Nokea
What is the RR of dying of lung cancer for smokers versus nonsmokers?
- A. 7
- B. 10.14
- C. 15
- D. 20
Correct Answer: B
Rationale: RR = (Death rate among smokers / Death rate among nonsmokers) = 71 / 7 = 10.14. This indicates that smokers are approximately 10 times more likely to die of lung cancer than nonsmokers.
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Define the following terms: Intervention study
- A. A study where researchers observe natural behaviors.
- B. A study where researchers manipulate variables to assess impact.
- C. A study analyzing past records.
- D. A study based solely on surveys.
Correct Answer: B
Rationale: Intervention studies involve deliberate manipulation of variables by researchers.
Descriptive epidemiology is essential for 'characterizing the outbreak' by time, place, and person, but has little bearing on the analytic epidemiology.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Descriptive epidemiology informs the development of hypotheses tested in analytic studies.
Accepting null hypothesis when it is false is
- A. Type I error
- B. Type II error
- C. α error
- D. µ error
Correct Answer: B
Rationale: A Type II error occurs when the null hypothesis is incorrectly accepted.
Surgeons at hospital A report that the mortality rate at the end of a 1-year follow-up after a new coronary bypass procedure is 15%. At hospital B, the surgeons report a 1-year mortality rate of 8% after the same procedure. Before concluding that the surgeons at hospital B had vastly superior skill, which of the following possible confounding factors would you examine?
- A. The severity(stage) of disease of the patients at the two hospitals at baseline.
- B. The start of the one-year follow-up at both hospitals(after operation versus after discharge).
- C. Differences in postoperative care at the two hospitals.
- D. Equality of follow-up for mortality.
Correct Answer: D
Rationale: All listed factors (a-d) could contribute to differences in mortality rates, making 'all of the above' the most comprehensive answer. Since we shift 'E' options to 'D', D is correct.
Describe the significance for epidemiology of the identification of specific agents of disease.
- A. It allows for targeted treatments.
- B. It proves that all diseases are infectious.
- C. It eliminates the need for surveillance.
- D. It focuses solely on chronic diseases.
Correct Answer: A
Rationale: Identifying specific agents enables effective prevention, control, and treatment strategies.