Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  NBME form 1-relative risk 




 
Kaplan Qbank USMLE



Author30 Posts
  #1

CHILDREN
Yes No total
Yes 120 180 300
BREAST CANCER
No 1380 820 2200

total 1500 1000 2500


Based on these data, what is relative risk (risk ratio) for development of breast cancer in childless women compared with women who have children?
a. 0.67
b. 1.2
c. 1.5
d. 1.8
e. 2.25


  #2

ok...the above post didn't come out in the same format as I typed it (table form) so here it is in another format:

Breast Cancer with Children: 120
Breast Cancer without Children: 180


No Breast Cancer with Children: 1380
No Breast Cancer without Children: 820





  #3

ok...the above post didn't come out in the same format as I typed it (table form) so here it is in another format:

Breast Cancer with Children: 120
Breast Cancer without Children: 180


No Breast Cancer with Children: 1380
No Breast Cancer without Children: 820





  #4

its E 180 x 1380/ 820 X 120

  #5

it is e, but is 180*1500/120*1000

  #6

ManuNastai wrote:
it is e, but is 180*1500/120*1000



I am with you


  #7

I believe it is C.

I do not know what First Aid is doing with there definition of relative risk and complex multiplication/division.

Relative risk is merely a RATIO.

Breast cancer in childless woman / Beast cancer in woman with children

180/120

1.5

shocked

  #8

i agree with pearljam59....word to word....

kaplan and brs...both have mentioned the same stuff in detail......first aid may be wrong here...beware...they have written something about a test......in the table format....i think they have got it wrong ...they are also students like us


  #9

E but different calculation

Relative risk= (a/a+b)/(c/c+d)= (180/1000)/(120/1500)= 180*1500/(120*1000)=3*15/(2*10)=2.25


___________________
The Key to Succeed is Patience.

  #10

hi robin082006,

whats your reference book for the above calculations.....and formula.

my reference for going with pearljam59 was page no.110 HIGH YIELD behaviorialscience.second edition.by fadem.

ur formula does make a sense infact but let me know the reference.


  #11

doing it roughly in my head I got answer -e-comments (although there should not be much revelation on a q like this.) [one of those plug in the #s]

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

  #12

Hi guest007,

It is in

Kaplan and FA.




___________________
The Key to Succeed is Patience.

  #13

hi.....even after going back to kaplan and HY i analysed tht the answer is simple.....breast ca in childless woman and with child....is 180 /120....1.5.

forget about how many are not having breast ca.!as this is only a relative risk (ratio)....

but it seems many people are just following E as the answer........anyways i will go with c again.hoping tht this question does not appear in my exam.


  #14

Hi, guest007, look at the following link, you will know the answer should be E. From kaplan notes, there is an example using just two numbers like you said. However that is because in that case, a+b = c + d (both are 1000). So I guess that the author just skip the two 1000s.

http://www.musc.edu/dc/icrebm/oddsratio.html


  #15

I forgot to give you another link

http://www.mindspring.com/~hlthdata/ex-rr1.html


  #16

It's a mistake guest007 if you think your calculation is right because it's only correct if two samples are equal as netlover mentioned.

___________________
The Key to Succeed is Patience.

  #17

thanks guys ......big mistake from kaplan actually may be they have rectified ion new addition....thanks alot guys.

  #18

can any one explain how value of a in the formula is 180.
i think women ith children having breast ca 120 should be a in the formula.
then ans should be option A

  #19

The answer is E (2.25).

Risk ratio is defined as risk in EXPOSED/Risk in UNEXPOSED. The "exposure" here is having a child. The "disease" is breast CA.

However, the question asks for RR for a CHILDLESS woman compared to a woman with a child. So the set-up is (c/c+d) / ( a/a+b). The RR for a CHILDLESS woman is therefore 0.18 / 0.08, which equals 2.25.


  #20

try not to go for numbers.

risk in childless women= probability of childless woman having cancer

=childless women with cancer/total CHILDLESS women (180/1000)

risk of Br ca in women with children=120/1500

therefore relative risk= ratio of the two risks

180 into 1500

1000 into 120

the formula shud be used only to help u. if it causes confusion think it out



___________________
If you yourself are at peace, then there is at least some peace in the world.

  #21

enthu u have calculated the odds ratio....we were asked about relative risk

pearljam 59 NEVER USE just numbers.

risk in itself is a probability (a ratio)

relative risk is a ratio of 2 risks

sorry to sound harsh but this is something the board loves to confuse students with

...


___________________
If you yourself are at peace, then there is at least some peace in the world.

  #22

E- Beyond doubt. Since relative risk is a ratio of incidences

  #23

Agree with E

Relative risk= I1/I2 = (a/(a+b)/(c/(c+d)= (180/1000)/(120/1500)= 2.25=E

You can devide 180/120 only you have SAME population (sample) at risk.
In this case 1000 does not equal to 1500.


  #24

Q: Based on these data, what is relative risk (risk ratio) for development of breast cancer in childless women compared with women who have children?

RR= R1 childless/R2 have children = E

If they asked: Based on these data, what is relative risk (risk ratio) for development of breast cancer in women who have children compared with childless women ?

RR=R2 have children/R1 childless = 0.44
RR<1 tells about a protective factor, not a risk factor

  #25

Thank you for the hard work

E







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.