Q. 1
Statistics
Difficulty: Hard
(1 Mark)
How do changes in disease prevalence affect Positive Predictive Value (PPV) and Negative Predictive Value (NPV)?
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Step-by-Step Explanation & Concept Rationale
Unlike sensitivity and specificity (intrinsic test properties), predictive values depend heavily on disease prevalence. As prevalence rises, True Positives increase relative to False Positives, increasing PPV, while NPV decreases.
Q. 2
Statistics
Difficulty: Medium
(1 Mark)
What distribution describes the survival time of medical patients when the instantaneous hazard rate (failure rate) is constant over time?
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Step-by-Step Explanation & Concept Rationale
The exponential distribution is the only continuous distribution with a constant failure/hazard rate (memoryless property: h(t) = lambda). When hazard changes with time, the Weibull distribution is used.
Q. 3
Statistics
Difficulty: Hard
(1 Mark)
In survival analysis and medical statistics, what is Cox Proportional Hazards Regression model used for?
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Step-by-Step Explanation & Concept Rationale
The Cox proportional hazards model is semi-parametric: it assumes covariate effects multiply the baseline hazard by exp(beta * X), but leaves the baseline hazard function h_0(t) completely unspecified.
Q. 4
Statistics
Difficulty: Medium
(1 Mark)
In randomized clinical trials, what does 'Intention-to-Treat' (ITT) analysis dictate?
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Step-by-Step Explanation & Concept Rationale
Intention-to-treat (ITT) analysis preserves the benefits of randomization, prevents attrition bias, and mirrors real-world effectiveness by analyzing every subject in their originally assigned trial arm.
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