behav11test.docx

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behav11test

BEHAV.TEST

Q:

Case-controlstudiesareoftenwhat?

A:

Retrospective(casecontrol)

Q:

Characteristicsofanormalstatisticaldistribution?

A:

Gaussian=BellShaped  (mean=median=mode)

Q:

Countrywithhighestdivorcerate

A:

U.S.

Q:

Defineabimodaldistribution

A:

Peaksoneithersideofthemedian

Q:

DefineaMeta-analysis

A:

Poolingdatafromseveralstudiestoachievegreaterstatisticalpower

Q:

Defineanegativeskew

A:

Asymmetrywiththetailontheleft(mean

Q:

Defineapositiveskew

A:

Asymmetrywiththetailontheright(mean>median>mode)

Q:

DefineAccuracy

A:

Thetruenessoftestmeasurements

Q:

DefineAlternateHypothesis

A:

Hypothesisthatthereissomedifference

Q:

DefineCoefficientofDetermination

A:

r^2(Correlationcoefficientsquared)

Q:

DefineCorrelationcoefficient(r)

A:

Alwaysbetween-1and1.Absolutevalueindicatesthestrengthofcorrelation.

Q:

DefineNegativePredictiveValue

A:

Numberoftruenegatives/numberthattestedneg.fordisease

Q:

DefinePositivePredictiveValue

A:

Numberoftruepositives/numberthattestedpos.fordiseaseortheprob.Of  havingacondition,givenapos.test

Q:

DefinePrecision

A:

Theconsistencyofatest(reliability),absenceofrandomerror

Q:

DefinePrimaryDiseasePrevention

A:

Preventoccurrence,e.g.,vaccination

Q:

DefineRelativeRisk

A:

Diseaseriskinexposedgroup/diseaseriskinunexposedgroup;a/a+b/c/c+d

Q:

DefineReliability

A:

Reproducibilityofatest;repeatmeasurementsarethesame

Q:

DefineSecondaryDiseasePrevention

A:

Earlydetectionofdisease,e.g.,Papsmear

Q:

DefineSEM

A:

StandardErroroftheMean;standarddeviation/squarerootofn(samplesize)

Q:

Definesensitivity

A:

Numberoftruepositives/allpeoplewithdisease

Q:

Definespecificity

A:

Numberoftruenegatives/numberofallpeoplew/othedisease

Q:

DefineTertiaryDiseasePrevention

A:

Reducedisabilityformdisease,e.g.insulinfordiabetics

Q:

DefinethePowerofastudy

A:

Probabilityofrejectinganullhypothesiswhenitisfalse

Q:

DefineValidity

A:

Whetheratesttrulymeasureswhatitpurportstomeasure;theappropriatenessofatest

Q:

Dodivorceesremarryfrequently?

A:

Yes

Q:

Howdodiseaseprevalenceandpositivepredictivevaluerelate?

A:

Higherprevalence=HigherPositivePredictiveValue

Q:

Howdoprevalenceandincidencerelatetodiseaselength?

A:

P>Iforchronicdiseases;  P=Iforacutediseases

Q:

HowdoSEMandStandardDeviationrelate?

A:

SD>SEM;asnincreases,SEMdecreases

Q:

Howdoyoumeasurethe'power'ofastudyortheprobabilitythatthestudywillseeadifferenceifoneexists?

A:

1-beta

Q:

HowdoesalpharelatetotheTypeIerror?

A:

ItistheprobabilityofmakingaTypeIerror,isequaltop(pisusually<.05)

Q:

HowdoesbetarelatetotheTypeIIerror?

A:

BetaistheprobabilityofmakingaTypeIIerror

Q:

Howmanypeople>65

A:

35,000,000(approx.13%)

Q:

Ifthe95%confidenceintervalforORofRRincludes1,whatdoesthismean?

A:

Thatthestudyisinconclusive

Q:

Inwhatagegroupwillthegreatestpopulationincreasebeseenin?

A:

Those>85

Q:

IncreasingsamplesizewillaffectthePowerofastudyhow?

A:

ByincreasingthePower

Q:

Isdivorcerelatedtoindustrialization?

A:

No

Q:

IsHIVpositivityareportabledisease?

A:

No

Q:

Marriagesathighrisk

A:

Teenagemarriages,Mixedreligions,Lowsocio-economicstatus

Q:

MemoryaidforMedicare/Medicaid

A:

MedicarE=Elderly;  MedicaiD=Destitute

Q:

PreventiveservicesneededforAlcoholism

A:

Influenza,pneumococcalimmunizations;TBtest

Q:

PreventiveservicesneededforDiabetes

A:

Eye,footexams;Urinetest

Q:

PreventiveservicesneededforDrugAbuse

A:

HIV,TBtests;hepatitisimmunization

Q:

PreventiveservicesneededforHigh-risksexualbehavior

A:

HIV,HepB,syphilis,gonorrhea,chlamydiatests

Q:

PreventiveservicesneededforHomeless,Refugee,orImmigrant

A:

TBtest

Q:

PreventiveservicesneededforObesity

A:

Bloodglucosetest

Q:

Randomerroryieldspoor………?

A:

Precision

Q:

RelativeRiskisusedforwhatkindofstudy?

A:

Cohort

Q:

Systematicerroryieldspoor………?

A:

Accuracy

Q:

U.S.populationin2000

A:

300,000,000

Q:

Unlikespecificityandsensitivity,whatarepredictivevaluesdependenton?

A:

Prevalenceofdiseaseinthepopulation

Q:

Whatareriskfactorsforsuicide?

A:

White,male,alone,priorattempts,presenceandlethalityofplan,medicalillness,alcoholordruguse,on3ormoreprescriptionmeds.

Q:

WhataretheleadingcausesofdeathinAGE1-14?

A:

Injuries,cancer,congenitalanomalies,homicide,heartdisease

Q:

WhataretheleadingcausesofdeathinAGE15-24?

A:

Injuries,homicide,suicide,cancer,heartdisease

Q:

WhataretheleadingcausesofdeathinAGE25-64?

A:

Cancer,heartdisease,injuries,stroke,suicide

Q:

WhataretheleadingcausesofdeathinAGE65+?

A:

Heartdisease,cancer,stroke,COPD,pneumonia

Q:

WhataretheleadingcausesofdeathinINFANTS?

A:

Congenitalanomalies,SIDS,shortgestation,respiratorydistresssyndrome,maternalcomplicationsduringpregnancy

Q:

Whatarethemostcommonsurgeries?

A:

Dilationandcurettage,hysterectomy,tonsillectomy,sterilization,herniarepair,oophorectomy,cesareansection,cholecystectomy

Q:

Whatarethereportablediseases?

A:

AIDS,chickenpox,gonorrhea,hepatitisAandB,measles,mumps,rubella,salmonella,shigella,syphilis,andtuberculosis

Q:

Whatdoesat-testcheck?

A:

Thedifferencebetweentwomeans(Mr.Tismean)

Q:

WhatdoesanANOVAanalyze?

A:

Varianceof3ormorevariables(AnalysisofVariance)

Q:

WhatdoesSADPERSONSrepresent?

A:

Sex(male),Age,Depression,Previousattempt,Ethanol,Rationalthought,Sickness,Organizedplan,Nospouse,Socialsupportlacking

Q:

WhatfactorsinfluencethePowerofastudy?

A:

1)Thetotal#ofendpointsexperiencedbyapopulation;2)Differenceincompliancebetweentreatmentgroups

Q:

Whatisacase-controlstudy?

A:

Observationalstudy.Samplechosenbasedonpresenceorabsenceofdisease.  Infocollectedaboutriskfactors.

Q:

WhatisaClinicaltrial?

A:

Experimentalstudy.Comparesbenefitof2ormoretreatments.

Q:

WhatisaCohortstudy?

A:

Observationalstudy.SamplechosenbasedonpresenceorabsenceofRiskFactors.  Subjectsfollowedovertimefordiseasedevelopment.  (Framinghamstudy)

Q:

Whatisamemorykeyforsuicideriskfactors?

A:

SADPERSONS

Q:

WhatisaNullHypothesis?

A:

Hypothesisofnodifference,e.g.,noassoc.betweendiseaseandriskfactor

Q:

WhatisapitfallofMeta-analysis?

A:

Cannotovercomelimitationsofindividualstudiesorbiasinstudyselection

Q:

WhatisaTypeIerror(alpha)?

A:

Statingthataneffectofdifferenceexistswhenonereallydoesnot

Q:

WhatisaTypeIIerror(beta)

A:

Statingthatthereisnotaneffectordifferencewhenactuallythereis

Q:

WhatisanOddsRatiousedfor?

A:

Approximatesrelativeriskwhenprevalenceisnottoohigh;  OR=ad/bc

Q:

WhatisChi-Squaretestusedfor?

A:

Tocheckdifferencesbetween2ormorepercentagesorproportionsofcategoricaloutcomes

Q:

Whatisdesirableforconfirmatorytests?

A:

Highspecificity

Q:

Whatisdesirableforscreeningtests?

A:

Highsensitivityisdesirableforascreeningtest

Q:

Whatisincidence?

A:

Numberofnewcasesinapopulationperunittime

Q:

WhatisMedicaid?

A:

Fed.AndStateassistanceforthoseonwelfareorwhoareindigent

Q:

WhatisMedicarePartA?

A:

Hospitalrelated

Q:

WhatisMedicarePartB?

A:

Supplemental

Q:

WhatisMedicare?

A:

Fed.ProgramfortheElderly

Q:

Whatisprevalence?

A:

Totalnumberofcasesinapopulationatagiventime(incidencexdiseaseduration)

Q:

WhatistheFalseNegativeRatio?

A:

1-sensitivity

Q:

WhatistheFalsePositiveRatio?

A:

1-specificity

Q:

Whatisthehighestqualitystudy?

A:

ClinicalTrial

Q:

Whatisthepvalue?

A:

TheprobabilityofmakingaTypeIerror.

Q:

Whatpercentofmedicalcostswillthose>35incur?

A:

30%

Q:

WhattypeofstudiesareOddsRatiosusedfor?

A:

Retrospective(casecontrol)

Q:

Whendodivorcespeak?

A:

Duringthe2ndto3rdyear.

Q:

Whichsexhasthemostsurgeries?

A:

Females

Q:

DefineAutonomy.

A:

Obligationtorespectptsasindividualsandtohonortheirpreferencesinmedicalcare

Q:

Legally,whatdoesinformedconsentrequire?

A:

-discussionofpertinentinformation

A:

-obtainingthepatient'sagreementtotheplanofcare

A:

-freedomfromcoercion

Q:

Ptautonomyvs.beneficence:

whendoesautonomywinout?

A:

Ifptmakesaninformeddecision,ultimately,thept.hastherighttodecide.

Q:

What3proofsarerequiredforasucessfulmalpracticecivilsuitforneglegence?

A:

-Dr.breachofdutytopatient

A:

-pt.suffersharm

A:

-breachofdutycausesharm

A:

Note--beyondreasonabledoubtnotneeded,justmorelikelythannot

Q:

Whatarethe4exceptionstoconfidentiality?

A:

-potentialharmtoothersisserious

A:

-likelihoodofharmisgreat

A:

-noalternativemeansexisttowarnortoprotectthoseatrisk

A:

-Drs.Cantakestepstopreventharm

Q:

Whatarethe4exceptionstoinformedconsent?

A:

-pt.lacksdecision-makingcapacity(notletallycompetent)

A:

-impliedconsentinanemergency

A:

-therapeuticprivelege--withholdinginformationwhendisclosurewouldseverlyharmtheptorundermineinformeddecision-makingcapacity

A:

-waver--pt.waves

Q:

Whatarethe5signsofapt'sdecision-makingcapacity?

A:

-pt.makesandcommunicatesachoice

A:

-pt.isinformed

A:

-decisionremainsstableovertime

A:

-decisionco

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