Workshop #3 Flashcards Preview

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Flashcards in Workshop #3 Deck (28)
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1

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

Sensitivity

2

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

Specificity

3

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

Specificity

4

Sppin =

A Specific test when Positive rules IN disease

5

SnNout =

A Sensitive test when Negative rules OUT disease

6

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

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

7

how much a positive test result increases the probability of disease

positive likelihood ratio LR(+)

8

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

negative likelihood ratio LR(-)

9

Likelihood Ratios:
0.3 = ____%
3.0 = ____%

0.3= (-) -25%
3.0= (+) 20%

10

Likelihood Ratios of ___ - ____ indicate poor likelihood data

0.4 - 2.9

11

LR of __________ = no likelihood of disease

0.3 or less

12

LR of _________ = high likelihood of disease

3.0 or more

13

Something you expect to see, and it is there
(Something I expect to find that is there and supports my hypothesis)

Significant Positive

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)

Significant Negative

15

The absence of __________ will support the hypothesis

Significant Negative

16

Both of these strengthen your diagnosis

Significant Positive and Negatives

17

SOAP Note Order

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

18

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

Objective

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

A

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

B

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

C

22

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

D

23

Consistent, good-quality patient-oriented evidence

Grade A

24

Inconsistent or limited-quality patient-oriented evidence

Grade B

25

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

Grade C

26

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

Level I (Likely Reliable)

27

level of evidence that 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.

Level 2 (Mid-Level)

28

level of evidence represents 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

Level 3 (Lacking Direct)