Chapter·BiostatisticsSensitivity/Specificity

Optimizing cut-off valuesDownloads

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1

A 40-year-old female volunteers for an invasive study to measure her cardiac function. She has no previous cardiovascular history and takes no medications. With the test subject at rest, the following data is collected using blood tests, intravascular probes, and a closed rebreathing circuit: Blood hemoglobin concentration 14 g/dL Arterial oxygen content 0.22 mL O2/mL Arterial oxygen saturation 98% Venous oxygen content 0.17 mL O2/mL Venous oxygen saturation 78% Oxygen consumption 250 mL/min The patient's pulse is 75/min, respiratory rate is 14/ min, and blood pressure is 125/70 mm Hg. What is the cardiac output of this volunteer?

ABody surface area is required to calculate cardiac output.

BStroke volume is required to calculate cardiac output.

C250 mL/min

D5.0 L/min

E50 L/min

2

A group of investigators who are studying individuals infected with Trypanosoma cruzi is evaluating the ELISA absorbance cutoff value of serum samples for diagnosis of infection. The previous cutoff point is found to be too high, and the researchers decide to lower the threshold by 15%. Which of the following outcomes is most likely to result from this decision?

AIncreased negative predictive value

BUnchanged true positive results

CDecreased sensitivity

DIncreased specificity

EIncreased positive predictive value

3

You conduct a medical research study to determine the screening efficacy of a novel serum marker for colon cancer. The study is divided into 2 subsets. In the first, there are 500 patients with colon cancer, of which 450 are found positive for the novel serum marker. In the second arm, there are 500 patients who do not have colon cancer, and only 10 are found positive for the novel serum marker. What is the overall sensitivity of this novel test?

A450 / (450 + 10)

B490 / (10 + 490)

C490 / (50 + 490)

D450 / (450 + 50)

E490 / (450 + 490)

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