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Question 1
Correct
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There is a measure of dispersion of a set of data from its mean. Which of following is the best term which can describe the above?
Your Answer: Standard deviation (root mean square deviation)
Explanation:Standard deviation is defined as the measure of dispersion of a set of data from its mean. It measures the absolute variability of a distribution| the higher the dispersion or variability, the greater is the standard deviation and greater will be the magnitude of the deviation of the value from their mean.
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This question is part of the following fields:
- Epidemiology And Statistics
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Question 2
Incorrect
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For a given condition, disease or attribute, there will be a proportion of people in a population who have it at a specified point in time or over a specified period of time. Which of following is the best term which describes the above?
Your Answer: Specificity
Correct Answer: Prevalence
Explanation:Prevalence:
This is the proportion of individuals in a population who have a specific condition, disease, or attribute at a given point in time or over a specific period.
Incidence:
This is the number of new cases of a specific condition, disease, or attribute that develop in a population during a specified period of time.
Specificity:
This refers to the ability of a test to correctly identify those without the condition (true negative rate).
Sensitivity:
This refers to the ability of a test to correctly identify those with the condition (true positive rate).
Probability:
This is a measure of the likelihood that an event will occur. In the context of diseases, it can refer to the likelihood of developing a condition.
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This question is part of the following fields:
- Epidemiology And Statistics
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Question 3
Incorrect
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In a new drug trial, 1 out of 27 individuals who were given the treatment experienced a side effect, compared to 0 out of the 25 patients given the placebo. Which of the following is true?
Your Answer: P < 0.05 is significant
Correct Answer: Fisher’s exact test should be used to compare the significance of the difference
Explanation:The Chi-squared test would have been a useful test to compare the proportions in the scenario. However, due to the small sample size, Fisher’s exact test can be applied to analyse the significance of the difference. Adequate information is not given to determine what sample sizes were used to test the efficacy of the treatment, and to tell whether the treatment should be discontinued without further analysis on the data.
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This question is part of the following fields:
- Epidemiology And Statistics
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Question 4
Incorrect
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Which of the following is true of randomisation in a clinical trial?
Your Answer: Helps to ensure that patients are blinded to treatment group
Correct Answer: Aims to remove confounding
Explanation:The main aim of randomisation in a clinical trial is to remove the bias and avoid any potential confounding variables. While in double blind studies both the investigators and the patients are not aware of which group they belong in, being blind is not essential in carrying out a randomized study, nor is it essential that the randomisation be done away from the study centre. A placebo also does not facilitate randomisation, which can be done in single centre and multi-centre trials.
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This question is part of the following fields:
- Epidemiology And Statistics
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Question 5
Incorrect
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Regarding crossover trials, which of the following statements is true?
Your Answer: Require a long washout period
Correct Answer: Are best for assessing the efficacy of different treatments in giving short-term relief of chronic conditions
Explanation:Crossover trials are characterized by the switching of study participants throughout the treatment groups, keeping a random order of switching. This randomization is important to determine any carry-over effect of different treatment modalities. The benefit of this study is the evaluation of the efficacy of various short-term treatment options for the relief of chronic conditions. The washout period is small in this type of study. Crossover studies are more efficient than the parallel studies, but they should be used according to the treatment options and outcomes.
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This question is part of the following fields:
- Epidemiology And Statistics
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Question 6
Correct
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We want to compare body mass index (BMI) values between children from several ethnic groups, taking into account differences in the age distributions of the groups.The appropriate analysis is:
Your Answer: Linear regression analysis with age and ethnicity as predictors
Explanation:Linear regression is a basic and commonly used type of predictive analysis. The overall idea of regression is to examine two things: (1) do a set of predictor variables do a good job in predicting an outcome (dependent) variable? (2) Which variables, in particular, are significant predictors of the outcome variable, and in what way do they–indicated by the magnitude and sign of the beta estimates–impact the outcome variable.These regression estimates are used to explain the relationship between one dependent variable and one or more independent variables. Three major uses for regression analysis are (1) determining the strength of predictors, (2) forecasting an effect, and (3) trend forecasting
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This question is part of the following fields:
- Epidemiology And Statistics
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Question 7
Incorrect
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This equation links lung function measurement to height: Lung function = 2.3 + (1.5 × height), R = 0.75Which of the following statements is true?
Your Answer: R is significant
Correct Answer: Taller individuals have higher lung functions
Explanation:The equation, lung function = 3.2 + (1.7 x height) is linear, but this does not necessarily mean that the relationship itself is linear. The equation is able to predict that taller individuals are more likely to have greater lung functions. No information is given on whether the coefficients and the R value are statistically significant.
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This question is part of the following fields:
- Epidemiology And Statistics
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Question 8
Incorrect
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The positive likelihood ratio for a diagnostic test is 3. A patient, whose pre-test odds were 2 tests positiveThe following is most accurate:
Your Answer: The likelihood that they have the disease is decreased after the test
Correct Answer: Their prior odds of having the disease are now 6
Explanation:Before the test, the patient was likely to have the disease being tested for. Their pre test odds were 2, making them twice as likely to have the disease. After testing positive, their pretest odds of 2 and the likelihood ratio of 3 are multiplied to produce 6 as the post test odds. The patient is now 6 times as likely to have the disease after the test. Likelihood ratios above 10 or below 0.1 are strong evidence to rule in and rule out a diagnosis. The negative likelihood ratio is not known here, but does not subtract from the interpretation of the outcomes in this patient.
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This question is part of the following fields:
- Epidemiology And Statistics
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Question 9
Incorrect
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A randomised controlled trial of a new treatment for hypertension yields a P-value of 0.00036.Which one of the following gives the best interpretation of this information?
Your Answer: The P value was determined using regression analysis
Correct Answer: To understand the clinical importance of the treatment we should also consider the confidence interval for the difference
Explanation:The level of statistical significance is often expressed as a p-value between 0 and 1. The smaller the p-value, the stronger the evidence that you should reject the null hypothesis.A p-value less than 0.05 (typically ≤ 0.05) is statistically significant. It indicates strong evidence against the null hypothesis, as there is less than a 5% probability the null is correct (and the results are random). Therefore, we reject the null hypothesis, and accept the alternative hypothesis.However, this does not mean that there is a 95% probability that the research hypothesis is true. The p-value is conditional upon the null hypothesis being true is unrelated to the truth or falsity of the research hypothesis.A lower p-value is sometimes interpreted as meaning there is a stronger relationship between two variables. However, statistical significance means that it is unlikely that the null hypothesis is true (less than 5%).To understand the strength of the difference between two groups (control vs. experimental) a researcher needs to calculate the effect size.
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This question is part of the following fields:
- Epidemiology And Statistics
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Question 10
Incorrect
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A case-control study is developed to assess passive smoking as a risk factor for the development of asthma in children. The total number of patients recruited for this study is 200. 40 out of the 200 patients report at least one parent smoking in the house when they were younger. 200 more people without asthma are recruited and 20 out of them report that at least one parent smoked in the house when they were younger. What is the odds ratio of patients with asthma having been exposed to passive smoking during their childhood?
Your Answer: 4
Correct Answer: 2.25
Explanation:An odds ratio (OR) is a measure of association between an exposure and an outcome. The OR represents the odds that an outcome will occur given a particular exposure, compared to the odds of the outcome occurring in the absence of that exposure. Odds ratios are most commonly used in case-control studies, however they can also be used in cross-sectional and cohort study designs as well (with some modifications and/or assumptions). Wherea = Number of exposed casesb = Number of exposed non-casesc = Number of unexposed casesd = Number of unexposed non-casesOR=(a/c) / (b/d) = ad/bc
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This question is part of the following fields:
- Epidemiology And Statistics
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