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Question 1
Correct
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What can an outbreak of flu that has spread globally be termed as?
Your Answer: Pandemic
Explanation:An epidemic is declared when the increase in a give disease is above a certain level in a specific interval of time.
An endemic is the general, usual level of a disease in a population at a particular time.
A pandemic is an epidemic that is spread across many countries and continents.
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This question is part of the following fields:
- Statistical Methods
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Question 2
Incorrect
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A study involving 64 patients of diabetes mellitus type 2 was performed. Weight of each patient was recorded and the mean weight of the patients was found to be 81 kg. The data set had a standard deviation of 12 kg.
The value of standard error associated with the mean is:Your Answer:
Correct Answer: 1.5
Explanation:Standard error can be calculated by the following formula:
Standard Error= (Standard Deviation)/√(Sample Size)
= (12) / √(64)
= 12 / 8
= 1.5 -
This question is part of the following fields:
- Statistical Methods
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Question 3
Incorrect
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During the analysis phase, which of the provided options serves to control confounding factors?
Your Answer:
Correct Answer: Stratification
Explanation:During analytical stage a technique called stratification is used for controlling confounding variables. This technique involves sorting out the data into discernible groups.
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This question is part of the following fields:
- Statistical Methods
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Question 4
Incorrect
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A pharmaceutical company has developed a new drug considered a breakthrough in treating ovarian cancer.
The efficacy of this drug can be assessed by which phase of a clinical trial?Your Answer:
Correct Answer: Phase IIa
Explanation:Phase IIa studies are usually pilot studies designed to demonstrate clinical efficacy or biological activity (‘proof of concept’ studies) whereas phase IIb studies determine the optimal dose at which the drug shows biological activity with minimal side-effects (definite dose-finding studies).
Phase III and Phase IV studies are performed on larger set of participants (usually hundreds to thousands) when safety and efficacy have been established.
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This question is part of the following fields:
- Statistical Methods
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Question 5
Incorrect
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In reference to confounding variables, which among the given is not true?
Your Answer:
Correct Answer: In the analytic stage of a study confounding can be controlled for by randomisation
Explanation:Randomisation can be used to provide control over the confounding variables during the design stage of a study however during analytical stage a technique called stratification is used for controlling confounding variables. Since the question asks for the information that is factually incorrect.
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This question is part of the following fields:
- Statistical Methods
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Question 6
Incorrect
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During 2015 it was reported in the New England Journal of Medicine that the usage of empagliflozin(a sodium-glucose-co-transporter 2 inhibitor) caused a decrease in the cardiovascular deaths, non fatal heart attacks and strokes in patients suffering from type 2 diabetes. The results were published per 1000 patient years. With the above mentioned drug, the event rate turned out to be 37.3/1000 patient years whereas the placebo had an event rate of 43.9/1000 patient years.
How many further patients need to be treated with empagliflozin to avoid any further incidence of cardiovascular death or non fatal myocardial infraction and non fatal stroke?Your Answer:
Correct Answer: 150
Explanation:Number needed to treat can be defined as the number of patients who need to be treated to prevent one additional bad outcome.
It can be found as:
NNT=1/Absolute Risk Reduction (rounded to the next integer since number of patients can be integer only).
where ARR= (Risk factor associated with the new drug group) — (Risk factor associated with the currently available drug)
So,
ARR= (43.9-37.3)
ARR= 6.6
NNT= 1000/6.6
NNT=151.5
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This question is part of the following fields:
- Statistical Methods
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Question 7
Incorrect
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The prospects of setting up a health facility to help patients with ischaemic heart disease in a remote area are under consideration and you have been asked to look into it.
What's the crucial factor in finding out the amount of resources needed to go ahead with the idea?Your Answer:
Correct Answer: Prevalence
Explanation:Both incidence and prevalence are indicators of the disease frequency. While incidence tells us about the number of cases reported per population in a provided time period, prevalence is the factor you should be vigilant about as it tells us about the total number of cases that have been reported in a population at a particular point of time.
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This question is part of the following fields:
- Statistical Methods
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Question 8
Incorrect
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Standard error of the mean can be defined as:
Your Answer:
Correct Answer: Standard deviation / square root (number of patients)
Explanation:The standard error of the mean (SEM) is a measure of the spread expected for the mean of the observations – i.e. how ‘accurate’ the calculated sample mean is from the true population mean. The relationship between the standard error of the mean and the standard deviation is such that, for a given sample size, the standard error of the mean equals the standard deviation divided by the square root of the sample size.
SEM = SD / square root (n)
where SD = standard deviation and n = sample size
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This question is part of the following fields:
- Statistical Methods
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Question 9
Incorrect
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A double-blinded randomised controlled trial is proposed to assess the effectiveness of a new blood pressure medication.
Which type of bias can be avoided by ensuring the patient and doctor are blinded?Your Answer:
Correct Answer: Expectation bias
Explanation:Observers may subconsciously measure or report data in a way that favours the expected study outcome. Therefore, by blinding the study we can eliminate expectation bias.
Recall bias is a systematic error that occurs when the study participants omit details or do not remember previous events or experiences accurately.
Verification can occur during investigations when there is a difference in testing strategy between groups of individuals, which might lead to biasness due to differing ways of verifying the disease of interest.
Nonresponse bias is the bias that occurs when the people who respond to a survey differ significantly from the people who do not respond to the survey.
A distortion that modifies an association between an exposure and an outcome because a factor is independently associated with the exposure and the outcome. Randomization is the best way to reduce the risk of confounding.
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This question is part of the following fields:
- Statistical Methods
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Question 10
Incorrect
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Heights of 100 individuals(adults) who were administered steroids at any stage during childhood was studied. The mean height was found to be 169cm with the data having a standard deviation of 16cm. What will be the standard error associated with the mean?
Your Answer:
Correct Answer: 1.6
Explanation:Standard error can be calculated by the following formula:
Standard Error= (Standard Deviation)/√(Sample Size)
= (16) / √(100)
= 16 / 10
= 1.6 -
This question is part of the following fields:
- Statistical Methods
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