Chapter·DiagnosisDifferential diagnosis

Probability ranking in differentialsDownloads

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1

A group of gastroenterologists is concerned about low colonoscopy screening rates. They decide to implement a free patient navigation program to assist local residents and encourage them to obtain colonoscopies in accordance with U.S. Preventive Services Task Force (USPSTF) guidelines. Local residents were recruited at community centers. Participants attended monthly meetings with patient navigators and were regularly reminded that their adherence to screening guidelines was being evaluated. Colonoscopy screening rates were assessed via chart review, which showed that 90% of participants adhered to screening guidelines. Data collected via chart review for local residents recruited at community centers who did not participate in the free patient navigation system found that 34% of that population adhered to USPSTF guidelines. Which of the following has most likely contributed to the observed disparity in colonoscopy screening rates?

ARecall bias

BConfirmation bias

CReporting bias

DHawthorne effect

ESampling bias

2

A 17-year-old man is brought by his mother to his pediatrician in order to complete medical clearance forms prior to attending college. During the visit, his mother asks about what health risks he should be aware of in college. Specifically, she recently saw on the news that some college students were killed by a fatal car crash. She therefore asks about causes of death in this population. Which of the following is true about the causes of death in college age individuals?

AMore of them die from homicide than suicide

BMore of them die from suicide than injuries

CMore of them die from cancer than suicide

DMore of them die from homicide than injuries

EMore of them die from homicide than cancer

3

A medical research study is beginning to evaluate the positive predictive value of a novel blood test for non-Hodgkin’s lymphoma. The diagnostic arm contains 700 patients with NHL, of which 400 tested positive for the novel blood test. In the control arm, 700 age-matched control patients are enrolled and 0 are found positive for the novel test. What is the PPV of this test?

A400 / (400 + 0)

B700 / (700 + 300)

C400 / (400 + 300)

D700 / (700 + 0)

E700 / (400 + 400)

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