Review Questions for Chapter 4

  1. Distinguish between reproducibility and validity.

  2. Distinguish between a sign and symptom. Is nausea a sign or symptom? Is vomiting a sign or symptom? Is a red throat a sign or symptom? Is a sore throat a sign or a symptom?

  3. What statistics is best for quantifying the reproducibility of  a diagnosis?

  4. What is the advantage of using the kappa statistic instead of "percent agreement"?

  5. True or false? A kappa statistic of 0 indicates no agreement. Explain your response.

  6. Define: (a) true positive (b) true negative (c) false positive (d) false negative.

  7. Match the statistic with the conditional probability it estimates. Statistic: SEN, SPEC, PVP, PVN  Conditional probability :  (a) Pr(T-| D-)    (b) Pr(T+|D+)    (c) Pr(D+|T+)    (d) Pr(D-|T-)

  8. This is the proportion of disease-free individuals will have a negative test. 

  9. This is the proportion of negative tests that will indicate the person is disease-free. 

  10. What factors determine the PVP of a test?

  11. Why is PVP typically low when prevalence is low? 

  12. Consider a test in which high values indicate presence of a condition. Assume there is overlap in test scores between diseased and non-diseased populations. What effect will decreasing the cut-off point for a positive test have on the sensitivity of the test? 

  13. Should the first stage of a screening program that aims to detect all cases opt for high sensitive or highly specific? Explain.

Key     Last update: 05/06/2009