HSCI 488 - Epidemiology: Introduction to the Study of Diseases » 2019 » Exam 2

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Question #1
Randomization ensures comparability of patients by all factors and characteristics in the new and existing therapy groups. (mark as True or False)
A.   TRUE
B.   FALSE
Question #2
A randomized trial was conducted of smoking-cessation programs. One group received counseling alone (C), the second group received nicotine-laced gum (N), the third group received counseling and nicotine-laced gum (CN), the last group did not receive neither counseling nor nicotime-laced gun, only printed brouchure (B). This is an example of... (choose one best answer):
A.   a generalization design
B.   a compliance design
C.   a cross-over design
D.   a factorial design
Question #3
Assume you are planning an experiment and are particularly concerned that patients may switch their treatment group. A good solution would be to do... (choose one best answer).
A.   cross-over randomization
B.   stratified randomization
C.   masking of group assignments
D.   factorial randomization
E.   outcome randomization
Question #4
The physical examination of the entire undergraduate students of class 1965 at CSUN were examined in 2005 to see if their recorded height and weight at the time of admission to the university was related to the development of coronary heart disease by 2015. This is an example of ...  (choose one best answer).
A.   Cross-sectional study
B.   Retrospective cohort study
C.   Prospective cohort study
D.   Randomized trial
E.   Case-control study
Question #5
An investigator wants to perform an experimental study on the effectiveness of a new therapy (Therapy A), compared to the current therapy (Therapy B) for gastric ulcer. The study sample is 400 patients aged 18 years or older who are admitted to a Medical Center with a diagnosis of gastric ulcer as the main reason for admission. It was also decided that, starting August 1, 2009, any eligible patient will be invited to participate until a total of 400 eligible patients is obtained. Which of the following treatment assignment schemes cannot be used so that the study is properly called a randomized controlled trial? (choose one best answer)
A.   Any assignment scheme that makes it impossible to predict what is the therapy that the next patient will receive
B.   Tossing a coin 400 times
C.   Using random number table
D.   Any eligible patient admitted on an even-numbered day will be assigned to Therapy A; any eligible patient admitted on an odd-numbered day will be assigned to Therapy B.
Question #6
An investigator is interested in the relationship between birth weight and childhood asthma. He plans to identify children with asthma who were treated in Children's Hospital in Los Angeles during five years starting from January 2010, then he plans to obtain information about their birth weight through birth registiry of California, and assign children either low birth weight or normal birth weight. This study is an example of: (choose one best answer)
A.   Prospective cohort study
B.   Case-control study
C.   Cohort experiment
D.   Prospective cohort study
Question #7
Of the following, which bias is generally more of a problem in prospective cohort studies than in case-control studies: (choose one best answer) 
A.   confounding bias
B.   recall bias
C.   biases from loss-to-follow-up
D.   analytic bias
Question #8
One of the major problems causing biased (faulty) results in observational studies is confounding. (mark as True or False)
A.   FALSE
B.   TRUE
Question #9
In a retrospective cohort study, the investigator is convinced of the hypothesis and searches past records more carefully for exposure among persons who became cases versus those who did not. This is an example of... (choose one best answer)
A.   information bias
B.   loss to follow-up bias
C.   analytic bias
D.   non-response bias
E.   outcome misclassification bias
Question #10
A researcher requested a personal interview with every woman aged 17-22, who attended the student health services at USC between March 1 and May 1, 2006. Among the 75% who agreed to participate, the association between amount of sexual activity within the past 2 months and presence of urinary tract infection at the time of interview was assessed. What was the study design in the study? (choose one best answer)
A.   Randomized trial
B.   Ecological study
C.   Cross-sectional study
D.   Cohort study
E.   Case-control study
Question #11
Confounding is a problem that may occur only in observational studies, but not in randomized trials. (mark as True or False)
A.   FALSE
B.   TRUE
Question #12
The best method to address confounding issue is … (choose one best answer)
A.   All of the methods listed
B.   Stratification
C.   Individual or group matching
D.   Adjustment in the model
Question #13
The major criteria in determining causality of a detected association are ... : (choose one best answer)
A.   Specificity of the association, Dose-response relationships, Cessation of exposure
B.   Specificity of the association, Temporal relationships, Biological plausibility
C.   Temporal relationships, Replication of findings, Consideration of alternative explanations
D.   Dose-response relationships, Replication of findings, Strength of association
Question #14
A factor is considered a confounder if that factor is a known risk factor for a disease of interest and if that factor is associated with an exposure of interest, but it is not a result of it. (mark as True or False)
A.   TRUE
B.   FALSE
Question #15
A researcher want to study a relationship between chronic stress and high blood pressure. The researcher should not adjust for smoking status or stratify on it during analysis. (mark as True or False)
A.   FALSE
B.   TRUE
Question #16
The mortality from adenocarcinoma of lungs in those who never smoked is 3.4 per 100,000 PY, the mortality in those who smoked 1-2 packs/day is 143.9 per 100,000 PY. This is an example of … (choose one best answer):
A.   Biological plausibility
B.   Strength of association
C.   Specificity of the association
D.   Dose-response
Question #17
Causal relationships in the majority of chronic diseases are more accurately represented by the following type of causal relationships: (choose one best answer)
A.   Necessary and Sufficient
B.   Not necessary, but Sufficient
C.   Neither Necessary, Not Sufficient
D.   Necessary, but no Sufficient
Question #18
During one-month period a study gathered information from all patients at a Hospital Y about their alcohol drinking habits and then identified those who had injuries at the time of the study in order to assess the relationship between alcohol drinking and injuries. The researchers found that percentage of injuries was higher among alcohol drinkers than in those who did not drink alcohol. What was the study design in the study? (choose one best answer)
A.   Ecological study
B.   Randomized trial
C.   Cross-sectional
D.   Cohort study
E.   Case-control study
Question #19
Ecological study design is often used for assessing causal relationships between an exposure and a disease of interest. (mark as True or False)
A.   FALSE
B.   TRUE
Question #20
Factor A and factor B are risk factors for disease D. The relative risk of disease D comparing those exposed to factor A to those unexposed to factor A is 4. The RR of disease comparing those exposed to factor B to those unexposed to factor B is 2. The observed RR for those exposed to both factors compared to those unexposed to both factors is 11. The additive effect of interaction between factor A and factors B is RR=8. Based on the these finding the conclusion would be that there is a synergetic (positive) interaction between factor A and factor B in the development of disease D. (mark as True or False)
A.   TRUE
B.   FALSE
Question #21
A researcher wants to study an association between childhood leukemia and exposure to electro-magnetic fields. Childhood leukemia (children aged from 0 to 21) has an incidence of 3-4 cases per 100,0000 children. What would be the most inappropriate study design for this study? (choose one best answer)
A.   Cross-sectional
B.   Randomized trial
C.   Case-control study
D.   Cohort study
E.   Ecological study
Question #22
The power of an experimental study comparing two treatment groups is 90%. Which of the following statements is true? (choose one best answer)
A.   probability of concluding that therapies differ when they do not differ in reality is 10%.
B.   The probability of making a type I error is 10%.
C.   The p-value of the study is 0.1
D.   The probability of correctly concluding that two treatments did not differ is 90%.
E.   The probability of making a type II error is 10%.
Question #23
In a matched-pairs case-control study, you derive the odds ratio by dividing the number of exposed cases and unexposed controls by the number of unexposed cases and unexposed controls. (mark as True or False)
A.   TRUE
B.   FALSE
Question #24
In a cross-sectional study of hypertension and obesity with 1,200 subjects, 50 of 200 obese subjects were currently hypertensive, as compared to 60 of 1,000 non-obese subjects. What is the appropriate measure for the association between obesity and hypertension that can be calculated in this study? (choose one best answer)
A.   Risk ratio
B.   Cannot be calculated
C.   Prevalence odds ratio
D.   Rate ratio
Question #25
To address at least partially the problem of confounding in a case-control study, investigators usually select ...(choose one best answer),,,,
A.   simultaneous non-randomized controls
B.   non-stratified controls
C.   random controls
D.   matched controls
E.   historical controls

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