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Practice Questions

24. A cross-sectional study finds a high correlation between stress levels and heart disease. What critical limitation prevents establishing causality from this study design?

A. Lack of blinding.
B. Inability to establish temporality (which came first, stress or heart disease). ✓
C. Small sample size.
D. High cost.
nmdcat.online BS Nursing
Jun 6, 2026

22. A study calculates an Odds Ratio (OR) of 3.0 for exposure to a particular chemical and a rare disease. What is the technical interpretation of this OR?

A. Exposure to the chemical triples the risk of the disease.
B. Individuals with the disease are three times more likely to have been exposed to the chemical than those without the disease. ✓
C. Exposure to the chemical reduces the risk of the disease.
D. There is no association.
nmdcat.online BS Nursing
Jun 6, 2026

19. An epidemiologist identifies a spurious association between ice cream sales and drowning deaths. What critical epidemiological concept explains this observation?

A. Reverse causation.
B. Confounding by a common factor (e.g., hot weather). ✓
C. Selection bias.
D. Information bias.
nmdcat.online BS Nursing
Jun 6, 2026

18. During post-marketing surveillance, a new antibiotic shows a statistically significant increase in the incidence of a rare cardiac arrhythmia. What medicinal epidemiological implication is this?

A. The drug should be immediately withdrawn from the market without further investigation.
B. A signal has been detected, prompting further investigation, possibly leading to a black box warning or withdrawal. ✓
C. The finding is likely due to chance and can be ignored.
D. The drug is still safe for all patients.
nmdcat.online BS Nursing
Jun 6, 2026

16. A local health department receives multiple reports of severe gastrointestinal illness within a 24-hour period from different households. What is the urgent epidemiological action?

A. Wait for laboratory confirmation from all cases.
B. Immediately contact affected individuals to gather information on exposures and potential common sources. ✓
C. Issue a general health warning without specific details.
D. Focus solely on treating individual patients.
nmdcat.online BS Nursing
Jun 6, 2026

14. An epidemiologist observes that communities with higher consumption of red meat also have higher rates of colorectal cancer. What is the critical limitation of drawing causal conclusions from this technical study type?

A. It is a definitive causal link.
B. This is an ecological study, prone to the ecological fallacy, where group-level associations may not apply to individuals. ✓
C. The sample size is too small.
D. There are too many variables.
nmdcat.online BS Nursing
Jun 6, 2026

11. During an Ebola outbreak, rapid identification of new cases and their contacts is paramount. What type of epidemiological surveillance would be most urgent to implement?

A. Passive surveillance.
B. Active surveillance. ✓
C. Sentinel surveillance.
D. Syndromic surveillance.
nmdcat.online BS Nursing
Jun 6, 2026

9. A researcher finds a strong association between coffee consumption and pancreatic cancer in an observational study. What is the critical consideration when interpreting this association?

A. Association proves causation.
B. The possibility of confounding or reverse causation, requiring careful interpretation and further research. ✓
C. Coffee consumption must be immediately banned.
D. The finding is definitive and requires no further study.
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026
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