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Epi/Stats/Ethics/Development/Behavioral sciences
High yield behavioral sciences for Step 1
38
Medical
Graduate
06/06/2010

Additional Medical Flashcards

 


 

Cards

Term
Sensitivity
Definition

If a test is positive, how likely is it that the person has the disease

 

specificity = TP/TP + FN

 

In other words, it's the percentage of people who tested positive who actually have the condition being tested for

 

TP + FN are people who actually have the dz, so sensitivity measures how likely a test is to find people who have the dz

 

Term
Specificity
Definition

If a test is negative, how likely is it that the person does not have the dz

 

Specificity = TN/(TN + FP)

 

TN + FP are the people tested who do not have the condition tested for 

 

So specificity is the percentage of a tested population without the condition who tested negative

Term
Tests w/ high (sensitivity or specificity) are good for ruling conditions out?
Definition
sensitivity
Term
Tests w/ high (sensitivity or specificity) are good for ruling conditions in
Definition

Specificity

 

SPin a condition in 

Term
Positive Predictive value
Definition

The likelihood that a positive test result means that a person has the condition

 

PPV = TP/(TP + FP)

Term
Negative Predictive Value
Definition

The likelihood that a negative test result means that a person does not have the condition

 

NPV = TN/(TN + FN)

Term

Studies that create a sample population based on an outcome use:

Odds ration/Relative Risk

 

Definition
must use an odds ratio
Term

Studies that create a sample population based on an exposure or treatment use:

 

Odds ratio/Relative risk

Definition
Can use relative risk
Term
Mode
Definition
Most common value in a distribution
Term
Type 1 errror
Definition
AKA false positive
when the alternative hypothesis is taken to be true, but in actualaity the null hypothesis is true
Term
α
Definition

The probability of making a type I error

or

the probability of finding something that this isn't really there

 

A commonly acceptable α is < the .5, so there is a less than 5% chance of finding a statistically significant difference.

Term
Type II error
Definition

AKA False negative

 

When the null hypothesis is accepted, but in actuality the alternative hypothisis is true

Term
Power
Definition

The probability of rejecting the null hypothesis when it is, in fact, false

 

Can be manipulated by sample size or compliance

Term
Confidence interval
Definition

A measure of likely a value obtained is true

 

If a value falls b/w the upper and lower limit of a 95% CI, then you can be sure that the value is correct 95% of the time

 

If the CI includes 0, then the null hypothesis is correct.

 

If the CI does not include 0 then the alternative hypothesis is correct

Term
T test
Definition
Used to determine the difference b/w the mean of two groups of observation
Term
Anova test
Definition
Used to determine the statistal difference b/w the mean values of 3 or more groups of observation
Term
χ2 test
Definition
Used to determine the statistical difference b/w two percentages or proportions
Term
Measure of likelihood for a case-control study
Definition
odds ratio
Term
measure of likelood for cohort study
Definition
relative risk
Term
Phase I clinical trial
Definition
healthy volunteers
assess safety toxicity and pharmacokinetics
Term
Phase II trial
Definition
small number of pts w/ the disease of interest
assesses tx efficacy, optimal dosing and adverse effects
Term
Phase III trial
Definition
large number of patients randomly assigned either to treatment under investigation or to the best available/placebo
Term
Odds ratio
Definition
The odds of having the dz in the exposed group divided by the odds of having the dz in the unexposed group.
= (a/b)/(c/d) = ad/bc
Term
relative risk
Definition
the probability of developing the dz in the exposed group divided the risk of developing the dz in the non-exposed group

= (a/a+b)/(c/c+d)
Term
attributable risk
Definition
how much of the likelihood of getting the dz can be attributed to the exposure

the chance of developing the dz in the exposed group minus the chance of getting the dz in the unexposed group

= a/(a+b) - c/(c+d)
Term
Random error
Definition
reduced precision or reproducibility of a test
Term
systemic error
Definition
lowers accuracy of a test
Term
Moro reflex
Definition
Spread then unspreading arms when startled
Normally disappears disappears by 3 months
Persists in cerebral palsy
Term
Babinski sign
Definition
toes fan up w/ plantar stimulation
disappears by 12-14 months
persists in neurological conditions
Term
Rooting reflex
Definition
neeple seeking
disappears by 3-4 months
Term
palmar reflex
Definition
grasps anything that comes into contact w/ the palm
disappears by 2-3 months
Term
Stage 1 sleep
Definition
light sleep, theta waves, ~5%
Term
Stage 2 sleep
Definition
Deeper sleep, bruxism, ~45%
sleep spindles and K complexes
Term
stage 3-4 sleep
Definition
deepest non-REM sleep; sleepwalking; night terrors; bedwetting (slow wave sleep) ~25%
Delta waves- lowest frequency, highest amplitude
Term
REM sleep
Definition
Dreaming; loss of motor tone; possibly a memory processing function, erections, increase brain O2 use. ~25%
Beta waves
Term
Benzos affect on sleep
Definition
Decreases stage 4 sleep
useful for night terrors and sleep walking
Term
What is imiprimine used for in reference to sleep and why
Definition
It is used for enuresis because it decreases stage 4 sleep
Term
Control of Circadian Rhythm
Definition
Carried about by suprachiasmic nucleus (SCN) of the hypothalamus which secretes NE to stimulate the pineal gland to secrete melatonin
SCN controlled by environment (sunlight, e.g.)
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