FIRST PUBLISH OCTOBER 2024
Regis NU-713 Midterm Exam Practice
Questions and Answers
A colon cancer screening study is being conducted in Burkeshire, England. Individuals 50 to 75 years old
will be screened with the Hemoccult test. In this test, a stool sample is tested for the presence of blood.
The Hemoccult test has a sensitivity of 70% and a specificity of 75%. If Burkeshire has a prevalence of
12/1,000 for colon cancer, what is the computed positive predictive value of the Hemoccult test? -
Ans:✔✔-3.3%
Primary prevention - Ans:✔✔-Immunization, reducing exposure to a risk factor
Secondary prevention - Ans:✔✔-Screening for breast cancer
Tertiary prevention - Ans:✔✔-Rehabilitation after a surgical procedure
A physical examination was used to screen for breast cancer in 2,500 women with biopsy-proven
adenocarcinoma of the breast and in 5,000 age- and race-matched control women. Results of the
physical examination were positive, meaning that a mass was palpated in 1,800 cases and in 800 control
women, all of whom showed no evidence of cancer at biopsy. The sensitivity of the physical examination
was ________ percent. - Ans:✔✔-72%
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FIRST PUBLISH OCTOBER 2024
A program manager from an international health funding agency wants to identify regions that would
benefit from an intervention to reduce premature disability. The program manager asks you to develop a
proposal using an index that would assist in making this decision. Which of the following would best
serve this purpose to provide the needed information? - Ans:✔✔-Disability-adjusted life-years
A research study reported a weighted Kappa statistic of Kappa = 0.86 between raters (Kappa = 0.86). The
reported Kappa statistic indicates ________. - Ans:✔✔-
Herd Immunity - Ans:✔✔-The resistance of a group of people to an attack by a disease to which a large
proportion of members of the group are immune
Incubation period - Ans:✔✔-The interval from receipt of infection to the time of onset of clinical illness
Preclinical disease - Ans:✔✔-Disease that is not yet clinically apparent but will progress to clinical
disease
Persistent (chronic) disease - Ans:✔✔-Disease that persists for years and sometimes for one's lifetime
A screening test is used in the same way in two similar populations, but the proportion of false-positive
results among those who test positive in population A is lower than that among those who test positive
in population B. The most likely explanation for this finding is ________. - Ans:✔✔-the prevalence of
disease is higher in population A
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