Tests/outcomes/screening Flashcards

1
Q

What is the PAR-Q

A

Screening tool completed by persons who plan to undergo a fitness assessment or to become “much more physically active”

(+) response requires physician clearance

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2
Q

What is the PARmed-X

A

Screening tools used by physicians to assist assist them in addressing medical concerns regarding physical activity participation that were identified by PAR-Q

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3
Q

AGREE instrument

A

Commonly used tool for assessing clinical practice guidelines and other health management guidelines.

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4
Q

The best study design for investigating treatment outcomes

A

RCT

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5
Q

The best study design for a research question about “ diagnosis”

A

Prospective cohort study

Summarized with 2x2 table

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6
Q

Verification bias

A

(Work up bias)

When not all subjects are assessed by use of the reference standard i the same way.

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7
Q

Incorporation bias

A

When the reference standard includes the diagnostic test being studied

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8
Q

Spectrum (selection) bias

A

When study subjects are not representative of population on whom the test is typically applied in practice

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9
Q

Sensitivity

A

True positive rate

Those with the condition WITH a positive test

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10
Q

Specificity

A

True negative

Those without the condition with a Negative test

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11
Q

Positive predictive value

A

Proportion of subjects either a positive test who actually have the condition

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12
Q

Negative predictive value

A

Proportion of subjects with a negative test result who do not have the condition

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13
Q

SnNout

A

Is sensitivity is high, a negative result is useful for ruling out the condition

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14
Q

SpPin

A

Of specificity of high, a positive result is useful for ruling IN the condition

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15
Q

Positive Likelihood ratio (LR)

A

Sensitivity/ (1- specificity)

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16
Q

Negative likelihood ratio

A

(1-sensitivity)/ specificity

17
Q

LR of 1

A

Test does nothing to change the odds favoring the condition

18
Q

LR greater than 1

A

Increases the odds of the condition

We want a high positive LR

19
Q

LR less than 1

A

Diminishes the odds of the condition

We want a low negative LR

20
Q

Kappa statistic

A

Reliability coefficient typically used in studies of agreement between examiners for categorical data

21
Q

Normal anorectal physiology: with manometry testing

Resting Pressure
Squeeze pressure

A

Resting: 30-40 mmHG
Squeeze: 150% of rest

22
Q

Anal manometry

A

3 balloon test measuring pressures in EAS, IAS, and reveal sensitivity

23
Q

Anal manometry normative values

Kilo pascal

A

Rest men: 5-11
Rest women: 4-10

Squeeze men: 10-37
Squeeze women: 7-24

24
Q

Balloon expulsion test

A

50mL balloon

Should be expelled easily

Tests for obstruction or non relaxing puborectalis

25
Q

Defecography

A

Video/X-ray through toilet

Anorectal angle measured

radiopaque stool with barium

26
Q

Colonic transit time

A

Radiopaque markers swallowed

X-rays taken each day

80% of markers should be passed in 5 days