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Clinicomm set 2

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Clinicomm set 2
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30 questions

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1.

MULTIPLE CHOICE QUESTION

1 min • 10 pts

In a hospital outbreak investigation of carbapenem-resistant Klebsiella pneumoniae, which study design best determines the risk factors for colonization among ICU patients while controlling for confounders?

Cross-sectional

Case-control with matching

Prospective cohort

Ecological

2.

MULTIPLE CHOICE QUESTION

1 min • 10 pts

During an RCT assessing a new rapid sepsis screening tool, interim analysis shows borderline benefit (p=0.049). Which approach avoids inflated Type I error?

Original p-value

Bonferroni

Sequential boundaries (O'Brien-Fleming)

Stop now

3.

MULTIPLE CHOICE QUESTION

1 min • 10 pts

Non-inferiority trial of two HAP regimens: CI for difference in cure rates lies entirely within the non-inferiority margin. Interpretation?

Inferior

Non-inferior

Superior

Inconclusive

4.

MULTIPLE CHOICE QUESTION

1 min • 10 pts

Early discharge protocol using troponin: NPV is 99% in low-risk chest pain. What most affects NPV?

Sensitivity

Specificity

Disease prevalence

Sample size

5.

MULTIPLE CHOICE QUESTION

1 min • 10 pts

Hospital hand hygiene observations: Hawthorne effect will most likely…

Inflate observed compliance

Deflate

No effect

Increase random error

6.

MULTIPLE CHOICE QUESTION

1 min • 10 pts

Oncology survival analysis violates proportional hazards. Best alternative?

Log-rank only

Cox with time-varying covariates/stratified Cox

Paired t-test

Ignore

7.

MULTIPLE CHOICE QUESTION

1 min • 10 pts

ICU sepsis bundle trial: RR=0.85 (95% CI: 0.60-1.02).

Statistically significant

Clinically meaningful but not statistically significant

No relevance

Both

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