TEST BANK FOR ADVANCED ASSESSMENT:
b b b b b
INTERPRETING FINDINGS AND
b b b b
FORMULATING DIFFERENTIAL
b b b
DIAGNOSES 5TH EDITION, MARY JO
b b b b b b
GOOLSBY, LAURIE GRUBBS ISBN-10;
b b b b
1719645930 / ISBN-13;978-1719645935
b b b b
,Chapter 1. Assessment and Clinical Decision-Making: Overview
b b b b b b
Multiple bChoice
Identify bthe bchoice bthat bbest bcompletes bthe bstatement bor banswers bthe bquestion.
1. Which btype bof bclinical bdecision-making bis bmost breliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
2. Which bof bthe bfollowing bis bfalse? bTo bobtain badequate bhistory, bhealth-care bproviders bmust bbe:
A. Methodical band bsystematic
B. Attentive bto bthe bpatient’s bverbal band bnonverbal blanguage
C. Able bto baccurately binterpret bthe bpatient’s bresponses
D. Adept bat breading binto bthe bpatient’s bstatements
3. Essential bparts bof ba bhealth bhistory binclude ball bof bthe bfollowing bexcept:
A. Chief bcomplaint
B. History bof bthe bpresent billness
C. Current bvital bsigns
D. All bof bthe babove bare bessential bhistory bcomponents
4. Which bof bthe bfollowing bis bfalse? bWhile bperforming bthe bphysical bexamination, bthe bexaminer bmust
bbe bable bto:
A. Differentiate bbetween bnormal band babnormal bfindings
B. Recall bknowledge bof ba brange bof bconditions band btheir bassociated bsigns band bsymptoms
C. Recognize bhow bcertain bconditions baffect bthe bresponse bto bother bconditions
D. Foresee bunpredictable bfindings
5. The bfollowing bis bthe bleast breliable bsource bof binformation bfor bdiagnostic bstatistics:
A. Evidence-based binvestigations
B. Primary breports bof bresearch
C. Estimation bbased bon ba bprovider’s bexperience
D. Published bmeta-analyses
6. The bfollowing bcan bbe bused bto bassist bin bsound bclinical bdecision-making:
A. Algorithm bpublished bin ba bpeer-reviewed bjournal barticle
B. Clinical bpractice bguidelines
C. Evidence-based bresearch
D. All bof bthe babove
7. If ba bdiagnostic bstudy bhas bhigh bsensitivity, bthis bindicates ba:
A. High bpercentage bof bpersons bwith bthe bgiven bcondition bwill bhave ban babnormal bresult
B. Low bpercentage bof bpersons bwith bthe bgiven bcondition bwill bhave ban babnormal bresult
C. Low blikelihood bof bnormal bresult bin bpersons bwithout ba bgiven bcondition
D. None bof bthe babove
, 8. If ba bdiagnostic bstudy bhas bhigh bspecificity, bthis bindicates ba:
A. Low bpercentage bof bhealthy bindividuals bwill bshow ba bnormal bresult
B. High bpercentage bof bhealthy bindividuals bwill bshow ba bnormal bresult
C. High bpercentage bof bindividuals bwith ba bdisorder bwill bshow ba bnormal bresult
D. Low bpercentage bof bindividuals bwith ba bdisorder bwill bshow ban babnormal bresult
9. A blikelihood bratio babove b1 bindicates bthat ba bdiagnostic btest bshowing ba:
A. Positive bresult bis bstrongly bassociated bwith bthe bdisease
B. Negative bresult bis bstrongly bassociated bwith babsence bof bthe bdisease
C. Positive bresult bis bweakly bassociated bwith bthe bdisease
D. Negative bresult bis bweakly bassociated bwith babsence bof bthe bdisease
b 10. bWhich bof bthe bfollowing bclinical breasoning btools bis bdefined bas bevidence-based bresource bbased bon
bmathematical bmodeling bto bexpress bthe blikelihood bof ba bcondition bin bselect bsituations, bsettings,
band/or bpatients?
A. Clinical bpractice bguideline
B. Clinical bdecision brule
C. Clinical balgorithm
D. Clinical brecommendation
, Answer Section
b
MULTIPLE bCHOICE
1. ANS: b b B
Croskerry b(2009) bdescribes btwo bmajor btypes bof bclinical bdiagnostic bdecision-making: bintuitive band
banalytical. bIntuitive bdecision-making b(similar bto bAugenblink bdecision-making) bis bbased bon bthe
bexperience band bintuition bof bthe bclinician band bis bless breliable band bpaired bwith bfairly bcommon
berrors. bIn bcontrast, banalytical bdecision-making bis bbased bon bcareful bconsideration band bhas bgreater
breliability bwith brare berrors.
PTS: 1
2. ANS: b b D
To bobtain badequate bhistory, bproviders bmust bbe bwell borganized, battentive bto bthe bpatient’s bverbal band
bnonverbal blanguage, band bable bto baccurately binterpret bthe bpatient’s bresponses bto bquestions. bRather
bthan breading binto bthe bpatient’s bstatements, bthey bclarify bany bareas bof buncertainty.
PTS: 1
3. ANS: b b C
Vital bsigns bare bpart bof bthe bphysical bexamination bportion bof bpatient bassessment, bnot bpart bof bthe bhealth
bhistory.
PTS: 1
4. ANS: b b D
While bperforming bthe bphysical bexamination, bthe bexaminer bmust bbe bable bto bdifferentiate bbetween
bnormal band babnormal bfindings, brecall bknowledge bof ba brange bof bconditions, bincluding btheir
bassociated bsigns band bsymptoms, brecognize bhow bcertain bconditions baffect bthe bresponse bto bother
bconditions, band bdistinguish bthe brelevance bof bvaried babnormal bfindings.
PTS: 1
5. ANS: b b C
Sources bfor bdiagnostic bstatistics binclude btextbooks, bprimary breports bof bresearch, band bpublished
bmeta-analyses. bAnother bsource bof bstatistics, bthe bone bthat bhas bbeen bmost bwidely bused band
bavailable bfor bapplication bto bthe breasoning bprocess, bis bthe bestimation bbased bon ba bprovider’s
bexperience, balthough bthese bare brarely baccurate. bOver bthe bpast bdecade, bthe bavailability bof
bevidence bon bwhich bto bbase bclinical breasoning bis bimproving, band bthere bis ban bincreasing
bexpectation bthat bclinical breasoning bbe bbased bon bscientific bevidence. bEvidence-based bstatistics
bare balso bincreasingly bbeing bused bto bdevelop bresources bto bfacilitate bclinical bdecision-making.
PTS: 1
6. ANS: b b D
To bassist bin bclinical bdecision-making, ba bnumber bof bevidence-based bresources bhave bbeen
bdeveloped bto bassist bthe bclinician. bResources, bsuch bas balgorithms band bclinical bpractice
bguidelines, bassist bin bclinical breasoning bwhen bproperly bapplied.
