uyIntuitiveuydecision-uymakinguy(similaruytouyAugenblinkuydecision-
making)uyisuybaseduyonuytheuyexperienceuyanduyintuitionuyofuytheuyclinicianuyanduyisuylessuyreliableuyanduypaireduywithuyfairlyuyco
mmonuyerrors.uyInuycontrast,uyanalyticaluydecision-
makinguyisuybaseduyonuycarefuluyconsiderationuyanduyhasuygreateruyreliabilityuywithuyrareuyerrors.
PTS: 1
2. ANS: D
Touyobtainuyadequateuyhistory,uyprovidersuymustuybeuywelluyorganized,uyattentiveuytouytheuypatient‘suyverbaluyanduynonverbaluylan
guage,uyanduyableuytouyaccuratelyuyinterpretuytheuypatient‘suyresponsesuytouyquestions.uyRatheruythanuyreadinguyintouytheuypatient‘s
uystatements,uytheyuyclarifyuyanyuyareasuyofuyuncertainty.
PTS: 1
3. ANS: C
Vitaluysignsuyareuypartuyofuytheuyphysicaluyexaminationuyportionuyofuypatientuyassessment,uynotuypartuyofuytheuyhealthuyhistory.
PTS: 1
4. ANS: D
Whileuyperforminguytheuyphysicaluyexamination,uytheuyexamineruymustuybeuyableuytouydifferentiateuybetweenuynormaluyanduyabnor
maluyfindings,uyrecalluyknowledgeuyofuyauyrangeuyofuyconditions,uyincludinguytheiruyassociateduysignsuyanduysymptoms,uyrecognize
uyhowuycertainuyconditionsuyaffectuytheuyresponseuytouyotheruyconditions,uyanduydistinguishuytheuyrelevanceuyofuyvarieduyabnormaluyf
indings.
PTS: 1
5. ANS: C
Sourcesuyforuydiagnosticuystatisticsuyincludeuytextbooks,uyprimaryuyreportsuyofuyresearch,uyanduypublisheduymeta-
analyses.uyAnotheruysourceuyofuystatistics,uytheuyoneuythatuyhasuybeenuymostuywidelyuyuseduyanduyavailableuyforuyapplicationuytouyth
euyreasoninguyprocess,uyisuytheuyestimationuybaseduyonuyauyprovider‘suyexperience,uyalthoughuytheseuyareuyrarelyuyaccurate.uyOveru
ytheuypastuydecade,uytheuyavailabilityuyofuyevidenceuyonuywhichuytouybaseuyclinicaluyreasoninguyisuyimproving,u y anduythereuyisuyanuy
increasinguyexpectationuythatuyclinicaluyreasoninguybeuybaseduyonuyscientificuyevidence.
Evidence-baseduystatisticsuyareuyalsouyincreasinglyuybeinguyuseduytouydevelopuyresourcesuytouyfacilitateuyclinicaluydecision-making.
PTS: 1
6. ANS: D
Touyassistuyinuyclinicaluydecision-making,uyauynumberuyofuyevidence-
baseduyresourcesuyhaveuybeenuydevelopeduytouyassistuytheuyclinician.uyResources,uysuchuyasuyalgorithmsuyanduyclinicaluypracticeuyg
uidelines,uyassistuyinuyclinicaluyreasoninguywhenuyproperlyuyapplied.
PTS: 1
7. ANS: A
Theuysensitivityuyofuyauydiagnosticuystudyuyisuytheuypercentageuyofuyindividualsuywithuytheuytargetuyconditionuywhouyshowuyanuyab
normal,uyoruypositive,uyresult.uyAuyhighuysensitivityuyindicatesuythatuyauygreateruypercentageuyofuypersonsuywithuytheuygivenuyconditio
nuywilluyhaveuyanuyabnormaluyresult.
PTS: 1
8. ANS: B
Theuyspecificityuyofuyauydiagnosticuystudyuyisuytheuypercentageuyofuynormal,uyhealthyuyindividualsuywhouyhaveuyauynormaluyresu
lt.uyTheuygreateruytheuyspecificity,uytheuygreateruytheuypercentageuyofuyindividualsuywhouywilluyhaveuynegative,uyoruynormal,uyres
ultsuyifuytheyuydouynotuyhaveuytheuytargetuycondition.
PTS: 1
9. ANS: A
Theuylikelihooduyratiouyisuytheuyprobabilityuythatuyauypositiveuytestuyresultuywilluybeuyassociateduywithuyauypersonuywhouyhasuytheuyt
argetuyconditionuyanduyauynegativeuyresultuywilluybeuyassociateduywithuyauyhealthyuyperson.uyAuylikelihooduyratiouyaboveuy1uyindicat
esuythatuyauypositiveuyresultuyisuyassociateduywithuytheuydisease;uyauylikelihooduyratiouylessuythanuy1uyindicatesuythatuyauynegativeuyres
ultuyisuyassociateduywithuyanuyabsenceuyofuytheuydisease.
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