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Test Bank for Primary Care Medicine 7th Edition by Allan H. Goroll, Albert G. Mulley
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Test Bank for Primary Care Medicine 7th Edition by Allan H. Goroll, Albert G. Mulley
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TEST BANK FOR PRIMARY CAREMEDICINE 7TH EDITION BY
ALLAN H. GOROLL; ALBERT G.
MULLEY JR.
,SECTION I Principles of Primary Care
CHAPTER 1 The Domain of Primary Care
DEFINITIONS AND SPECTRUM OF PRIMARY CARE (1–28)
A Systems Definition: Primary Care as the Site of First Contact and Continuous Care (1–8)
A Task-Oriented Definition: The Work of the Primary Care Clinician (9–19)
Integrating Medical and Psychological Diagnosis and Treatment
Eliciting and Responding to Attributions, Requests, and Preferences
Mastering Use and Interpretation of Diagnostic Tests
Interpreting the Medical Literature and Applying It to the Care of Individual Patients
Attending to the Patient’s Social Network
Planning End-of-Life Care
A Function-Oriented Definition: The Integrative Role of Primary Care (20–26)
A Cross-Disciplinary Academic Definition: Research and Educational Domains of Primary Care (1,3,6–
9,12–15)
A Professional Definition: How Primary Care Practitioners Define Themselves (27,28)
Realizing Primary Care’s Full Potential: Implementing Transformative Change and Creating a
Sustainable Future (27–42)
The Patient-Centered Medical Home and Medical Neighborhood (29–32)
The Central Roles of Patient Engagement and Teamwork among Clinicians (33–43)
Patient Engagement
Clinical Microsystems Facilitating Teamwork
The Future of Primary Care and Its Enduring Principles (6–9,17,28)
ANNOTATED BIBLIOGRAPHY
CHAPTER 2 Selection and Interpretation of Diagnostic Tests
UNCERTAINTY AND DIAGNOSTIC DECISION MAKING (1–7)
VOCABULARY OF DIAGNOSTIC TEST INTERPRETATION (1,3–8)
INTERPRETING TEST RESULTS: REVISING DIAGNOSTIC PROBABILITIES (1–8)
TABLE 2–1 Effect of Prior Probability (Prevalence) on Predictive Value of Positive Test Results
WHERE DOES THE INFORMATION COME FROM? (9–20)
,False-Positive Rate and Pretest Probability: Overestimating Predictive Values
Defining Disease for Diagnostic Test Evaluation: The Gold Standard Problem
The Narrow-Spectrum Problem: Overestimating Sensitivity When the “Disease” Group is Too Sick
The Comorbidity Problem: Overestimating Specificity When the “No-Disease” Group Is Too Well
How Does the Test Compare with Others?
WHICH TESTS SHOULD WE USE? (1,3–25)
ANNOTATED BIBLIOGRAPHY
CHAPTER 3 Health Maintenance and the Role of Screening
CRITERIA FOR SCREENING (1–7)
NATURAL HISTORY OF THE DISEASE AND EFFECTIVENESS OF THERAPY (1,5)
TABLE 3–1 Criteria for Screening
VALIDITY OF AVAILABLE SCREENING TESTS AND POPULATIONS SCREENED (1–7)
HEALTH MAINTENANCE: WHAT IS APPROPRIATE? (1–8)
TABLE 3–2 Conditions That Warrant Screening in All Patients of Appropriate Age and Gender
TABLE 3–3 Conditions That Warrant Screening in Selected Patients
PATIENT EDUCATION AND OTHER APPROACHES TO IMPROVE SCREENING AND HEALTH
MAINTENANCE (8–12)
ANNOTATED BIBLIOGRAPHY
CHAPTER 4 Estimating and Communicating Risk and Prognosis
RISK AND PROGNOSIS: PREDICTING THE PATIENT’S FUTURE (1–7)
DESCRIBING THE RISK OF FUTURE DISEASE (8–22)
DESCRIBING OUTCOMES OVER TIME DURING AN UNCERTAIN FUTURE (4,9–12,15–22)
THE UNIQUENESS OF EACH PATIENT (10,15,21)
ANNOTATED BIBLIOGRAPHY
CHAPTER 5 Choosing Among Treatment Options
WHAT WE KNOW ABOUT TREATMENT EFFECTIVENESS
RANDOMIZED CLINICAL TRIALS AND TREATMENT EFFECTIVENESS (1–11)
SYSTEMATIC REVIEWS AND TREATMENT EFFECTIVENESS (12–16)
OTHER STUDIES OF TREATMENT EFFECTIVENESS (17–25)
, THE EFFECT OF PATIENTS’ EXPECTATIONS ON OUTCOMES (23)
TREATMENT CHOICE AND PATIENT VALUES (24–29)
MAKING THE MOST OF AVAILABLE RESOURCES (30–35)
ANNOTATED BIBLIOGRAPHY
CHAPTER 6 Immunization
GENERAL PRINCIPLES OF IMMUNIZATION (1–4)
Overall Efficacy and Safety in Adults
Types of Immunization
Active Immunization
Passive Immunization
Administration
Technique
Combining Passive and Active Immunization
Allergic Reactions and Desensitization
TABLE 6–1 Summary of Recommendations for Routine Adult Immunizations
TABLE 6-2 Recommended Adult Immunization Schedule
Vaccination during Pregnancy and Breast-Feeding
Vaccination of Immunocompromised Persons
Misconceptions about Contraindications
Record Keeping
SPECIFIC IMMUNIZATION PROGRAMS (1–4)
Tetanus
TABLE 6–3 Summary of Recommendations on Immunization of Pregnant Women
TABLE 6–4 Summary of ACIP Recommendations on Immunization of Adults with Medical Conditions
TABLE 6–5 Wound Management After Exposure: Tetanus
Indications
Administration
1. Diphtheria
2. Pertussis
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