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NR 503 WEEK 4 MIDTERM EXAM (REAL EXAM Q & A).

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NR 503 WEEK 4 MIDTERM EXAM (REAL EXAM Q & A).

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NR 503 WEEK 4 MIDTERM EXAM
(REAL EXAM Q & A)




Question 1

Which of the following statements best describe efficacy?


 It is an estimate of the benefit of treatment under ideal conditions
 It is an estimate of the reduction of disease in treated groups




Question 2

A study is conducted for a pharmaceutical agent that has shown promise for reducing
heart disease among women. In order to more fully test the agent, an additional study
is done restricting the participants to be r&omized to those who have a history of
hypertension. Which of the following advantages cannot be claimed by the researchers?


 The generalizability of the study is increased




Question 3
What is the main advantage of the r&omization of the 168 study participants to one of
the two drug treatment groups?




 Reduces the potential for selection bias in allocation of treatment group

, Question 4
After entry into the study, patients were first classified into three groups, those who had
a previous AMI, those with a first AMI who were at high risk for other cardiovascular
diseases such as congestive heart failure, & those with a first AMI who were at low risk
for other cardiovascular diseases. Which term best describes the study design?


 R&omized clinical trial with stratified r&omization




Question 5
After assignment to treatment group, 77% of those in the placebo group were men,
while 80% of those in the drug X group were men. Which statement is most likely to be
true?


 R&omization was successful since the investigators did not alter the selection of
participants in either group in order to ensure equal percentages of men

Question 6
A preliminary analysis was conducted after 6 months & found that 87% of participants
in the placebo group & 85% of those in the drug X group had taken more than 90% of
their prescribed dosages. Which statement best describes this finding?


 The characteristics of patients who failed to comply with the treatment dosages should
be assessed as they may differ from those who complied




Question 7


Which of the following statements best describes the reason for conducting the study as
a double-blind trial?


 Double blinding ensures that potential biases regarding selection, follow-up, & analysis
can be reduced

, Question 8

A multicenter double-blind r&omized study was carried out to compare the effect of
drug X with that of a placebo in patients surviving acute myocardial infarction (AMI).
Treatment with the drug started 7 days after infarction in 1,884 patients, 52% of all
persons who were evaluated for entry into the study. 945 participants were r&omized to
treatment with drug X while 939 were assigned to the placebo group. Patients were
then followed for 12 months for reinfarction. There were 152 deaths in the placebo
group & 98 in the group receiving drug X.


The researchers conclude that treatment with drug X reduces mortality in patients who
have had an AMI. The researchers are:


 Correct because the rate of death is decreased in the drug X group




Question 9

The following data come from a study of approaches to smoking cessation. Smokers
who want to quit were r&omized to one of four groups: control group C who received no
intervention assistance, quitting guide group Q who received brochures about how to
quit smoking, quitting guide & support group QS who received quitting brochures as
well as social support brochures listing benefits of smoking cessation, & telephone
support group T who received the brochures & a monthly phone call from a counselor.
Participants received mailed surveys at 8, 16, & 24 months after r&omization. The
results after 2 years are in the table below. Which group had the least success in terms
of quitting smoking?




 Group QS




Question 10

The following data come from a study of approaches to smoking cessation. Smokers
who want to quit were r&omized to one of four groups: control group C who received no
intervention assistance, quitting guide group Q who received brochures about how to

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