quiz 3 Flashcards
What is the purpose of gathering some information about the patient’s chief concern before considering a differential diagnosis?
a.
Differential diagnosis lists will be longer
b.
History alone is insufficient; physical exams must be performed before a differential diagnosis list is constructed
c.
More effective comparison with your disease illness scripts
d.
Starting too early makes for an excessively holistic view of the patient case
c.
More effective comparison with your disease illness scripts
A naturopathic student intern reads a book whose central thesis is that a condition which is thought to be rare is in fact common. If they are not careful, which cognitive bias may worsen their diagnostic performance as a result?
a.
The Semmelweis reflex
b.
Selection bias
c.
The availability heuristic
d.
“Possibilism”
c.
The availability heuristic
How should one proceed from the beginning of the encounter through the development of a differential diagnosis?
Question 3 Answer
a.
Consider conditions that come to mind as the patient tells their story; note these conditions in the margin of a sheet of paper or in your electronic medical record; rank them later based on disease prevalence and severity
b.
Obtain some information from the patient; create a problem representation and patient illness script; compare the patient illness script to a number of disease illness scripts
c.
Obtain some information from the patient; compare the patient’s subjective information to a number of disease illness scripts, rank these disease illness scripts according to prevalence and severity of disease
d.
Obtain information about patient demographics; create a problem representation and patient illness script; compare the patient illness script to a number of disease illness scripts
b.
Obtain some information from the patient; create a problem representation and patient illness script; compare the patient illness script to a number of disease illness scripts
An intern proposes a diagnosis for one of their patients because “the symptoms all fit”. What might the intern have failed to consider that would most help create a strong list of differentials?
Question 4 Answer
a.
Which conditions are most likely, which are most serious, and which are most amenable to treatment
b.
The conditions that they saw most recently during their internship and stories they heard about other interns’ patients
c.
A textbook should be used for differential diagnosis because it will provide a long list of possibilities based on the patient’s complaint
d.
Vascular conditions, infectious conditions, and neoplastic conditions
a.
Which conditions are most likely, which are most serious, and which are most amenable to treatment
What is the main value of differential diagnosis?
a.
It represents the instantaneous rate of change of the diagnostic process over time
b.
It covers all pathologies that the patient could be experiencing
c.
It helps to reinforce hypotheses that come to mind most quickly
d.
It helps to avoid excessive certainty about an initial hypothesis
d.
It helps to avoid excessive certainty about an initial hypothesis
