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USMLE Step 1 Behav/Stats
DIT Behavioral/Statistics
61
Medical
Graduate
05/13/2010

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Cards

Term
Which study type compares a group of people with a disease to a group w/out the disease?
Definition
Case-control study
Term
Which type of study a measure of Relative Risk?
Definition
Cohort
Term
Between case-control and cohort, which is prospective and which is retrospective?
Definition
Case control is retrospective,
Cohort is prospective
Term
Which type of study is an odds ratio a measure of?
Definition
Case control
Term
After Table setup: What are the 2 equations for sensitivity?
Definition
1. TP/(TP+FN)
2. 1-false negative rate
Term
After Table setup: What are the 2 equations for specificity?
Definition
1. TN/(TN+FP)
2. 1-false positive rate
Term
After Table setup: What is the equation for Positive Predictive Value?
Definition
PPV = TP/(TP+FP)
Term
After Table setup: What is the equation for Negative Predictive Value?
Definition
NPV = TN/(TN+FN)
Term
What type of study is Odds Ratio used in and what is it (in words)?
Definition
It is used in case control studies and is: the odds of HAVING a dz in exposed group divided by odds of having disease in unexposed group
Term
When does the odds ratio approximate relative risk?
Definition
If the prevalence of the dz is not too high
Term
After Table setup: What is the equation for odds ratio?
Definition
OR = AD/BC
Term
What type of study is relative risk used in and what is it (in words)?
Definition
It is used in cohort studies and it is: the relative probability of GETTING a disease in the exposed group compared to the unexposed group
Term
After Table setup: What is the equation for Relative Risk?
Definition
RR = [a/(a+b)] / [c/(c+d)]
Term
In words, what is Attributable Risk?
Definition
The difference in risk b/w exposed and unexposed groups, or the proportion of dz occurances that are attributable to exposure (ie. smoking causes 1/3 of the cases of pneumonia)
Term
After Table setup: What is the equation for Attributable Risk?
Definition
AR = [a/(a+b)] - [c/(c+d)]
Term
What is the equation for Number Needed to Treat?
Definition
NNT = 1/absolute risk reduction
Term
What type of bias involves studies performed on hospitalized pts (bias of sxs,severity,access to care, etc)?
Definition
Berckson's Bias
Term
What is Lead-time bias?
Definition
When earlier detection appears to reflect better survival rate
Term
What is the equation for prevalence?
Definition
Prevalence = incidence X duration (PID)
Term
What is the Pygmalian effect?
Definition
occurs when a researcher's beliedf in the efficacy of a treatment changes the outcome of that treatment (ie. chiropractor performing a study on the positive effects of cervical manipulation)
Term
What is the Hawthorne effect?
Definition
occurs when the group being studied changes its behavior owing to the knowledge of being studied (ie. participants in a multivitamin study taking vitamins on the side)
Term
What is the order of mean, median, and mode in a POSITIVE SKEW?
Definition
Mean > Median > Mode
Term
What is the order of mean, median, and mode in a NEGATIVE SKEW?
Definition
Mean < Median < Mode
Term
What is the type of error called when your study is showing a difference when there is not really one?
Definition
Type 1 error (alpha)
Term
What is the type of error when your study shows that there is NO effect when is reality there IS one?
Definition
Type II Error (beta)
Term
What can you do increase the Power if your study?
Definition
Increase the sample size
Term
What is the equation for Standard Error of the Mean (SEM)?
Definition
SEM = SD / sq root of sample size
Term
What are the percentage values for 1 Standard Deviation f/ the mean? 2 SD's? 3 SD's?
Definition
1 SD: 68%
2SD: 95%
3 SD: 99.7%
Term
How do you calculate the Confidence interval? What is Z for a 95% CI?
Definition
CI = mean +/- Z(SEM)

Z~2
Term
If t-test checks the difference b/w 2 groups, what checks for 3+ groups?
Definition
ANOVA
Term
What are the REPORTABLE STD's?
Definition
HIV, Gonorrhea, Syphilis
Term
What are the REPORTABLE Hepatitis's?
Definition
A, B, C
Term
What are the REPORTABLE childhood diseases?
Definition
MMR and Chicken Pox (MMR=Measles, Mumps, Rubella)
Term
What are the 2 REPORTABLE diarrheal diseases?
Definition
salmonella and shigella
Term
What do parts A, B, and D of Medicare cover?
Definition
A- hospital
B- outpatient bills
D- prescription drugs
Term
What are the 5 components of the APGAR, when are they measured, and what is the scale?
Definition
1 and 5 minutes: Appearance, Pulse, Grimace, Activity, and Respirations...scale is f/ 0-10
Term
How old? Child jumps up, 6 cube tower, eats w/spoon, 2-3 word sentences...
Definition
2 yrs
Term
How old? Child regards face, responds to sound, not yet able to roll over...
Definition
Less than 3 mos
Term
How old? Child stands with support, 1-3 words, stranger anxiety, drinks f/ a cup...
Definition
1 yr
Term
How old? Child rides tricycle, understandable sentences, and plays board-games...
Definition
3 yrs old
Term
At what age does toilet training occur?
Definition
Ages 2-3
Term
When does "stranger anxiety" in children occur?
Definition
6-12 mos
Term
At which age do children have imaginary friends and cna hop on one foot?
Definition
Age 4
Term
At what age can children stand and begin to walk?
Definition
at 1
Term
If a child is less that 1 yo and less than 20lbs, how should he/she be situated in a car?
Definition
backseat carseat facing backwards
Term
What are the 3 leading causes of death in 1-14 y/o's?
Definition
Cancer, Injury, Congenital (CIC)
Term
What are the 3 leading causes of death in 15-25 y/o's?
Definition
Injury, suicide, homicide (kill themselves and kill others)
Term
What are the 3 leading causes of death in 25-64 y/o's?
Definition
cancer, heart dz, injuries
Term
What are the 3 differential categories for sexual dysfxn?
Definition
Drugs (b-blockers, SSRI, etc)
Disease (Atherosclerosis, etc)
Phychological (Performance anxiety)
Term
What class of drugs do you treat Restless Leg Syndrome with?
Definition
Parkinson's Drugs
Term
What is the first line treatment for narcolepsy? Also cataplexy?
Definition
Narcolepsy is treated w/ Modafanil and if also cataplexy then SSRI's
Term
In what sleep stage does bruxism occur? What EEG waves are seen here?
Definition
Stage 2, Sleep Spindles and K Complexes
Term
In what sleep stage does the deepest sleep occur? What EEG waves are seen here?
Definition
Stage 3-4, delta waves
Term
What EEG waves have the highest frequency but lowest amplitude? What sleep cycle are these seen in?
Definition
Beta waves...seen in awake state as well as REM
Term
What class of drugs shorten stage 4 sleep and can be used to treat Sleep Terrors and Sleepwalking?
Definition
Benzos
Term
What neurotransmitter is essential to INITIATING sleep?
Definition
seratonin of the raphe nucleus
Term
Extraocular movements during REM and smooth pursuit nystagmus are due to activity where?
Definition
PPRF (Paramedian Pontine Reticular Formation)
Term
What is the principle neutotransmitter involved in REM sleep?
Definition
ACh
Term
In what sleep stage do erections occur?
Definition
REM
Term
What happens to the amt of REM sleep in depression? In old age?
Definition
It decreases in old age and increases in depression
Term
What is the pathway by which retinal information induces the release of seratonin?
Definition
SCN (Suprachiasmic Nuclei of the hypothalamus)--> NE release--> pineal gland--> melatonin
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