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Kaplan Qbank USMLE



Author8 Posts
  #1

The blood supply used by a hospital for Transfusion discovered Hep C infected.To protect future blood supply protected from contamination,new donors required to screen for hepC.The test used for screening has sensitivity of 95% & a specificity of 90%.If this test is used on a sample of donor in which 10% are known to have HepC.What is the chance that a donor who test neg. is actually free from Dis.?
a) 90%
b) 95%
c) 85%
d) 40%
e) 50%
f) 99%

Please,write the expl. too.How did you solve this question?
Thanks.

  #2

1)I played with #s using the square with TP &FP on top and FN and TN on the bottom.

2)Then I wrote out formulas for sensitivity, specificitiy,PPV and NPV.

3)Figured your q referred to NPV and I think 90% is the only # that fits?

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Smell the coffee! "Is That an Osler move??"

  #3

NPV--99%

___________________
I hear and I forget. I see and I remember. I do and I understand.
--Confucius

  #4

can you explain that a little?

___________________
Smell the coffee! "Is That an Osler move??"

  #5

Hi mash,
You got the ans. right ( 99% ).Can you please explain its calcualtion ?
Thanks.

  #6

prevalence is 10%
suppose 1000 people r screened, TP+FN =100

sensitivity is TP/TP+FN =95%==>TP =95
==>FN=(100-95)=5

TN +FP =900
specificity=TN/TN+FP=90%==>TN=810
==>FP=(900-810)=90

NPV=TN/TN+FN=810/(810+5)=99%

___________________
I hear and I forget. I see and I remember. I do and I understand.
--Confucius

  #7

Thankyou mash,
I really appreciate it D
JS

  #8

THANKS SO MUCH MASH! grin

___________________
Smell the coffee! "Is That an Osler move??"







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