28 Questions
In neurological assessment, which step involves gathering information and is also known as establishing the database?
Establishing the database
What should be used as an extension and not as a substitute for obtaining a good history and performing a proper general and neurologic examination in neurological assessment?
Electrodiagnostic testing
What is the second distinct step to solve most clinical problems systematically in clinical problem-solving?
Categorize the disease
What is the best way to separate the active problems from the inactive problems in clinical problem-solving?
The best proper therapy
What should be undertaken to solve most clinical problems systematically?
Making the diagnosis
What is used as an extension and not as a substitute for obtaining a good history and performing a proper general and neurologic examination in clinical assessment?
Electrodiagnostic testing
What is the third distinct step to solve most clinical problems systematically in clinical problem-solving?
The best proper therapy
What should be used to follow the patient’s clinical situation and response to treatment in clinical problem-solving?
Symptomatic measurements
What is the primary step in neurological assessment for evaluating patients?
Gathering information by history and examination
Which step in clinical problem-solving involves categorizing the disease by assessing the type, stage, grade, and severity?
Categorizing the disease
What is the most appropriate action once there is a likely etiology in clinical problem-solving?
Formulate a treatment plan
What should be used as an extension and not as a substitute for obtaining a good history and performing a proper general and neurologic examination in neurological assessment?
Laboratory investigation
What is essential for measuring the patient’s clinical situation and response to treatment in clinical problem-solving?
Other testing
In neurological assessment, what is the practical endpoint of analyzing the gathered information?
Confirming the provisional diagnosis
What does the neurologist aim to determine when approaching the patient from an anatomic view?
The nature and location of the lesion in the nervous system
What role does history play in answering the question 'what' in neurological assessment?
It helps to hypothesize the nature of the lesion explaining all the symptoms
What is the method for determining the temporal profile of a lesion in neurological assessment?
Analyzing the patient's course and pattern of symptoms
What is the relationship between etiologic diagnoses and pathologic diagnoses in neurological assessment?
Etiologic diagnoses always imply pathologic diagnoses
What is a common pitfall in diagnosis that involves clinicians clinging to a thought or diagnosis despite evidence to the contrary?
Anchoring
Which step in the clinical problem-solving process involves narrowing down potential diagnoses by obtaining additional historical or examination data?
Developing a differential diagnosis
What is the main workflow for optimal care in clinical practice?
Identifying the patient and developing a differential diagnosis
Which cognitive bias in diagnosis refers to the clinician's difficulty in admitting they are wrong about their conclusions?
Anchoring
What is the final step once a provisional diagnosis is made in clinical practice?
Initiate management of the condition
What is the main pitfall clinicians should avoid, as mentioned in the text?
Getting anchored in their thought process
How can clinicians minimize the risk of anchoring and bias in patient encounters?
Consult literature and other information sources
What is the consequence of not keeping up with the most current medical literature, as stated in the text?
Patients may receive outdated treatments
Why does the text suggest discussing complex cases with colleagues?
To get different perspectives and insights on the case
In what scenario might a patient with untreated HIV have a headache due to a migraine?
When there's no evidence of toxoplasmosis present
Explore the step-by-step clinical methodology for neurological assessment, focusing on gathering information, patient evaluation, and the use of additional tests. Understand the importance of obtaining a good history and performing proper general and neurologic examinations.
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