Question
A cohort study was conducted to study the association of coffee drinking and weight gain in a population-based sample of adults. Among 14,000 coffee drinkers,
A cohort study was conducted to study the association of coffee drinking and weight gain in a population-based sample of adults. Among 14,000 coffee drinkers, 700 experienced weight gain after two years of follow up. Among the 18,000 non-coffeedrinkers, 360 experienced weight gain in the same study 2-year period. What is the relative risk for the association of coffee drinking (yes vs. no) with weight gain (yes vs. no) (assume complete follow up for all participants)?
A. | 2.65 | |
B. | 2.85 | |
C. | 2.5 | |
D. | 2.25 | |
E. | 2.5 per 1000 person years | |
F. | 0.4 |
A large medical centers oncology program reported an increased number of cases of pancreatic cancer during a certain month. The hospitals epidemiologist decided to research the problem. Tumor registry records were searched to identify all cases of pancreatic cancer during a five-year period; pancreatic cancer patients were matched with patients treated for other diseases during the same five-year period. All subjects in the study were questioned about lifestyle factors including alcohol, tea, and coffee consumption. The resulting data are as follows:
DATA | ||||
| Pancreatic Cancer Patients | Other Control Patients | ||
| Men | Women | Men | Women |
LIFESTYLE VARIABLE |
| |||
Alcohol | 180 | 120 | 250 | 260 |
Tea Drinking | 140 | 110 | 230 | 225 |
Coffee Drinking | 190 | 140 | 270 | 240 |
Note:
Total number of male pancreatic cancer patients = 200. Total number of female pancreatic cancer patients = 150. Total number of male patients (other diseases) = 300. Total number of female patients (other diseases) = 300.
Which number best estimates the association of no alcohol drinking with pancreatic cancer in men?
A. | 1.9 | |
B. | 2.1 | |
C. | 0.56 | |
D. | 1.8 |
The members of a public health team are engaged in planning where to open a specialty diabetes clinic to provide care for patients with the disease in a large city. Which of the following designs would you recommend?
A. | A case-control studywith a random sample of the city's residents. | |
B. | A cross-sectional surveyof a random sample of patients with diabetes | |
C. | A retrospective cohort study with a random sample of the city's residents | |
D. | An ecologic study with a random sample of the city's residents | |
E. | A cross-sectional studywith a random sample of the city's residents |
The table below shows results form a randomized clinical trial that was conducted to evaluate the effectiveness of treating HIV-positive women with zidovudine during pregnancy in reducing maternal-infant HIV transmission.
Maternal-Infant transmission of HIV with Zidovudine Treatment (Results from a randomized clinical trial)
Infant HIV Infection | |||
Treatment | Yes | No | Total |
Yes (Zidovudine) | 13 | 167 | 180 |
No (placebo) | 40 | 143 | 183 |
Based on these results, the number needed to treat to prevent one mother-infant transmission of HIV is:
A. | 8 | |
B. | 7 | |
C. | 6 | |
D. | 4 |
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