ALIGNMENT ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ Which type of literature is a systematic review?A) PrimaryB) SecondaryC)
TertiaryD) Editorial.
Answer: B) Secondary
◍ Which survey response rate is generally considered excellent?A) ≥ 20%B) ≥
40%C) ≥ 60%D) ≥ 80%.
Answer: C) ≥ 60%
◍ What is the main advantage of pilot testing a survey?A) Guarantees a high
response rateB) Ensures anonymityC) Increases face validity and refines
questionsD) Eliminates the need for IRB approval.
Answer: C) Increases face validity and refines questions
◍ Which acronym practice follows AMA correctly?A) Define only in
abstractB) Define in text at first use, then use acronymC) Use acronym
onlyD) Define in figure legend only.
Answer: B) Define in text at first use, then use acronym
◍ What is the definition of business research?.
Answer: An organized, systematic, data-based, critical, objective inquiry
into a specific problem, aimed at finding answers or solutions.
◍ What is the role of an IRB?A) Fund researchB) Approve or deny
publicationC) Protect rights and welfare of human subjectsD) Provide peer
review.
Answer: C) Protect rights and welfare of human subjects
◍ Which reference type is BEST for a practice recommendation?A) TweetB)
, Popular press coverageC) Original studies, high-level evidence, landmark
trialsD) Any tertiary summary.
Answer: C) Original studies, high-level evidence, landmark trials
◍ Which is the gold standard design for establishing causality?A) Randomized
controlled trialB) Case-control studyC) Cohort studyD) Cross-sectional
study.
Answer: A) Randomized controlled trial
◍ Which is a weakness of qualitative research?A) Produces rich dataB)
Explains complex processesC) Cannot make predictions or generalize
easilyD) Provides multidimensional insights.
Answer: C) Cannot make predictions or generalize easily
◍ Which review type provides a broad overview but no explicit
methodology?A) Systematic reviewB) Clinical reviewC) Meta-analysisD)
RCT.
Answer: B) Clinical review
◍ Which type of literature are clinical guidelines?A) PrimaryB) SecondaryC)
TertiaryD) Editorial.
Answer: C) Tertiary
◍ How many members are required to review an expedited IRB review..
Answer: 1 person (usually the IRB chair)
◍ Which bias occurs when studies with negative findings are less likely to be
published?A) Recall biasB) Funding biasC) Publication biasD) Sampling
bias.
Answer: C) Publication bias
◍ Which IRB review category is for very low-risk research like anonymous
educational surveys?A) ExemptB) ExpeditedC) FullD) Mandatory.
Answer: A) Exempt
◍ Which is AMA-correct for reporting a correlation?A) Only r valueB) Only P
valueC) Test, r (two decimals), and P valueD) Beta coefficient only.
, Answer: C) Test, r (two decimals), and P value
◍ Which of the following is a myth about EBP?A) EBP is only for researchers
in academiaB) EBP integrates research, expertise, patient valuesC) EBP can
be learned as a skillD) EBP applies to daily practice.
Answer: A) EBP is only for researchers in academia
◍ Which qualitative design studies a group's culture through immersion?A)
BiographyB) PhenomenologyC) EthnographyD) Grounded theory.
Answer: C) Ethnography
◍ What belongs in the discussion section of a paper?A) New raw dataB)
Comparison with prior studies and interpretationC) Only patient
demographicsD) IRB statements.
Answer: B) Comparison with prior studies and interpretation
◍ A cross-over study requires a washout period to:A) Maintain blindingB)
Remove carryover effectsC) Exclude non-respondersD) Allow
re-randomization.
Answer: Remove carryover effects
◍ Which step of the 5 A's is supported by PICO?A) AskB) AcquireC)
AppraiseD) Apply.
Answer: A) AskAsk (PICO)Acquire (well defined question)Appraise (look
at internal validity)ApplyAssess/Adjust
◍ Which is the correct way to express percentages?A) Five %B) 5 %C) 5%D)
5 percent (%).
Answer: C) 5%
◍ Which of the following best distinguishes a background/introduction section
from an abstract in a research article?A) The background/introduction
explains the problem, provides prevalence and societal burden, defines
terminology, and identifies the knowledge gapB) The
background/introduction is a stand-alone summary (150–500 words) of the
entire articleC) The background/introduction is always written with
structured subheadings (Purpose, Methods, Results, Conclusions)D) The