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Kaplan Qbank USMLE



Author9 Posts
  #1

Q::"the depression study examined several factors impacting the detection and treatment . one primary focus was to develop a biochem test for dg depression. for this research a subpopulation of 300 person were selected and subjected to the dexa test(DST). the resulsts are follows:
dst results
depresseed Neg87 pos 102
nondepressed Neg63 pos 48 """

ques frm kaplan at end of chp 2 /stats behav

ques 5-7 frm 2004/2005 edition, i dont hav this edition... got it frm somewhr..please tell me whether the ans thy hav given is right or not.. incase u hav the edition tehn please do check the ques.. i might be wrong... please do reply back

qs is to calculate specifity and sensitivity

they offer: results: 102/150
102/189
63/150
87/150
63/111

thy giv ans as:

sensitivity is 102/150

specifity=63/150

neo


Edited by neo335 on 07/12/05 - 12:24 PM

  #2

specifity=63111

sensitivity=102189


  #3

thank u 99doc.....

  #4

I have the edition and what you write the table

dst results
depresseed Neg87 pos 102
nondepressed Neg63 pos 48 """
is actually wrong

Actual table is : Actual Depression

DST Results No Yes

Depressed 87 102

Not Depressed 63 48

Now the given ans are right aren't they



___________________
In Life there are neither rewards nor punishments, just consequences.

  #5

Is the table as following :<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />



Actual depr Not actual depr

Diag depress 102 48

Diag not deprs 87 63



king... frm what u ahv written is this the table? if yes.. thn TN= 63 N FP = 48 ..... this means tha specificity will be = 63/63+48 =63/111.

incase the table interprated is wrong plz correct me... thank u fpr replying...

neo


  #6

hey neo, ur interpretation is wrong!

pause for a moment! and revise the definition again for true and false neg's and pos's

here,

TN = 63 ; FP= 87 (diagnostic test is giving wrong results cause there is no depresssion)

TP = 102 and FN = 48

try to assess one column at a time ,taking reference from the actual presence or absence of the disease and then decide whether the result is true or false!

BE CAREFUL!


___________________
life is guud

  #7

yeah BE CAREFUL! smiling face

___________________
In Life there are neither rewards nor punishments, just consequences.

  #8

thank u both ...... i'll do so....smiling face

neo


  #9

a positive dexamethasone suppression test is seen in Depressive states. what does a positive DST mean? ...That on administration of dexamethasone there is NO depression/suppression of cortisol secretion, hence positive for an abnormal state right??

why does this Q hold the opp to be true? i looked this Q up from kaplan LN.....for some reason it takes a 'depressed' DST result to be a True Positive! additionally, the 'non-depressed' DST result is calculated as a True Negative!
can anyone explain or cross check this? (pg 31 kaplan 2004)








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