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Board Review
Question 25
Question 14
Board Review
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1
Question 14
Most medical errors occur because humans cannot perform all tasks perfectly
The rate of medical errors of commission is higher than that of omission
Rate of medical errors is independent of the complexity of work environment
Most medical errors are serious and have potential to cause patient harm.
2
Question 25
Risk-benefit profile is at least as favorable as existing alternatives
Can be no risks to patient of side effects
Potential for increased survival, but known tx are withheld
Family will receive discounted care/financial incentive
3
Question 19
C
B
D
A
4
Question 31
Effectiveness
Equity
Patient safety
Timeliness
5
Question 30
B.
A.
C.
D.
6
Question 20
Storage of high-alert drugs separate from other drugs
Avoidance of using dangerous abbreviations
Standardized concentrations of infusions
Computerized physician order entry
7
Question 3
Positive predictive value
Kaplan-Meier analysis
Median
Mean
8
Question 27
125
500
2.2
4
9
Question 15
Hospital
Society
State
Family
10
Question 24
Specification
Effect modification
Stratification
Matching
11
Question 8
Deontological approach
Prudence
Kantian imperative
Justice
12
Question 9
10^-2
10^-5
10^-4
10^-3
13
Question 12
27%
12%
23%
18%
14
Question 2
Government
Physicians
Ethicists
Parents
15
Question 29
Application and dissemination of evidece based treatments
Clinical efficacy of treatment under controlled experiemental conditions
Ways that laboratory findings can lead to development of new medications
Basic biological mechanisms of disease
16
Question 34
7
9
13
11
17
Question 1
Benefit-cost analysis
Cost-effectiveness analysis
Budget Impact analysis
Cost-minimization analysis
18
Question 7
Prior belief about hypothesis determine what degree evidence is accepted
Dichotomous approach designating tx as standard or experiemental is best
Statistical tests are designed to eliminate uncertainty in interpretation
Most researchers favor experiemental tx and are skeptical of standard
19
Question 35
Greater than 0.9
0.7 to 0.9
Less than 0.3
0.5 to 0.7
20
Question 10
Neurological impairment
Hearing loss
Vascular catheter complication
Blindness
21
Question 4
Is research only if some patients receive drug and some who don't randomly
Other NICUs use this drug routinely, but published reports are conflicting
Drug has not been studied for this & data will be collected systematically
The drug is not officially approved for PHTN but is often used for this
22
Question 26: likelihood ratio for a negative result
2.2
1.8
1.3
0.8
23
Question 16
B
A
C
D
24
Question 6
Parens Patriae Act
Child Abuse Prevention and Treatment Act
Born-Alive Infant Protection Act
Emergency Medical Treatment and Active Labor Act
25
Question 11
Analysis of variance repeated measures
Logistic regression
Mann-Whitney U test
Simple regression
26
Question 22
Primary outcome
Study design
Study participants
Data analysis
27
Question 28
Physician
Social Worker
Ethicist
Parent
28
Question 18
Recall bias
Interviewer bias
Selection bias
Publication bias
29
Question 5
A
B
D
C
30
Question 26: likelihood ratio for a positive result
3.0
2.5
2.0
3.5
31
Question 17
A
B
D
C
32
Question 26: Negative Predictive Value
74%
44%
54%
64%
33
Question 33
Meet at the bedside of the neonate in the unit
Avoid the term withdrawal of care
Use euphemism for disease or death
Refrain from periods of silence during discussion
34
Question 32
ECMO for respiratory failure
Prophylactic indomethacin to prevent brain damage
Vitamin A to prevent chronic lung disease
Antenatal steroids in imminent preterm delivery
35
Question 21
Strength of association
Specificity of association
Dose-response relationship
Temporal relationship
36
Question 26: Specificity
55%
88%
66%
77%
37
Question 26: Positive predictive value
72%
62%
82%
92%
38
Question 26: Sensitivity
50%
60%
70%
80%
39
Question 23
Consistency with other knowledge
Magnitude of effect
Accuracy
Presymptomatic state
40
Question 13
C
B
A
D