Diagnostic Studies

Question 1

Examination includes:

Answer 1

1. Review of available health-related records.
2. Interviews with the patient or client.
3. Performance of a systems review.
4. Application of diagnostic tests and clinical measures.

Question 2

PT collects the ______ as efficiently and effectively as possible.

Answer 2

most relevant data

Question 3

______ is a process in which patient data are collected and evaluated to classify a condition.

Answer 3

Diagnosis

Question 4

This is achieved through the use of information to make

decisions that will explain why an individual has a set of signs and symptoms.

Answer 4

Differential diagnosis

Question 5

Both diagnosis and differential diagnosis is based on the results from the patient’s history, clinical examination, and ______.

Answer 5

associated diagnostic tests

Question 6

Give 3 purposes of diagnostic tests.

Answer 6

1. To help focus the examination on a particular body region or system.
2. To identify potential problems that require referral to a physician or other health care provider.
3. To assist in the classification process

Question 7

T or F

Identify the need for information and develop a focused and searchable clinical question is the first step in appraising a diagnostic study.

Answer 7

T

Question 8

T or F

The third step in appraising a DS is to conduct a search to find the best possible research evidence to answer your question.

Answer 8

F (second step)

Question 9

The third step in appraising the DS is to critically appraise the research evidence for ______ and quality.

Answer 9

applicability

Question 10

T or F

The last step in appraising the DS is to integrate the critically appraised research evidence with clinical expertise and the patient’s values and circumstances.

Answer 10

F (fourth step)

Question 11

(5) Evaluate the ______ and efficacy of your efforts in the previous steps and identify ways to improve them in the future.

Answer 11

effectiveness

Question 12

In searching for the literature, _______ are most common for diagnostic test.

Answer 12

cohort designs

Question 13

Questions to ask when using diagnostic
tests:
1. What _____ am I seeking?

Answer 13

diagnostic information

Question 14

2. Will this test assist me in confirming or refuting my ______ regarding my patient’s movement problem?

Answer 14

clinical hypothesis

Question 15

3. How will this test result affect my _______?

Answer 15

treatment recommendations

Question 16

4. What do I know about the _____ of the test I am using?

Answer 16

characteristics

Question 17

What should I know about the characteristics of the _____?

Answer 17

test I am using

Question 18

Cohort designs are usually _____ rather than retrospective.

Answer 18

prospective

Question 19

What are the 4 sub-steps for STEP 3?

Answer 19

A. Determining Applicability of Diagnostic Study
B. Determining Quality of Diagnostic Study
C. Interpreting Results of Diagnostic Study
D. Summarizing the Clinical Bottom Line of Diagnostic Study

Question 20

In determining the applicability if a diagnostic study, the examiner aims to find out if the ______ are represented in the study sample.

Answer 20

entire spectrum of patients

Question 21

Diagnostic studies must include clinical population ____ to test and to patient.

Answer 21

relevant

Question 22

This question important to assess the applicability and quality of a study.

Answer 22

Is the entire spectrum of patients represented in the study sample? Is my patient represented in this spectrum of patients?

Question 23

A test should be used to intended ____ and type of patient

Answer 23

purpose

Question 24

To determine the quality of a diagnostic study, the essence of an independent, blind comparison with
a _____ of diagnosis should be present.

Answer 24

reference (gold) standard

Question 25

Widely accepted as being the best available.

Answer 25

Gold standard

Question 26

T or F

Valid tests given by PT might save both time and money if this tests yields to different information.

Answer 26

F (same or similar)

Question 27

Both ____ and inter-rater reliability must be established for both the test of interest and the gold standard test.

Answer 27

intra-rater