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Kaplan Qbank USMLE



Author5 Posts
  #1

a study is done to determ. if raloxifene will decrease the insidence of vertebral fracture in post menopausal women.

raloxifen placebo
N of women in sudy group 2557 2576
N of vertebral fractures 138 260
(5.4% ) ( 10.1%)
how many women nee to be treated to prevent 1 vert fracture

a. 100/ 5.4 = 18.5
b. 100 / 10.1 =10
c. 100/ (10.1 + 5.4)=6.5
d. 100 / (10.1 - 5.4)=21
e.100 / (10.1 x 5.4)=2


  #2

ITS D


NNT = 1/ARR

ARR (ABSOLUTE RISK REDUCTION) = RISK OF PLACEBO - RISK OF RALOXIFENE GROUP

=10.1%-5.4%

SO 1/(.101-.054) OR 100/(10.1-5.4)

  #3

guys know this concept
two questions with similar info came on my exam.

  #4

i thought so too. they marked it E, which is not correct. thank you guys.


___________________
Step 1 can not defeat me!!!!!!!!

  #5

NNT=1/ARR....where ARR=placebo group-exposed group....nod
D.......

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i m not perfect but i wanna get close to it......







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