Workshop #3

Question 1

Portion of patients with the diagnosis that have the physical sign (have the positive result)

Answer 1

Sensitivity

Question 2

Portion of patients without the diagnosis that lack the physical sign (have the negative result).

Answer 2

Specificity

Question 3

Physical signs with a high ___________, greatly increase the probability of the disease when signs are present

Answer 3

Specificity

Question 4

Sppin =

Answer 4

A Specific test when Positive rules IN disease

Question 5

SnNout =

Answer 5

A Sensitive test when Negative rules OUT disease

Question 6

used for for determining if the symptom is a predictor of the hypotheses

Answer 6

LR(+), LR(-), and anything in between

Question 7

how much a positive test result increases the probability of disease

Answer 7

positive likelihood ratio LR(+)

Question 8

how much a negative test result decreases the probability of a disease

Answer 8

negative likelihood ratio LR(-)

Question 9

Likelihood Ratios:

0. 3 = ____%
1. 0 = ____%

Answer 9

0. 3= (-) -25%

3. 0= (+) 20%

Question 10

Likelihood Ratios of ___ - ____ indicate poor likelihood data

Answer 10

0.4 - 2.9

Question 11

LR of __________ = no likelihood of disease

Answer 11

0.3 or less

Question 12

LR of _________ = high likelihood of disease

Answer 12

3.0 or more

Question 13

Something you expect to see, and it is there

Something I expect to find that is there and supports my hypothesis

Answer 13

Significant Positive

Question 14

Something you do not expect to see, and it supports that they do not have this hypothesis
(Rules out other hypothesis to try to get closer to the one you want them to have)

Answer 14

Significant Negative

Question 15

The absence of __________ will support the hypothesis

Answer 15

Significant Negative

Question 16

Both of these strengthen your diagnosis

Answer 16

Significant Positive and Negatives

Question 17

SOAP Note Order

Answer 17

Subjective Data
Objective Data
    -Evidence/Labs
Assessment (Diagnosis)
Plan (Orders + Follow Up if needed)

Question 18

Any Lab or Diagnostic that can be done at that visit, add it to the bottom of the _________ section

Answer 18

Objective

Question 19

Evidence Grade ____:
Further research is very unlikely to change our confidence in the estimate of effect.
Several high-quality studies with consistent results
In special cases: one large, high-quality multi-centre trial

Answer 19

A

Question 20

Evidence Grade _____:
Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
One high-quality study
Several studies with some limitations

Answer 20

B

Question 21

Evidence Grade _____:
Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
One or more studies with severe limitations

Answer 21

C

Question 22

Evidence Grade _____:
Any estimate of effect is very uncertain.
Expert opinion
No direct research evidence
One or more studies with very severe limitations

Answer 22

D

Question 23

Consistent, good-quality patient-oriented evidence

Answer 23

Grade A

Question 24

Inconsistent or limited-quality patient-oriented evidence

Answer 24

Grade B

Question 25

Consensus, disease-oriented evidence *, usual practice, expert opinion, or case series for studies of diagnosis, treatment, prevention, or screening

Answer 25

Grade C

Question 26

level of evidence thatrepresents research results that address clinical outcomes and meet an extensive set of quality criteria that minimizes bias.

Answer 26

Level I (Likely Reliable)

Question 27

level of evidencethat represents research results that address clinical outcomes and demonstrate some method of scientific investigation but do not meet the quality criteria to achieve Level 1.

Answer 27

Level 2 (Mid-Level)

Question 28

level of evidencerepresents either of the following:
Reports that are not based on scientific analysis of clinical outcomes (e.g., case series, case reports, conclusions extrapolated indirectly from scientific studies)
Research results that do not address clinical outcomes, regardless of the scientific rigor

Answer 28

Level 3 (Lacking Direct)