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  • Question 1 - The prospects of setting up a health facility to help patients with ischaemic...

    Incorrect

    • 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: Denominator data

      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.

    • This question is part of the following fields:

      • Statistical Methods
      25.5
      Seconds
  • Question 2 - Work is underway to devise a new breast cancer screen testing method that...

    Incorrect

    • Work is underway to devise a new breast cancer screen testing method that doesn’t involve mammography which is in contrast to the prevailing standard. The initial numbers look promising and are indicating that the new testing method is better able to pick up early stage cancer. There, however, is not substantial difference in survival rates.

      Which of the following term can be used to describe this?

      Your Answer: Work-up bias

      Correct Answer: Lead-time bias

      Explanation:

      Work up bias involves comparing the novel diagnostic test with the current standard test. A portion of the patients undergo the standard test while others undergo the new test as the standard test is costly. The result can be alteration in specify and sensitivity.

      Recall bias is specifically appropriate to the case control studies that is when ever the memories retrieved by the participants differ in accuracy.

      Not publishing the results of a valid study just because they are negative or uninteresting can be termed as publication bias.

      When information gathering is ill suited with respect to time i.e. collecting the data regarding a fatal disease many years after the death of its patients, it is termed as Late – look bias.

      The case in point is an instance of lead time bias when upon comparing two tests, one is able to detect the condition earlier than the other but the overall outcome doesn’t change. There is a possibility that this will make the survival rates for the newer test look more promising.

    • This question is part of the following fields:

      • Statistical Methods
      22277.6
      Seconds
  • Question 3 - Which of the following is the best associated option with Kaplan-Meier survival plot?...

    Incorrect

    • Which of the following is the best associated option with Kaplan-Meier survival plot?

      Your Answer: An accurate prediction of increasing survival with time after treatment.

      Correct Answer: An estimate of decreasing survival with time after an event.

      Explanation:

      Also known as the “product limit estimate’’, the Kaplan-Meier survival plot is used to estimate the true survival function from the collected data.

      Using this plot, probabilities of occurrence of an event at a certain point in time can be computed. The successive probabilities are multiplied by any earlier computed probabilities to get the final estimate. For a given population, the survival probability at any particular time on the plot = (number of subjects living at the start – number of subjects who died)/number of subjects living at the start.

      The description of a scatter plot is a graphical representation using Cartesian coordinates to display values for more than two variables for data set. It is used for to assess the relationship between 2 different variables.

    • This question is part of the following fields:

      • Statistical Methods
      25.9
      Seconds
  • Question 4 - Which of the following is true about number needed to harm? ...

    Incorrect

    • Which of the following is true about number needed to harm?

      Your Answer: The number of patients that must receive a particular treatment for one patient in that group to receive an adverse outcome.

      Correct Answer: The number of patients that must receive a particular treatment for one additional patient to experience an adverse outcome.

      Explanation:

      Number needed to harm are a measure of the impact of a treatment or intervention that is often used to communicate results to patients, clinicians, the public and policymakers. It states how many patients need to be treated for one additional patient to experience an adverse outcome (e.g. a death). It is calculated as the inverse of the absolute risk reduction. It can equally well be applied to harmful outcomes as well as beneficial ones, where it becomes numbers needed to treat (NNT) instead.

      In this way, they are both calculated the same but NNT usually refers to a therapeutic treatment whereas NNH refers to a risk-factor for disease.

    • This question is part of the following fields:

      • Statistical Methods
      19.4
      Seconds
  • Question 5 - A randomized study aimed at finding out the efficacy of a novel anticoagulant,...

    Incorrect

    • A randomized study aimed at finding out the efficacy of a novel anticoagulant, in preventing stroke in patients suffering from atrial fibrillation, relative to those already available in the market was performed. A 59 year old woman volunteered for it and was randomised to the treatment arm. A year later, following findings were reported:

      165 out of 1050 patients who were prescribed the already prevalent medicine had a stroke while the number of patients who had a single stroke after using the new drug was 132 out of 1044.

      In order to avoid one stroke case, what is the number of patients that need to be treated?

      Your Answer: 25

      Correct Answer: 32

      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= (165/1050)-(132/1044)

      ARR= (0.157-0.126)

      ARR= 0.031

      NNT= 1/0.031

      NNT=32.3

    • This question is part of the following fields:

      • Statistical Methods
      16.4
      Seconds
  • Question 6 - Which of the following is correct regarding correlation? ...

    Incorrect

    • Which of the following is correct regarding correlation?

      Your Answer: Correlation can take any value between 0-10

      Correct Answer: Complete absence of correlation is expressed by a value of 0

      Explanation:

      In statistical terms, correlation is used to denote association between two quantitative variables.

      The degree of association is measured by a correlation coefficient, denoted by r. The correlation coefficient is measured on a scale that varies from + 1 through 0 to – 1. Complete correlation between two variables is expressed by either + 1 or -1. When one variable increases as the other increases the correlation is positive; when one decreases as the other increases it is negative. Complete absence of correlation is represented by 0.

      The two methods are not synonymous as correlation measures the degree of relationship between two variables whereas regression analysis is about how one variable affects another or what changes it has on the other variable. Both are also shown by a different graphical representation.

    • This question is part of the following fields:

      • Statistical Methods
      8.8
      Seconds
  • Question 7 - What is the primary purpose of funnel plots? ...

    Incorrect

    • What is the primary purpose of funnel plots?

      Your Answer: Provide a graphical representation of the relative risk results in a cohort study

      Correct Answer: Demonstrate the existence of publication bias in meta-analyses

      Explanation:

      Funnel plot is essentially a scatterplot of the effect of treatment against a particular measure of study precision. Its primal purpose is to serve as a visual aid and help in detection of bias or systematic heterogenity.

    • This question is part of the following fields:

      • Statistical Methods
      15
      Seconds
  • Question 8 - Patient’s having disease (Test Positive: 60, Test Negative:40)


    Patient’s not having...

    Incorrect

    • Patient’s having disease (Test Positive: 60, Test Negative:40)


      Patient’s not having the disease (Test Positive:20, Test Negative: 80)

      This is a result of a new tumour marker blood test, that was performed on 200 women for breast cancer screening. The director of the screening programme ask you to evaluate the observations and inform them the specificity of this new test.

      Which one of the following figure you will relay to the programme director?

      Your Answer: 60%

      Correct Answer: 80%

      Explanation:

      The positive predictive value is the ratio of patients truly diagnosed as positive to all those who had positive test results. In this case, this is 60/(60+20)=75%.

      The negative predictive value is the ratio of patients truly diagnosed as negative to all those who had negative test results. In this case, this is 80/(80+40)=67%.

      The sensitivity is the ratio of patients with the disease who test positive i.e. true positive patients to the total number of people with the disease. In this case, this is 60/(60+40)=60%.

      The specificity is the ratio of people who don’t have the disease who test negative i.e. true negatives to the total number of people without the disease. In this case, this is 80/(20+80)=80%.

      70% is not the result of any screening measurements

    • This question is part of the following fields:

      • Statistical Methods
      15.6
      Seconds
  • Question 9 - Weight of all of your patients in the ICU is analysed, and shows...

    Incorrect

    • Weight of all of your patients in the ICU is analysed, and shows that your date set is skewed.

      Which of the following will correctly show the average weight of your patients?

      Your Answer: Interquartile range

      Correct Answer: Median

      Explanation:

      The question mentions a quantitative, ratio scale data set. The use of mean would be ideal under normal circumstances, however, in this situation median is preferred as it is less sensitive to the skewness of data. The median is usually preferred to other measures of central tendency when your data set is skewed (i.e., forms a skewed distribution)

    • This question is part of the following fields:

      • Statistical Methods
      8
      Seconds
  • Question 10 - A new clinical trial evaluates the effect of a new drug Z on...

    Incorrect

    • A new clinical trial evaluates the effect of a new drug Z on all-cause mortality. The rate of death in the group receiving this drug is 8%, compared with 16% in the control group.

      What is the number needed to treat with drug Z to prevent death?

      Your Answer: 2

      Correct Answer: 13

      Explanation:

      Number needed to treat is a measure of the impact of a treatment or intervention that is often used to communicate results to patients, clinicians, the public and policymakers. It states how many patients need to be treated for one additional patient to experience an adverse outcome (e.g. a death).

      It is calculated as the inverse of the absolute risk reduction and is rounded to the next highest whole number.

      The absolute risk reduction is 8% (16% – 8%). 100/8 = 12.5, so rounding up the next integer this gives at NNT of 13. i.e. you would need to give the new drug to 13 people to ensure that you prevented one death.

    • This question is part of the following fields:

      • Statistical Methods
      10.7
      Seconds

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