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1. Which type of constant multiplier is most appropriate for calculating rates?

  • 100, 10,000, or 100,000
  • 1,3,5,7,10
  • Multiples of 5
  • Multiples of 100
  • A and D are both correct

2. The first three interns you meet feel a lot better since they started taking a commonly prescribed antidepressant. You reluctantly draw the conclusion that internship is associated with depression; this is an example of:

  • Deductive reasoning
  • Hypothesis testing
  • Inductive reasoning
  • Interpolation

3. The sum of the squared deviations from the mean, divided by the number of observations minus one is known as the:

  • Range
  • Median
  • Variance
  • Standard Deviations

4. A most imposing formula used in medicine dealing with probability of a person having or not having a disease based on test results is:

  • Cramer V-value Theorem
  • Plasmodium Theory
  • Calmette-Guerin Theory
  • Bayes Theorem

5. Reasoning which is learned from mathematics including geometry is known as:

  • Productive
  • Inductive
  • Deductive
  • None of the above are correct

6. A Type II Error or false negative error is also known as a/an:

  • Alpha Error
  • Beta Error
  • Omega Error
  • Delta Error

7. [A / (A + B)] / [C/( C + D)] is the formulas for:

  • Absolute Risk
  • Relative Risk
  • Risk Ratio
  • Risk Difference

8. Ten children were weighed prior to the beginning of a nutritional study. The weights are: 81, 79, 92, 112, 76, 126, 80, 75, 68, 78. What is the mean weight?

  • 76.8
  • 79
  • 86.7
  • 91

9. The main difference between clinical and classical epidemiology are:

  • The time of the investigation
  • The place of the investigation
  • The population being studied
  • A and c are correct
  • B and c are correct

10. [A/(A + B)] - [C/ (C + D)] is the formula for:

  • Risk Ratio
  • Risk Factor
  • Attributable Risk
  • Risk Difference

11. How many steps are included in the creating of a decision tree?

  • 4
  • 5
  • 6
  • 7

12. The three stages of disease in the appropriate order from least to most detectable are:

  • Latent, symptomatic, pre-disease
  • Symptomatic, latent, pre-disease
  • Pre-disease, symptomatic, latent
  • Pre-disease, latent, symptomatic

13. Which of the following is not a part of the procedure for investigating a suspected epidemic?

  • Name the epidemic
  • Establish a diagnosis
  • Establish the case definition
  • Define time, place and person
  • Develop a hypothesis

14. Calculate Attributable Risk using the following data: A=1346, B= 100,000-1346, C=200, D=100,000-200; then select the appropriate answer below:

  • 1146/10,000
  • 1146/100,000
  • 146/10,000
  • 146/1000

15. Developing a list of possible candidates for the causes of the disease and obtaining initial evidence that supports one or more of the candidates is known as:

  • Research Design
  • Hypothesis Testing
  • Hypothesis Generating
  • Descriptive Research

16. An example of a nominal variable is:

  • 1,2,3
  • Yes/No
  • Male/Female
  • Both B and C are correct
  • All are correct

17. The definition of the word epidemiology includes:

  • The study of determining factors of disease in a population
  • A way in which disease, injury and clinical practice are studied
  • Neither of the above is correct
  • Both a and b are correct

18. A false positive error is also known as __________ and a false negative error is known as _____________.

  • Alpha/beta
  • Type I/Type II
  • Neither is correct
  • Both are correct

19. A histogram minus the bars which are replaced by dots which are connected is known as a/an:

  • Bar Graph
  • Frequency Distribution
  • Stem and Leaf Diagram
  • Frequency Polygon

20. Please select the appropriate answer for the "mean" based on the following numbers: 2,8,10,21,46,58,31,2,9,141.

  • 3.28
  • 328.0
  • .328
  • 32.8

21. Another name for "bias" is:

  • Synergism
  • Differential Error
  • Syndrome
  • Error

22. An investigator studying the health effects of omega-3 fatty acids in subjects with arthritis tends to assign enthusiastic participants to the intervention and skeptics to the placebo. The best way to avoid this form of bias is:

  • "Intention to treat" analysis
  • Random Sampling
  • Randomization
  • Self-selection
  • Statistical Regression

23. Calculate the Attributable Risk using the following data: A= 191, B=99,809, C=8.70, D= 99,991.30; then select the appropriate answer below:

  • 182.3/100,000
  • 183.2/100,000
  • 99,991/100,000
  • 191/100,000

24. Of the following numbers please evaluate to arrive at the correct mode: 28, 39, 39,41, 41, 41, 59, 65, 21, 28, 39, 39

  • 41
  • 59
  • 39
  • 28

25. The Decision Node:

  • Is a point where clinicians await outcomes
  • Is a point where clinicians have to make a decision
  • Is only related to undesirable outcomes
  • Is only related to desirable outcome interpretation

26. Calculate the Odds Ratio (OR) using the following data: A= 191, B= 99,809, C=8.7, D= 99,991.30; then select the correct answer from below:

  • 2.000
  • 1.952
  • 2.195
  • 21.95

27. What is an example of tertiary prevention?

  • Hospice care
  • Occupational therapy after a stroke (cerebrovascular accident)
  • Post exposure prophylaxis for rabies
  • Treatment for essential hypertension

28. When developing a decision tree, which comes first:

  • Chance Node
  • Neither A or B are correct
  • Decision node
  • Doesn't Matter

29. If the cost of preventing a hip fracture is greater than the cost of surgical repair, which of the following is true:

  • A preventative strategy still may be indicated
  • If a hip fracture occurs, it should be managed non-surgically
  • No attempt should be made to prevent hip fracture until a more cost-effective strategy is devised
  • The least costly preventative strategy should be chosen

30. A clearly identified group of people who are going to be studied is known as a/an:

  • Cohort
  • Population
  • Neyman Group
  • None of the above

31. One way in which a researcher can judge how useful a screening or testing procedure is involves:

  • Evaluation of number of correct test results seen
  • This cannot be done
  • This statement is false except in cohort studies of 200 or more individuals
  • Testing conducted in opposite areas of a geographic location

32. The ability of a measurement to be correct on the average is known as:

  • Precision
  • Accuracy
  • Reproducibility
  • Reliability

33. A nurse is taking a health history on a sick infant in the local emergency room. She asked how long the child has been throwing up and the mother answers twenty-four hours while the father contradicts her and says the child started throwing up three hours ago. What common pitfall of causal research is this an example of:

  • Random Error
  • Bias
  • Effect Modification
  • Interaction

34. If a researcher is operating at a 95% CI, his margin of error is:

  • 5%
  • 10%
  • .5%
  • 1%

35. What is the difference between ANOVA and ANCOVA?

  • The type of variance
  • The type of variable
  • The number of variables
  • Nothing is different

36. What is the defining difference between a prospective and a retrospective cohort study?

  • Time
  • Dose
  • None of the above
  • All of the above

37. A Type I error is also known as a:

  • False Positive Error
  • False Negative Error
  • Alpha Error
  • A and C are correct

38. The natural history or stages of a disease are three in number; which of the following is the correct stages in the correct order or occurrence?

  • Latent, pre-disease, symptomatic
  • Latent, symptomatic, pre-disease
  • Symptomatic, pre-disease, latent
  • Pre-disease, latent, symptomatic

39. When observing a Gaussian Distribution (or Bell Curve), of one tail is longer and has more observations than the other tail, it is called:

  • Kurtosis
  • Skewness
  • Variance
  • Mode

40. A vector of disease may be all of the following except:

  • Arthropods
  • Insects
  • Animals
  • Man

41. The delivery of the conceptual product (i.e. baby) that shows any sign of life after being expelled from the mother is known as:

  • Postnatal Death
  • Live Birth
  • Neonatal Death
  • Miscarriage

42. An immune system that is deemed normal at birth and suffers no damage from a disease such as HIV is termed a/an:

  • Innate immunity
  • Herd immunity
  • Intact immunity
  • Objective immunity

43. When vaccines are used to confer an immunity such as with children it is known as:

  • Passive immunity
  • Active immunity
  • Individual immunity
  • Globular immunity

44. When looking at a Gaussian distribution and it appears flattened what is this a characteristic sign of?

  • Kurtosis
  • Skewness
  • Variability
  • Mode Dispersion

45. The value of alpha serves as protection against which of the following:

  • False negative results
  • Inadequate sample size
  • Selection bias
  • Type I Error
  • Type II Error

46. Ten children were weighed prior to the beginning of a nutritional study. The weights are: 81, 79, 92, 112, 76, 126, 80, 75, 68, 78. What is the median?

  • 79
  • 112
  • 80
  • 92

47. Which of the following is not a common type of intervention?

  • Modification of environment
  • Putting a barrier to the infection within the hosts
  • Treatment of diagnosed individuals
  • Eradication and control of vectors
  • Identification of surveillance methods

48. The __________ is used to determine the probability of two things being true.

  • Addition Rule
  • Independence Rule
  • Product Rule
  • Subtraction Rule

49. The application of Bayes Theorem to patient care generally results in:

  • Greater Sensitivity
  • Greater Specificity
  • Higher costs
  • Improved selection of diagnostic studies

50. An estimate of the amount of risk which is attributed to the risk factor is:

  • Odds Ratio
  • Absolute Ratio
  • Attributable Risk
  • Attributable Ratio

51. How many steps are there in the process of testing a null hypothesis for statistical significance?

  • 4
  • 5
  • 6
  • 7

52. Evaluation of which of the following potentially preventable causes of disease is most likely to raise ethical concerns:

  • Dietary intake
  • Genetic susceptibility
  • Immunization status
  • Smoking history
  • Social support network

53. Please select the appropriate answer for the "mean" based on the following numbers: 1,4,9,20,23,27,31,48,56,58.

  • 25.7
  • 27.0
  • 2.70
  • 27.7

54. The _________ is used to determine the probability of one thing being true under all possible conditions.

  • Addition Rule
  • Independence Rule
  • Product Rule
  • Subtraction Rule

55. The case that introduced the organism into the population is known as:

  • Epidemic time curve
  • Route of spread
  • Primary exposure case
  • Index case
  • None of the above

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