lOMoARcPSD|126
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TEST cBANK cFOR cADVANCED cHEALTH cASSESSMENT c&
cCLINICAL cDIAGNOSIS cIN cPRIMARYCARE c6TH
cEDITIONcDAINS cISBN: c9780323594554
This cTest cBank cis cDirectly cfrom cThe
c PublishercHas cAll cChapters cWith c100%
Correct cAnswerscINSTANT cDOWNLOAD
c
, lOMoARcPSD|126
c 567
c 13
Test cBank cfor cAdvanced cHealth cAssessment c& cClinical cDiagnosis cin cPrimary
cCarec6th cEdition cDains
Chapter c1: cClinical cReasoning, cDifferential cDiagnosis, cEvidence-Based cPractice, cand cSymptom cAnalysis
cMultiple cChoice
Identify cthe cchoice cthat cbest ccompletes cthe cstatement cor canswers cthe cquestion.
c 1. Which ctype c of cclinical cdecision-making cis cmost creliable?
A. Intuitive
B. Analytical
C. Experiential
D. Augenblick
c 2. Which cof cthe cfollowing cis cfalse? cTo cobtain cadequate chistory, chealth-care cproviders cmust cbe:
A. Methodical cand csystematic
B. Attentive cto cthe cpatient’s cverbal cand cnonverbal
clanguage
C. Able cto caccurately cinterpret cthe cpatient’s cresponses
D. Adept c at creading cinto cthe cpatient’s cstatements
c 3. Essential cparts cof ca chealth chistory cinclude call c of cthe cfollowing cexcept:
A. Chief ccomplaint
B. History cof cthe cpresent cillness
C. Current cvital csigns
D. All cof cthe cabove care cessential chistory
ccomponents
c 4. Which cof cthe cfollowing cis c false? cWhile cperforming cthe cphysical c examination, cthe cexaminer c must cbe cable cto:
A. Differentiate cbetween cnormal cand cabnormal cfindings
B. Recall cknowledge cof ca crange cof cconditions cand ctheir cassociated csigns cand
csymptoms
C. Recognize chow ccertain cconditions caffect c the cresponse cto cother cconditions
D. Foresee cunpredictable cfindings
c 5. The cfollowing cis cthe cleast creliable csource cof cinformation cfor cdiagnostic cstatistics:
A. Evidence-based cinvestigations
B. Primary creports c of cresearch
C. Estimation cbased con ca cprovider’s
cexperience
D. Published cmeta-analyses
c 6. The cfollowing ccan cbe cused cto cassist cin csound cclinical cdecision-making:
A. Algorithm cpublished cin c a cpeer-reviewed cjournal
carticle
B. Clinical cpractice cguidelines
C. Evidence-based cresearch
D. All cof cthe cabove
c 7. If ca cdiagnostic cstudy chas chigh csensitivity, c this cindicates ca:
A. High cpercentage cof cpersons cwith cthe cgiven ccondition cwill chave can
cabnormal cresult
B. Low cpercentage cof cpersons cwith cthe cgiven ccondition cwill chave can
cabnormal cresult
C. Low clikelihood cof cnormal cresult cin cpersons cwithout ca cgiven ccondition
D. None cof cthe cabove
c 8. If ca cdiagnostic cstudy chas chigh cspecificity, c this cindicates ca:
A. Low cpercentage c of chealthy cindividuals cwill cshow ca cnormal cresult
B. High cpercentage c of chealthy cindividuals cwill cshow ca cnormal cresult
C. High cpercentage c of cindividuals cwith ca cdisorder cwill cshow ca cnormal
cresult
D. Low cpercentage cof cindividuals cwith ca cdisorder cwill cshow can
cabnormal cresult
c 9. A clikelihood c ratio cabove c1 cindicates cthat ca cdiagnostic ctest cshowing ca:
A. Positive c result cis cstrongly cassociated cwith cthe cdisease
B. Negative cresult cis cstrongly cassociated cwith cabsence cof cthe
cdisease
C. Positive cresult cis cweakly cassociated cwith cthe cdisease
D. Negative cresult cis c weakly cassociated c with cabsence cof cthe
cdisease
c 10. Which cof cthe cfollowing cclinical creasoning ctools cis cdefined cas cevidence-based cresource cbased con cmathematical c modeling
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to cexpress cthe clikelihood cof ca ccondition cin cselect csituations,
c csettings, cand/or cpatients?
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A. Clinical cpractice
cguideline
B. Clinical cdecision crule
C. Clinical calgorithm
Chapter c1: cClinical creasoning, cdifferential cdiagnosis, cevidence-based cpractice, cand csymptom cana
Answer cSection
MULTIPLE cCHOICE
1. ANS: B
Croskerry c(2009) cdescribes ctwo cmajor ctypes cof cclinical cdiagnostic cdecision-making: cintuitive cand canalytical.
cIntuitive cdecision- cmaking c(similar cto cAugenblink cdecision-making) cis cbased con cthe cexperience cand cintuition cof
cthe cclinician cand cis cless creliable candcpaired cwith cfairly ccommon cerrors. cIn ccontrast, canalytical cdecision-making cis
cbased con ccareful cconsideration cand chas cgreater creliability cwith crare cerrors.
PTS: 1
2. ANS: D
To cobtain cadequate chistory, cproviders cmust cbe cwell corganized, cattentive cto cthe cpatient’s cverbal cand cnonverbal
clanguage, cand cablecto caccurately cinterpret cthe cpatient’s cresponses cto cquestions. cRather cthan creading cinto cthe
cpatient’s cstatements, cthey cclarify cany careas cof cuncertainty.
PTS: 1
3. ANS: C
Vital csigns care cpart cof cthe cphysical cexamination cportion cof cpatient cassessment, cnot cpart cof cthe chealth chistory.
PTS: 1
4. ANS: D
While cperforming cthe cphysical cexamination, cthe cexaminer cmust cbe cable cto cdifferentiate cbetween cnormal cand
cabnormal cfindings, crecall cknowledge cof ca crange cof cconditions, cincluding ctheir cassociated csigns cand csymptoms,
crecognize chow ccertain cconditions caffectcthe cresponse cto cother c conditions, cand cdistinguish cthe crelevance cof cvaried
cabnormal c findings.
PTS: 1
5. ANS: C
Sources cfor cdiagnostic cstatistics cinclude ctextbooks, cprimary creports cof cresearch, cand cpublished cmeta-analyses.
cAnother csource cof cstatistics, cthe cone cthat chas cbeen cmost cwidely cused cand cavailable c for capplication c to cthe creasoning
cprocess, cis cthe cestimation cbased con ca cprovider’s cexperience, calthough cthese care crarely caccurate. cOver cthe cpast
cdecade, cthe cavailability cof cevidence con cwhich cto cbase cclinical creasoning cis cimproving, c and cthere cis can cincreasing
cexpectation cthat cclinical creasoning cbe cbased con cscientific cevidence.
Evidence-based cstatistics care calso cincreasingly cbeing cused cto cdevelop cresources cto cfacilitate cclinical cdecision-making.
PTS: 1
6. ANS: D
To cassist cin cclinical cdecision-making, ca cnumber cof cevidence-based cresources chave cbeen cdeveloped cto cassist cthe
cclinician. cResources, csuch cas calgorithms cand cclinical cpractice cguidelines, cassist cin cclinical creasoning cwhen cproperly
capplied.
PTS: 1
7. ANS: A
The csensitivity cof ca cdiagnostic cstudy cis cthe cpercentage cof cindividuals cwith cthe ctarget ccondition cwho cshow can
cabnormal, cor cpositive,cresult. cA chigh csensitivity cindicates cthat ca cgreater cpercentage cof cpersons c with cthe cgiven
ccondition cwill chave can cabnormal cresult.
PTS: 1
8. ANS: B
The cspecificity cof ca cdiagnostic cstudy cis cthe cpercentage cof cnormal, chealthy cindividuals cwho chave ca cnormal cresult.
cThe cgreater cthecspecificity, cthe cgreater cthe cpercentage cof cindividuals cwho cwill chave cnegative, cor cnormal, cresults
cif cthey cdo cnot chave cthe ctarget ccondition.
PTS: 1
9. ANS: A
The clikelihood cratio cis cthe cprobability cthat ca cpositive ctest cresult cwill cbe cassociated cwith ca cperson cwho chas cthe
ctarget ccondition cand cacnegative cresult cwill cbe cassociated cwith ca chealthy cperson. cA clikelihood cratio cabove c1
cindicates cthat ca cpositive cresult cis cassociated cwith cthe cdisease; ca clikelihood c ratio cless cthan c1 cindicates cthat ca
cnegative c result cis cassociated cwith can cabsence cof cthe cdisease.
