Question 88

Read the following passage and carefully answer the question that follows:

We do not like to think of the diagnosis process as causing as many problems as it is trying to solve. However, when the complaints are more chronic than acute, there is growing concern that a plethora of diagnostic tests and procedures have raised expectations of always finding a precise answer or explanation. When that is not possible, or tests are not recommended as the first line of attack, a provider's clinical observations and reasoning can seem less than satisfactory. The team shared new thinking about better ways to engage with patients when diagnostic certainty is not possible and how to create strong, trusting relationships that break from the mold of “doing something” or “doing nothing at all.”

Which of the following can be concluded based on the passage?

Solution

The passage suggests that there is growing concern that a reliance on diagnostic tests and procedures can create unrealistic expectations for finding a precise answer or explanation, particularly in cases where complaints are chronic rather than acute. This can lead to dissatisfaction with a healthcare provider's clinical observations and reasoning. The passage also suggests that there is a need for new approaches to engage with patients when diagnostic certainty is not possible and to build strong, trusting relationships with them. Therefore, it can be concluded that there are concerns about the overreliance on diagnostic tests and a need for new approaches to engage with patients in cases where diagnostic certainty is not possible. In this regard, Option B is a valid conclusion. 

The passage suggests that providers should find better ways to engage with patients when diagnostic certainty is not possible, indicating that dismissing patients' concerns without further investigation or referring the patient to another provider without providing any guidance are not viable solutions. Therefore, we can eliminate Options A and D. Similarly, Option C is contrary to the discussion -  the passage highlights the concern that excessive testing may have raised patients' expectations of always finding a precise answer or explanation, which may not always be possible or recommended as the first line of attack.


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