Diagnostic Studies Flashcards
Examination includes:
- Review of available health-related records.
- Interviews with the patient or client.
- Performance of a systems review.
- Application of diagnostic tests and clinical measures.
PT collects the ______ as efficiently and effectively as possible.
most relevant data
______ is a process in which patient data are collected and evaluated to classify a condition.
Diagnosis
This is achieved through the use of information to make
decisions that will explain why an individual has a set of signs and symptoms.
Differential diagnosis
Both diagnosis and differential diagnosis is based on the results from the patient’s history, clinical examination, and ______.
associated diagnostic tests
Give 3 purposes of diagnostic tests.
- To help focus the examination on a particular body region or system.
- To identify potential problems that require referral to a physician or other health care provider.
- To assist in the classification process
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.
T
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.
F (second step)
The third step in appraising the DS is to critically appraise the research evidence for ______ and quality.
applicability
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.
F (fourth step)
(5) Evaluate the ______ and efficacy of your efforts in the previous steps and identify ways to improve them in the future.
effectiveness
In searching for the literature, _______ are most common for diagnostic test.
cohort designs
Questions to ask when using diagnostic
tests:
1. What _____ am I seeking?
diagnostic information
- Will this test assist me in confirming or refuting my ______ regarding my patient’s movement problem?
clinical hypothesis
- How will this test result affect my _______?
treatment recommendations
- What do I know about the _____ of the test I am using?
characteristics
What should I know about the characteristics of the _____?
test I am using
Cohort designs are usually _____ rather than retrospective.
prospective
What are the 4 sub-steps for STEP 3?
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
In determining the applicability if a diagnostic study, the examiner aims to find out if the ______ are represented in the study sample.
entire spectrum of patients
Diagnostic studies must include clinical population ____ to test and to patient.
relevant
This question important to assess the applicability and quality of a study.
Is the entire spectrum of patients represented in the study sample? Is my patient represented in this spectrum of patients?
A test should be used to intended ____ and type of patient
purpose
To determine the quality of a diagnostic study, the essence of an independent, blind comparison with
a _____ of diagnosis should be present.
reference (gold) standard
Widely accepted as being the best available.
Gold standard
T or F
Valid tests given by PT might save both time and money if this tests yields to different information.
F (same or similar)
Both ____ and inter-rater reliability must be established for both the test of interest and the gold standard test.
intra-rater
