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ChapterBiostatistics Sensitivity/Specificity

2x2 contingency tables

Free notes, MCQs, tables & flowcharts for USMLE Step 2 CK Biostatistics

10Questions
10Flashcards

Sample Questions

1

Group of 100 medical students took an end of the year exam. The mean score on the exam was 70%, with a standard deviation of 25%. The professor states that a student's score must be within the 95% confidence interval of the mean to pass the exam. Which of the following is the minimum score a student can have to pass the exam?

A45%

B63.75%

C67.5%

D20%

E65%

2

A 27-year-old man interested in pre-exposure therapy for HIV (PrEP) is being evaluated to qualify for a PrEP study. In order to qualify, patients must be HIV- and hepatitis B- and C-negative. Any other sexually transmitted infections require treatment prior to initiation of PrEP. The medical history is positive for a prior syphilis infection and bipolar affective disorder, for which he takes lithium. On his next visit, the liver and renal enzymes are within normal ranges. HIV and hepatitis B and C tests are negative. Which of the following about the HIV test is true?

AIt is a quantitative test used for screening purposes.

BIt is a qualitative test used for screening purposes.

CA secondary reagent is needed to interpret the results.

DA known antigen binds directly to the patient's serum.

EAn unknown antigen binds to the known serum.

3

A 14-month-old Caucasian boy is admitted to the pediatric clinic with an 8-month history of diarrhea, abdominal tenderness and concomitant failure to thrive. One of the possibilities that may cause these symptoms is Crohn’s disease, and on the basis of the attending pediatrician’s experience, the pre-test probability of this diagnosis was estimated at 40%. According to Fagan’s diagram (picture), if the likelihood ratio of a negative test result (LR-) is 0.04, what is the chance that this is the right diagnosis?

A2.5%

B25%

C97.5%

D40%

E75%

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