Chapter·DiagnosisClinical Reasoning

Decision making under uncertaintyDownloads

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Sample Questions

1

Two dizygotic twins present to the university clinic because they believe they are being poisoned through the school's cafeteria food. They have brought these concerns up in the past, but no other students or cafeteria staff support this belief. Both of them are average students with strong and weak subject areas as demonstrated by their course grade-books. They have no known medical conditions and are not known to abuse illicit substances. Which statement best describes the condition these patients have?

AA trial separation is likely to worsen symptoms.

BThe disorder is its own disease entity in DSM-5.

CAntipsychotic medications are rarely beneficial.

DCan affect two or more closely related individuals.

ECognitive behavioral therapy is a good first-line.

2

You are reading through a recent article that reports significant decreases in all-cause mortality for patients with malignant melanoma following treatment with a novel biological infusion. Which of the following choices refers to the probability that a study will find a statistically significant difference when one truly does exist?

AType II error

BType I error

CConfidence interval

Dp-value

EPower

3

A 52-year-old man comes to the physician because of a 3-week history of a cough and hoarseness. He reports that the cough is worse when he lies down after lunch. His temperature is 37.5°C (99.5°F); the remainder of his vital signs are within normal limits. Because the physician has recently been seeing several patients with the common cold, the diagnosis of a viral upper respiratory tract infection readily comes to mind. The physician fails to consider the diagnosis of gastroesophageal reflux disease, which the patient is later found to have. Which of the following most accurately describes the cognitive bias that the physician had?

AFraming

BAnchoring

CVisceral

DConfirmation

EAvailability

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