2. Assignment 1
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1) Which of the following areas can be included
in health research?
i. Improving the health of the population.
ii. Predicting progression of a disease in a
patient
iii. Prevention of various diseases
iv. To explore various societal, community
based and programmatic interventions for
disease prevention and control
a) i and ii
b) i, ii and iv
c) All of the above
d) None of the above
2) What is appropriate for sample and sample
size?
a) Should be representative of the population
[External validity or generalizability]
b) Should be adequate [power to draw
meaningful inferences]
c) Both 'a' and 'b'
d) Neither 'a' nor 'b'
3) Which of the following statements are correct
regarding defining inclusion and exclusion
criteria in a study protocol?
a) They should be vague because this will
allow greater and easy enrollment
b) They should be very specific
c) They should be very large in number
d) It is not important to define exclusion
criteria in a clinical trial
4) Which of the following are examined as part of
regulatory review?
a) Information regarding transfer of funds
and utilization of funds
b) Shipment of samples and transfer of data
outside the country
c) Sharing and protection of intellectual
property
d) All of the above
5) Which of the following statements is not true
in case of pilot study?
a) They are conducted for developing and
testing adequacy of research instruments
b) They establish whether the sampling
frame and technique are effective
c) Ethics committee approves the main
study only after successful completion of
the pilot study
d) They are small scale studies
6) Before initiating a study involving primary data
collection, the Principal Investigator must
ensure that various approvals are obtained.
Which of the following approvals is absolutely
mandatory?
a) Scientific committee approval
b) Ethics committee approval
c) Technical committee approval
d) Regulatory authority approval
7) Which is the best source of information on
'effect modifiers' while exploring cause and
effect relationship in a research study?
a) Deductive thinking
b) Thorough review of literature
c) Intelligent guessing
d) Discussing with experienced researchers
8) The policy makers want to know whether
introduction of pentavalent vaccine in the
national program is resulting in reduction in
the number of Hemophilus influenza cases.
Which of the following studies will they have
to conduct to find an answer?
a) Case-control study
b) Field trial
c) Ecological study
d) Case series
9) What is true about Confounders?
a) They affect both study variable as well as
outcome
b) Their effect can be minimized by proper
study design and through stratified
analysis
c) Both 'a' and 'b'
d) None of the above
10) Which of the following is not a type of study
design?
a) Qualitative study
b) Observational study
c) Retrospective study
d) Pilot study
11) Any systematic error in the design, conduct or
analysis of a study that results in an erroneous
3. Assignment 1
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
estimate of an exposure's effect on the risk of
disease is called:
a) Confounding
b) Bias
c) Interaction
d) Stratification
12) Which of the following is not part of ethics
review of a project?
a) Informed consent document and
procedure
b) Competence of researcher and institute
conducting research
c) Sharing and protection of intellectual
property
d) Care and support during and after
completion of research
13) A study was conducted to assess the
extrapyramidal side effects of a new
antipsychotic drug in patients with
schizophrenia. Many of these patients were
smokers and some of them were on
anticholinergic drugs. What was the role of the
anticholinergic drugs in this study?
a) Confounder
b) Random Variable
c) Effect Modifier
d) Independent Variable
14) Before initiating a study involving primary data
collection, the Principal Investigator must
ensure that various approvals are obtained.
Which of the following approvals is absolutely
mandatory?
a) Scientific committee approval
b) Ethics committee approval
c) Technical committee approval
d) Regulatory authority approval
15) The policy makers want to know whether
introduction of a new rotavirus vaccine in the
national immunization programme is resulting
in reduction of morbidity and mortality from
rotavirus disease. Which of the following
studies will they have to conduct to find an
answer?
a) Case-control study
b) Ecological study
c) Field randomized trial
d) Case-series
16) What effect does increasing the sample size
have upon the random error?
a) It increases the random error
b) It has no effect on the random error
c) It reduces the random error
d) None of the above
17) Which of the following will best describe the
scientific inquiry that seeks to understand the
acceptability and functionality of a health
program?
a) Basic science research
b) Translational research
c) Clinical research
d) Implementation research
18) The following statements describe
confounding and effect modification. Which of
the statement is/are correct?
a) In a study of relationship between coffee
drinking and oro-pharyngeal cancer;
smoking is a confounder
b) In a study to explore relationship between
hepatitis B infection and post-infection
hepatic sequelae, habit of alcohol drinking
acts as an effect modifier and patients with
this habit may be excluded from the study
c) ‘a’ and ‘b’ Correct
d) ‘a’ and ‘b’ Wrong
19) Issues regarding shipment of samples and
transfer of data outside the country are
examined by:
a) Regulatory review
b) Ethics review
c) Scientific review
4. Assignment 1
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
d) None
20) Which of the following disciplines contribute
to health research?
a) Bio-medical research
b) Biostatistics
c) Social science research
d) All of the above
21) Which of the following best describes a study
done in a laboratory setting using animals?
a) Translational research
b) Bench-based research
c) Theoretical research
d) Preventive research
22) Which of the following review is NOT essential
before initiating a clinical trial?
a) Scientific review
b) Peer review
c) Regulatory review
d) Ethics review
23) Which of the following is NOT a type of study
design?
a) Qualitative study
b) Observational study
c) Retrospective study
d) Translational study
24) Which of the following statements is NOT
correct regarding errors in a health research?
a) Random error is due to chance
b) Systematic error is due to bias
c) Random errors can be eliminated by
improving study design
d) Bias distorts the study results in one
direction
25) State whether true or false. Assigning roles
and responsibilities to the team members is
one of the fundamental principles of a
research
a) True
b) False
26) Health research is usually focused on which of
the following areas?
a) Estimation of disease burden in a
population
b) Prevention of common diseases in the
community
c) Evaluation of public health programs
d) All the above
27) Which of the following is NOT a component of
a research study?
a) Setting up the institute scientific
committee
b) Calculating sample size
c) Development of a study tool
d) Framing the research question
28) A researcher wants to study the relationship
between COVID-19 infection in pregnancy and
birth weight. Currently, there is no evidence
on this topic. Which of the following options is
the scope of this health research?
a) Verifying and confirming known
information
b) Getting additional or new information
c) Evaluating ongoing programs
d) All of the above
29) Which of the following is NOT a critical
consideration in planning a health research?
a) Adequate justification
b) Clear and focused research question
c) Standard case definitions
d) Financial gain
30) Identify the CORRECT statement about
implementation of a research
a) Research findings must be approved by the
funder
b) Research finding must be error free
c) Adequate sample size is a prerequisite
d) Pilot study can be done during data
analysis stage
_________
5. Assignment 2
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1) Which of the following is an element of life
cycle of research?
a) Identify data needs and spell out the
research question
b) Formulate the objective and design the
study
c) Draw conclusion and give
recommendation to stakeholders
d) All of the above
2) Which of the following verbs is preferably
used in the statement of objectives of an
analytical research study?
a) Estimate
b) Determine
c) Study
d) Describe
3) Source(s) of research question is/are
a) Published literature
b) Being alert to new ideas
c) Careful observation and teaching
d) All of the above
4) Which of the following is stated mainly for
statistical purpose?
a) Research question
b) Objectives
c) Research hypothesis
d) All of the above
5) If your objective is to estimate the
prevalence of a health problem in a
community in 2019, Identify the type of
research question this study is addressing
a) Analytical research question
b) Descriptive research question
c) Hypothetical research question
d) Experimental research question
6) What is the first step in the life cycle of
research?
a) Spell out the research question
b) Formulate the objective of the study
c) Identify the data needs
d) Choose the study design
7) A clear research question facilitates to do
the following
a) Choose the most optimal design
b) Identify who should be included as study
population
c) Specify the outcomes that should be
measured
d) All of the above
8) Which of the following statements is
incorrect?
a) A good research question should be
Feasible, Interesting, Novel, Ethical and
Relevant
b) A good research question should be in
epidemiological terms
c) A good research question facilitates to
choose optimal design
d) A good research question will focus on
one issue
9) The verb "estimate" is used in the objective
of analytical research studies
a) True
b) False
10) The process of refining the "ideas" into
research questions begins with general
uncertainty about a health issue and narrow
down to a specific, concrete researchable
issue
a) True
b) False
11) Which of the following statement is
incorrect about a good research question?
a) Research question should advance
scientific knowledge, improve practice,
influence policy
b) Research question should be approved
by the ethics committee
c) Research question should confirms,
refutes or extends previous findings
6. Assignment 2
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
d) Feasibility should not be a criterion
while developing research question
12) All the following are characteristic of good
research hypothesis EXCEPT
a) Research hypothesis should be simple
b) Research hypothesis should be devoid
of any ambiguity about study
participants and variables
c) Research hypothesis should be focused
on primary objective
d) Research hypothesis should be written
once the study is completed
13) Which of the following verb is used in the
statement of objective of a descriptive
research study?
a) Estimate
b) Determine
c) Examine
d) Compare
14) A research question states about what the
results of the study might ultimately
contribute to that particular field of science
a) True
b) False
15) Purely descriptive research questions do not
require a hypothesis
a) True
b) False
16) Identify the type of research question if the
objective of a study is "To determine the
effect of tobacco cessation services on
tuberculosis treatment outcomes among
patients with tuberculosis under National
Tuberculosis Elimination Program"?
a) Descriptive research question
b) Hypothetical research question
c) Analytical research question
d) Experimental research question
17) As per the following objectives a hypothesis
should be stated for which study?
a) To determine the association of
maternal smoking during pregnancy
with respiratory infectious disease
morbidity and mortality in infants
b) To estimate the lifetime prevalence of
mental health morbidities among
elderly people in India
c) To describe the pattern of physical
activity among school going children
aged 6-18 years
d) To describe the temporal and spatial
trends of mortality due to
cardiovascular diseases, by age and sex
in India during 2009-2019
18) All the following are components of 'FINER '
criteria for a research question EXCEPT
a) Feasible
b) Reliable
c) Novel
d) Ethical
19) Which is the last step in the life cycle of
research?
a) Spell out the research question
b) Formulate the objective of the study
c) Formulate recommendations
d) Choose the study design
20) The following are the steps in framing a
research question.
I. Review of state-of-art information
II. Define measurable exposures &
outcomes
III. Raise a question
IV. Decide worth investigating by peer-
review
Choose the correct sequence of framing a
research question from below.
a) I, II, III, IV
b) II, IV, III, I
c) I, III, IV, II
d) III, I, II, IV
21) A clear research question is required in order
to facilitate the following:
7. Assignment 2
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
a) To choose an optimal study design
b) To identify the outcomes that need to be
measured
c) To decide when the outcomes need to be
measured
d) All the above
22) Characteristics of a good hypothesis are all,
EXCEPT:
a) There should be no ambiguity about the
study variables
b) It should be stated ‘a priori’
c) It can be revised based on the study
findings
d) It should specify one exposure and one
outcome
23) Which of the following is NOT an ideal source
of a research question?
a) Reviewing the published literature
b) Attending conferences where latest
findings are shared
c) Observing keenly in the out-patient clinic
d) Mining existing datasets for research
question
24) Which of the following is TRUE for a
‘Descriptive Research Question’?
a) Involves observations to measure a
quantity
b) Involves comparison groups
c) Tests the efficacy of interventions
d) Requires hypothesis testing
25) Which of the following characteristics best
describe a good research question?
a) Feasible, Novel, Ethical
b) Feasible, Noble, Ethical
c) Ethical, Novel, Intuitive
d) Fantastic, Novel, Relevant
26) State whether true or false. A research study is
conducted to estimate the seroprevalence of
COVID-19 in Ahmedabad city during April-June
2020. This is an example of analytical research
question.
a) True
b) False
27) Which of the following statement about study
objective/s is FALSE?
a) Objectives are stated in scientific terms
b) Objectives can be primary and secondary
c) Each objective is written using multiple
verbs
d) Objectives should be specific
28) In the life cycle of research, ‘spelling out the
research question’ is followed by
a) Preparing data collection instrument
b) Formulating study objectives
c) Collecting data
d) Formulating recommendation
29) How can the given study objective be
improved? “To understand the anaemia in
pregnancy”
a) Using appropriate action verb
b) Specifying the outcome measure
c) Specifying the study setting and time
period
d) All the above
30) Which of the following is NOT a step in framing
an ideal research question?
a) Literature review
b) Peer review
c) Broadening the initial question
d) Defining measurable outcomes
______________
8. Assignment 3
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1) The ability to apply the principles of analysis to
identify those studies which are unbiased and
valid is called as
a) Critical appraisal
b) Information seeking
c) Information management
d) Systematic Review
2) A __________ is a collection of articles,
abstracts, scientific proceedings, books,
citations etc. that is organized so that it can
easily be accessed while doing literature
review
a) Database
b) Critical appraisal
c) Hard disk
d) Index
3) Why should we need to do a literature review?
a) Save yourself from work
b) Know the subject matter better
c) Suggest new research topics, questions
and methods
d) All of the above
4) The process of scanning the literature
efficiently using manual or computerized
methods to identify a set of potentially useful
articles and books is called as
a) Information seeking
b) Critical appraisal
c) Database management
d) Information retrieval
5) In the Boolean search strategy AND tells that
database that you want records that contain
all the words you specify
a) True
b) False
6) Which of the following is unethical while
writing a Literature Review?
a) The contents from the studies should be
presented honestly
b) The contents from the studies should not
be distorted
c) It is not necessary to address the
weakness of the study in a scholarly
manner
d) Sources should be accurately documented
7) Critical appraisal is done in an organized and
systematic manner
a) True
b) False
8) The process of identifying, within a large
document collection, a subset of documents
whose content is most relevant to user's need
is called as
a) Information retrieval
b) Information management
c) Systematic Review
d) Narrative Review
9) The query system in the information retrieval
process of literature review is
a) User defined
b) Provider defined
c) Conditional
d) Not structured
10) In the National Library of Medicine (NLM),
MeSH means
a) Medical Services Heading
b) Medical Subject Heading
c) Medical Subject Helpline
d) Medicine Services Helpline
11) In literature review method of identifying
studies which are unbiased and valid is known
as critical appraisal.
a) True
b) False
12) Choose the correct sequence of the steps of
systematically doing literature search from
below
a) Organize the information, identify the
lacunae, develop the research question,
synthesize the results
9. Assignment 3
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
b) Identify the lacunae, develop the research
question, synthesize the results, organize
the information
c) Develop the research question, synthesize
the results, organize the information,
identify the lacunae
d) Organize information, synthesize the
results, identify the lacunae, develop the
research question
13) All the following about literature review is
correct EXCEPT
a) It identifies lacunae in the existing
knowledge about a topic
b) It saves valuable time for a researcher
c) It helps the researcher in arriving the
conclusion of a study
d) It suggests the researcher about new
research topics
14) While drafting a scientific manuscript,
literature review is useful on the following
section EXCEPT
a) Introduction
b) Methods
c) Results
d) Discussion
15) Which of the following about PubMed is
incorrect?
a) PubMed comprises more than 25 million
citations for biomedical literature
b) Citations may include links to full-text
article from PubMed Central
c) PubMed is developed and maintained by
the National Centre for Biotechnology
Information (NCBI), at the U.S. National
Library of Medicine (NLM)
d) PubMed is a paid service provider for
searching of literature
16) All the following are examples of databases
a) MEDLINE
b) EMBASE
c) CINAHL
d) Google scholar
17) Literature searches are important to do at the
start of a project; and do not need to continue
throughout the project.
a) True
b) False
18) Which of the following search query should be
used to find the articles on chest pain other
than angina?
a) Chest pain AND angina
b) Chest pain OR angina
c) Chest pain NOT angina
d) Chest pain EXCEPT angina
19) A researcher wants to assess effects of
polyunsaturated fatty acids (PUFA) on
diabetes prognosis. For this, the researcher
searches related articles in PubMed and
Google scholar. This process is known as
a) Information retrieval
b) Indexing
c) Critical appraisal
d) Data management
20) Which of the following about MeSH is
incorrect?
a) MeSH thesaurus is controlled vocabulary
produced by the National Library of
Medicine
b) It consists of sets of terms naming
descriptors in a hierarchical structure that
permits searching at various levels of
specificity
c) It is used for indexing and searching of
biomedical and health-related information
d) MeSH is used for EMBASE database
21) Which of the following is INCORRECT about
literature review for a proposed study?
a) Begins with a systematic literature search
b) Involves critical appraisal of retrieved
studies
c) Presents existing knowledge concisely
d) Guides the findings of the proposed study
10. Assignment 3
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
22) A researcher conducts a review of literature to
identify a set of potentially useful articles and
books related to their research topic. This
process is known as
a) Indexing
b) Critical appraisal
c) Data management
d) Information seeking
23) Literature review is a well thought out and
organized search for all literature published on
a particular topic in a library or online
database.
a) True
b) False
24) Which of the following search query in
PubMed will give relevant articles for the
following question? “What is the burden of
gastroenteritis among children?”
a) Gastroenteritis OR children
b) Gastroenteritis AND children
c) Gastroenteritis BUT children
d) Gastroenteritis NOT children
25) Which of the following Boolean operator will
give the highest number of results when used
between two given search terms?
a) AND
b) NOT
c) OR
d) ALL
26) A researcher wants to study the effect of
physical activity on reduction of systolic blood
pressure among patients with hypertension.
The researcher has identified a subset of
document which are most relevant to the
research question within a large document
collection. This process is known as
a) Information management
b) Critical appraisal
c) Information retrieval
d) Literature organization
27) The organized collection of articles, abstracts,
scientific proceedings, books, and citations
used for the purpose of literature review, is
known as
a) Database
b) Data management
c) Critical appraisal
d) Index
28) Which of the following does not satisfy the
ethical principles in conducting a literature
review?
a) Results of previous studies are presented
without distortion
b) Weaknesses of previous studies are
highlighted
c) Previous studies are accurately cited
d) Reputation of study authors are
questioned
29) For which of the following purpose is the
Boolean operator ‘OR’ commonly used in
literature search?
a) Connecting synonyms of one key concept
b) Connecting different key concepts
c) Connecting keywords which need to be
excluded
d) Connecting keywords to narrow down the
results
30) Medical Subject Headings is a controlled
vocabulary thesaurus used for indexing
articles in
a) PubMed
b) Google scholar
c) Scopus
d) Health on Net
__________________
11. Assignment 4
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1) Which of the following must be considered
while measuring occurrence of a disease?
a) The number of people affected by the
disease
b) The population size from which the cases
of disease arise
c) The length of the time the population is
followed
d) All of the above
2) __________ is most useful for evaluating the
impact of prevention programme
a) Point prevalence
b) Period prevalence
c) Case fatality
d) Incidence
3) Which one of the following statements is
true?
a) High cure rate can increase the
prevalence of a disease
b) Low case fatality can reduce the
prevalence of a disease
c) Both 'a' and 'b' are true
d) High cure rate and high case fatality can
reduce the prevalence of a disease
4) Measures of disease frequency
a) Incidence
b) Prevalence
c) Birth rate
d) 'a' and 'b'
5) A measure that reflects severity of an acute
infectious disease
a) Case fatality ratio
b) Incidence rate
c) Prevalence
d) Mortality rate
6) Incidence data can be used to measure the
occurrence of disease with gradual onset
a) True
b) False
7) This measure reflects the impact of a disease
on population in terms of death
a) Incidence density
b) Case fatality
c) Disease specific mortality
d) Attack rate
8) While measuring the frequency of a chronic
disease in a community in terms of Incidence
per 1000 persons per year, and point
prevalence per 1000 persons, what is the
expected pattern of incidence and
prevalence?
a) Low prevalence, high incidence
b) High prevalence, low incidence
c) Both prevalence and incidence will be
similar
d) None of the above statements are true
9) In a study among 3400 children aged 5-10
years, 16 children were diagnosed with
autistic disorder. Calculate the prevalence of
autism per 1000 children
a) 4.01
b) 5.53
c) 3.35
d) 4.71
10) Statistic used to estimate the risk of acquiring
a disease
a) Prevalence
b) Incidence
c) Mortality rate
d) All of the above
11) What is the appropriate measure when a
researcher wishes to know the burden of a
particular disease in terms of the number of
deaths it causes in a specified geographical
region and population?
a) Incidence density
b) Case fatality
c) Attack rate
d) Disease specific mortality
12) If health policy makers want to evaluate the
impact of a prevention program, which is the
appropriate measure to be considered?
12. Assignment 4
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
a) Period prevalence
b) Incidence
c) Point prevalence
d) Case fatality
13) Select the correct statement among the
following
a) Prevalence of a disease will increase
when it has a high cure rate
b) Prevalence of a disease will decrease
when it has a low case fatality ratio
c) Prevalence of a disease will increase
when it has a low cure rate
d) Prevalence of a disease will increase
when it is acute in nature
14) What is the appropriate epidemiologic
measure to determine the severity of an
acute disease?
a) Incidence rate
b) Prevalence
c) Mortality rate
d) Case fatality ratio
15) Cumulative incidence is otherwise known as
a) Attack rate
b) Case fatality rate
c) Mortality rate
d) Morbidity rate
16) The healthcare professionals working in an
intensive care unit were asked whether there
has been an increase in the number of new
pneumonia cases. Which of the following
factor(s) is inappropriate in the calculation of
cumulative incidence?
a) Number of new cases of pneumonia
during a specific period of time
b) Total number of people at risk of
developing the disease in that population
during the same period of time
c) Pre-existing cases of pneumonia
d) Both ‘a’ and ‘b’
17) When measuring the frequency for an acute
infectious disease in a community in terms of
incidence per 1000 persons per year and
point prevalence per 1000 persons, how will
the pattern of incidence and prevalence be?
a) High prevalence
b) Low incidence
c) Both prevalence and incidence will be
similar
d) Low prevalence and high incidence
18) Among 25000 population in a city, 105
residents were identified with Hepatitis B
infection. Calculate the prevalence of
Hepatitis B per 1000 population.
a) 5.2
b) 4.2
c) 3.2
d) 2.2
19) Which of the following condition tends to
increase the prevalence of a particular
disease?
a) High cure rate
b) Low case fatality ratio
c) Short duration
d) Emigration of patients
20) Which of the following is true about
incidence density?
a) Numerator has number of new cases
b) Also called cumulative incidence
c) Denominator is number of persons at risk
d) Numerator has person-years at risk
21) In a rural block with 1,00,000 population, 250
residents were identified with cardiovascular
disease. Calculate the prevalence of
cardiovascular disease per 1000 population.
a) 0.2
b) 0.5
c) 2.5
d) 25
22) What is the appropriate epidemiologic
measure to determine the burden of a
disease in terms of number of cases present
13. Assignment 4
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
in a specified geographical area at a specific
point in time?
a) Cumulative Incidence
b) Point Prevalence
c) Incidence rate
d) Case fatality ratio
23) In a study, 300 children were followed up for
a period of one year to determine the burden
of acute respiratory infections (ARI).
Calculate the incidence density if the total
number of ARI episodes recorded was 1500.
a) 5 episodes per child year
b) 0.2 episodes per child year
c) 3 episodes per child year
d) 0.5 episodes per child year
24) A total of 100 people with hypertension were
followed up for 3 years to observe for the
development of myocardial infarction in a
cohort study. At the end of first year, 10
people developed myocardial infarction, at
the end of second year, 10 people left the
study and at the end of third year, another 10
people developed myocardial infarction.
Calculate the total person-years of
observation in this study?
a) 250
b) 260
c) 270
d) 280
25) During a one-year follow-up, a psychiatrist
determined the burden of suicidal ideation
among 100 patients with drug addiction.
Seven patients had previous history of
suicidal ideation and 20 patients developed it
for the first time. What is the incidence of
suicidal ideation in the study population?
a) 7% per year
b) 20% per year
c) 21.5% per year
d) 27 per year
26) In a food poisoning outbreak, 75 people were
affected. Among them, 50 were hospitalized,
and two died. Calculate the case-fatality
ratio.
a) 1.2%
b) 2.7%
c) 4%
d) 8%
27) Which of the following is NOT required for
calculating prevalence of a disease?
a) Pre-existing cases of the disease
b) New cases of the disease
c) Total number of people at risk
d) Total person-time of observation
28) Which of the following condition tends to
reduce the prevalence of a particular
disease?
a) High cure rate
b) Low case fatality ratio
c) Improved case detection rate
d) Immigration of diseased people
29) In which of the following conditions,
prevalence is an appropriate measure of
disease frequency?
a) Common cold episodes in elderly
b) Number of exacerbations in asthma
patients
c) Proportion of foot ulcers in Diabetes
Mellitus
d) Number of diarrhoea episodes in children
30) Which of the following is INCORRECT about
case fatality?
a) It reflects the severity of a disease
b) High case fatality indicates poor
prognosis
c) It relates the number of deaths to the
number of cases of a disease
d) It is a true rate
______________
14. Assignment 5
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. Study design(s) useful for describing
uncommon clinical manifestations
a) Case reports
b) Case series
c) Both 'a' and 'b'
d) Ecological study
2. Cross-sectional studies are used to
a) Estimate prevalence
b) Generate hypotheses
c) Describe trends
d) All of the above
3. In a cross-sectional study, we can observe
one or more outcomes
a) True
b) False
4. Which one of the following is useful to
measure the burden or magnitude of a
disease or risk factor?
a) Case-control study
b) Cross-sectional study
c) Case report
d) Case series
5. Which of the following is wrong about
descriptive study designs?
a) Describe the study outcome for 1
group
b) Compare the study outcomes for 2
group
c) Calculate the incidence for
surveillance data
d) Calculate prevalence for cross-
sectional study
6. Descriptive epidemiology study designs
can answer all of the following questions
EXCEPT:
a) Who?
b) When?
c) Where?
d) Why?
7. Which one of the following study designs
does not employ comparison groups to
answer the primary study objectives?
a) Cross-sectional study
b) Cohort study
c) Ecological study
d) Clinical trials
8. Unit of observation in the cross-sectional
study is
a) Individual
b) Group
c) Both 'a' and 'b'
d) None of the above
9. Case reports can include presentation of
a) Unique features/symptoms of a
disease
b) Rare manifestation of common
disease
c) New or unfamiliar diseases
d) All of the above
10. Advantage of the ecological study is
a) Relate rate of disease and exposure
b) Useful to test hypothesis
c) Useful to study rare diseases
d) All of the above
11. A researcher can assess the following by
conducting a descriptive study EXCEPT
a) Population in which the disease was
prevalent
b) Period in which the disease occurred
c) Risk factors of the disease
d) Place distribution of the disease
12. The following study design provides
group exposure and group
response/outcome without knowing the
individual exposure and response for a
specific health problem
a) Ecological study
b) Cross sectional survey
c) Case report
d) Case series
15. Assignment 5
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
13. Which of the following study design will
be helpful if the department of health
wants to know the burden of a particular
disease?
a) Ecological study
b) Cross sectional survey
c) Case series
d) Case report
14. A clinician comes across an unusual
presentation of a particular neurological
disorder. If the clinician describes this
single case in detail and publishes the
same in a journal, then it will be called
a) Analytical study
b) Case report
c) Cross sectional survey
d) Ecological study
15. The advantage of an ecological study is
that
a) It is analytical in nature
b) It will cover individual level
information on risk factors and
disease
c) It will be useful to test hypotheses
d) It will be useful to generate
hypotheses
16. In a tertiary care hospital, a surgeon
collected information on quality of life
and outcome among a small group of
(about 15) post-operative patients after
using a novel surgical device. But this is
not sufficient to establish the efficacy of
the surgical device because
a) There is no comparison group
b) There is no information of risk factors
c) We do not have details of the
outcome
d) We do not have individual level data
17. Population census is a
a) Cross sectional survey
b) Ecological study
c) Analytical study
d) None of the above
18. One of the major limitations of a cross-
sectional study is that
a) It is time consuming
b) It has lower validity
c) It does not establish disease etiology
d) It requires a large sample size
19. Characteristic of a cross sectional study is
that
a) We can calculate the incidence of a
disease
b) We can test a hypotheses
c) It is difficult to conduct
d) Exposure and outcome are assessed
at the same time
20. If a researcher wishes to estimate the
incidence of Myocardial infarction cases
among a group of women using oral
contraceptive pills followed up for
10year, the researcher has to carry out
a) Case series
b) Cohort study
c) Cross sectional study
d) Ecological study
21. Case series are useful
a) To estimate burden of a disease
b) To determine risk factors of a disease
c) To determine efficacy of a new drug
d) To describe uncommon clinical
manifestation
22. All the following are true about cross-
sectional survey, EXCEPT
a) Individual is the unit of observation
b) Involves only incident cases
c) Estimate the burden of a disease
d) It can be used to generate hypothesis
23. A detailed presentation of a single case
which is rare and unfamiliar, is called
a) Case report
b) Case series
16. Assignment 5
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
c) Ecological study
d) Cross-sectional study
24. Which of the following is INCORRECT
about ecological study?
a) It relates the rate of disease and
frequency of exposure
b) It is an example of observational study
c) It uses individual level data
d) It helps in generating hypothesis
25. Which of the following is NOT applicable
in a case study?
a) Clinical features
b) Laboratory parameters
c) Socio-demographic background
d) Incidence
26. To determine the association between air
pollution and male infertility, data on air
quality index and prevalence of male
infertility was collected for 183 countries
for the year 2019. What best describes
the study?
a) Case report
b) Case series
c) Ecological study
d) Cross-sectional study
27. In a medical journal, 18 cases of
Creutzfeldt Jakob disease were reported
from a tertiary care hospital in Sikkim.
The authors of the paper gave a
description of the socio-demographic,
clinical, and laboratory features of the 18
patients. What best describes this study
design?
a) Case study
b) Case series
c) Case control study
d) Ecological study
28. Which of the following is FALSE about
cross-sectional studies?
a) Can be used to generate hypothesis
b) Can be used to establish temporality
of association
c) Can be used to estimate disease
burden
d) Can be used to identify factors
associated with outcome
29. State whether true or false. Descriptive
cross-sectional study does not have a
comparison group.
a) True
b) False
30. Which of the following studies can be
used to identify the factors associated
with an outcome?
a) Descriptive cross-sectional study
b) Analytical cross-sectional study
c) Case study
d) Case series
__________________
17. Assignment 6
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. Exposure is not assigned by the
investigator in the following study design
a) Cohort
b) Case-control
c) Cross-sectional
d) All of the above
2. Which of the following statement(s) is
true about the cohort study?
a) It is not suitable for disease with a
long latency period
b) Loss to follow up can introduce bias
c) Both 'a' and 'b'
d) None of the above
3. Which of the following study design is
better suited to demonstrate a temporal
association between exposure and
disease?
a) Cross-sectional study
b) Case-control study
c) Cohort study
d) Ecological study
4. Relative risk of more than 1 indicates
a) Incidence in unexposed is higher than
exposed
b) Incidence in exposed and unexposed
are same
c) Incidence in exposed is higher than
unexposed
d) Relative risk is significant
5. If the odds of exposure among cases is
lower than the odds of exposure among
the controls, the odds ratio will be
a) More than 1
b) Less than 1
c) It depends on other factors
d) None of the above
6. All babies born in a particular year will
form a birth cohort
a) True
b) False
7. Cohort study is suitable for rare diseases
a) True
b) False
8. Which of the following is NOT true
regarding case-control study?
i. Appropriate for study of rare
outcome
ii. More time consuming than cohort
study
iii. Multiple exposures can be examined
iv. Relatively expensive compared to
cohort study
a) Both (i) and (ii)
b) Both (ii) and (iii)
c) Both (ii) and (iv)
d) Both (iii) and (iv)
9. What is an appropriate measure of
statistical association in a cohort study?
a) Prevalence ratio
b) Risk ratio
c) Odds ratio
d) Pearson's correlation coefficient
10. The entire population of a given
community is screened and all those
judged as being free of Colon cancer are
questioned extensively about their diet.
These people are then followed-up for
several years to see whether their eating
habits will predict their risk of developing
Colon cancer - This is an example of
a) Case-control study
b) Clinical trial
c) Cross-sectional study
d) Cohort study
11. Exposure is assigned by the investigator in
which of the following epidemiological
study?
a) Case-control
b) Cross-sectional
c) Experimental
d) Cohort
18. Assignment 6
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
12. When a group of people with defined
characteristics are followed up to
determine incidence is known as
a) Case series
b) Cohort
c) Case control
d) Experimental
13. Relative risk is a
a) Rate
b) Ratio
c) Proportion
d) None of the above
14. Relative risk of one in a cohort study
indicates
a) Incidence in unexposed is higher than
exposed
b) Incidence in exposed is higher than
unexposed
c) Relative risk is significant
d) Incidence in the exposed and
unexposed groups are same
15. Women aged above 35 years were
screened for the HPV (Human papilloma
virus) infection and those who had HPV
infection were then followed for several
years to predict the risk of developing
cervical cancer. This study is known as
a) Prospective cohort
b) Retrospective cohort
c) Case control
d) Cross sectional
16. Which of the following is appropriate
regarding a cohort study?
i. Multiple exposures can be
examined
ii. Appropriate for studying rare
exposures
iii. Expensive and time consuming
iv. Appropriate for studying rare
diseases
a) Both (i) and (ii)
b) Both (iii) and (iv)
c) Both (ii) and (iv)
d) Both (ii) and (iii)
17. Which of the following statement
regarding the cohort study is FALSE?
a) Suitable to study a disease with long
latency period
b) Loss to follow up can introduce bias
c) Relative risk can be calculated
d) Temporal association with the risk
factor can be established
18. Odds ratio of more than one indicates
a) Odds of exposure among cases is
lower than the odds of exposure
among the controls
b) Odds of exposure among cases is
equal to the odds of exposure among
the controls
c) Odds of exposure among cases is
higher than the odds of exposure
among the controls
d) Exposure is negatively associated with
the disease
19. If there is a comparison group in an
epidemiological study design, it is called
a) Descriptive
b) Analytical
c) Ecological
d) None of the above
20. Which of the following statements about
case control/cohort studies is correct?
a) Case control study always establishes
temporal association
b) Cohort study establishes temporal
association
c) Cohort has lower level of evidence
than case-control
d) Do case control for rare exposures
and cohort for rare diseases
21. To determine the associated factors of
anti-hypertensive drug compliance, an
19. Assignment 6
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
investigator selected 384 participants
with hypertension who were undergoing
treatment in a tertiary care hospital. The
investigator collected the details on the
socio-economic background of the
participants and took history regarding
the consumption of medicines in the past
two weeks. Then the drug compliant
group and the non-compliant group were
compared to identify factors associated
with drug compliance. What is the type of
the study design?
a) Case control study
b) Prospective cohort study
c) Case study
d) Analytical cross-sectional study
22. A gynaecology resident intends to
determine the association between intra-
uterine device (IUD) use and risk of
extrauterine pregnancy. The investigator
recruited 100 cases of extrauterine
pregnancy and 200 participants who had
intrauterine pregnancy as controls from
the obstetrics ward of a tertiary care
hospital over a period of 2 years. Both
cases and controls were interviewed
about the history of IUD use. Among the
cases, 6 participants had history of IUD
use and among controls, 4 had history of
IUD use. Calculate the odds ratio of
extrauterine pregnancies among women
with history of IUD use?
a) 0.32
b) 1.39
c) 3.12
d) 0.72
23. An investigator conducted a case control
study with psoriasis patients as cases and
other skin disease patients as controls.
Those having hypertension were
considered as exposed and
nonhypertensives as non-exposed. The
study found an odds ratio of 1.45. Which
of the following is correct?
a) Psoriasis is positively associated with
hypertension
b) Odds of hypertension among
psoriasis patients is lower than the
odds of hypertension among patients
without psoriasis
c) Odds of psoriasis among hypertensive
patients is lower than the odds of
psoriasis among non-hypertensives
d) Hypertension is a causative factor of
psoriasis
24. A prospective cohort study was
conducted to determine the association
between coffee consumption and risk of
pancreatitis among 10000 healthy
participants. Among the participants
3500 participants consumed coffee,
whereas 6500 participants did not. After
a follow up of 10 years 85 participants in
the coffee consumption group developed
pancreatitis, whereas among the non-
coffee consumption group 130 in
developed pancreatitis. Calculate the
relative risk of pancreatitis due to coffee
consumption.
a) 0.04
b) 0.85
c) 1.21
d) 1.50
25. All the following are elements of a cohort
study, EXCEPT
a) It involves calculation of incidence
rate
b) It proceeds from exposure to
outcome
c) It involves randomization of
participants
20. Assignment 6
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 4
d) It involves follow-up of the
participants
26. All the following are limitations of a case
control study, EXCEPT
a) It can introduce recall bias
b) Incidence of disease cannot be
determined
c) Selection of appropriate control
group may be difficult
d) It can introduce attrition bias
27. Using medical records from a tertiary care
cancer hospital, a researcher collected
data on occupational exposure and lung
carcinoma on patients admitted between
2000 and 2010. He classified the patients
who had history of working in coal mines
as exposed and others as unexposed. He
then compared the frequency of lung
carcinoma among the exposed and the
unexposed. What best describes the
study design?
a) Case control study
b) Retrospective cohort study
c) Cross-sectional study
d) Analytical cross-sectional study
28. A paediatrician recruited 120 children
with Crohn’s disease and their matched
sibling controls. The researcher collected
history of exclusive breastfeeding (EBF)
from the mothers. Presence/ absence of
EBF was compared between the diseased
and the non-diseased children. Identify
the study design in this research?
a) Case series
b) Cross-sectional study
c) Case control study
d) Cohort study
29. Which of the following is INCORRECT
about selection of cases in case control
study?
a) Cases are study participants who had
the disease in the source population
b) Selection of cases should be based on
the exposure status
c) Inclusion of prevalent cases can save
time and money
d) Inclusion of prevalent cases may
introduce survivor bias
30. A multicentric study was conducted to
determine the association between
diabetes and cataract. The investigators
recruited 1000 diabetics and 2500 non-
diabetics. The participants were
examined to exclude presence of cataract
at the time of recruitment. They were
followed once yearly for 10 years to
document the development of cataract.
The study found that the incidence of
cataract among diabetics was more when
compared with the non-diabetics.
Identify the study design in this study?
a) Cross-sectional study
b) Case control study
c) Prospective cohort study
d) Experimental study
----------------
21. Assignment 7
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. One of the cornerstones of the randomized
controlled trials is
a) Recruitment
b) Randomization
c) Blinding
d) Placebo
2. Randomized clinical trials can be best
described as
a) Experimental studies
b) Analytic studies
c) Descriptive studies
d) Observational studies
3. Which of the following is/are true in a
clinical trial?
a) Sample size determination
b) Approval from regulatory authority
c) Agreement between the investigators
and sponsors
d) All of the above
4. A pharmacologically inactive agent that
investigators administer to participants in
the control group of a trial
a) Comparator drug
b) Placebo
c) Conjugate
d) Drug under investigation
5. Key methodological components of a
Randomized Controlled Trials are
a) Use of a control to which the
experimental intervention is compared
b) Random assignment of participants to
intervention
c) Taking informed consent from all study
participants
d) All of the above
6. Double-blinding in a clinical trial involves
a) Participants before and after study
b) Participants and investigators
c) Investigators and analysts
d) Participants and analysis
7. The purpose of a double-blinding in a clinical
trial is to
a) Achieve comparability of all arms of a
clinical trial
b) Avoid observer and participant bias
c) Avoid observer bias and sampling
variation
d) Avoid subject bias and sampling
variation
8. What is the purpose of randomization in a
clinical trial?
a) Get better power for data analysis
b) Generalizing the study findings to the
population which is not studied
c) Achieve balance in baseline
characteristics
d) Guarantee that the statistical tests have
valid significance levels
9. Which phase of a clinical trial is referred to
as post-marketing surveillance?
a) Phase 1
b) Phase 2
c) Phase 3
d) Phase 4
10. Long-term adverse effects and efficacy of a
new drug can be tested in which of the
following phases of a clinical trial?
a) Phase 1
b) Phase 2
c) Phase 3
d) Phase 4
11. Which of the following is incorrect in case of
a clinical trial?
a) All clinical trials must be blinded
b) Randomization is a critically important
step in a clinical trial
c) All clinical trials must be approved by
Institutional Ethics Committee before
initiation
d) It is mandatory to register clinical trials
with Clinical Trials Registry of India
22. Assignment 7
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
12. Which of the following procedures ensure
safety of the clinical trial participants?
a. Adverse events reporting
b. Serious adverse events reporting
c. Periodic follow-up
d. Review by Data Safety Monitoring Board
1) 'a', 'b', 'c', and 'd'
2) 'a', 'b' and 'd'
13. All the following correctly describe a clinical
trial, except
a) It has all advantages of a cohort study
b) It is possible to analyze the confounders
c) Loss to follow up of study participants
does not affect the study outcome
d) Appropriate implemented informed
consent procedure as well as long-term
care and support to trial participants help
to overcome several ethical concerns
14. Which of the following can be considered as
an advantage of a double blinding in a
randomized controlled trial?
a) Equally distributes known and unknown
confounders in experiment and control
arm
b) Ensures that participants adhere to the
protocol
c) Gives benefits of an intervention to
some of the study participants
d) Prevent bias that arises from
researchers being able to influence the
data due to knowledge of allocated
groups
15. Biased outcome ascertainment results from:
a) Participants reporting symptoms or
outcomes differently
b) Investigators eliciting symptoms or
outcomes following a standardized
technique
c) None of the above
d) Both "a" and "b"
16. In a clinical trial, what is the main purpose of
randomization?
a) To get more power for data analysis
b) To reduce investigator bias
c) To get groups with comparable baseline
characteristics
d) To ensure optimum number of
participants in each trial arm
17. Which of the following can eliminate the
problem of Co-intervention?
a) Random sampling
b) Allocation concealment
c) Informed consent
d) Blinding
18. Which of the following is not true in case of
a clinical trial?
a) Clinical trials are planned experiments
designed to assess the efficacy of an
intervention
b) Clinical trials usually involve comparing
the outcomes in two or more groups of
individuals
c) Clinical trials are usually free from
selection bias
d) Clinical trials are usually prospective in
nature
19. Which of the following trials assesses
effectiveness of a new vaccine?
a) Phase 1 trial done in healthy volunteers
b) Phase 2 trial done in a susceptible
population
c) Phase 3 trial done in healthy volunteers
d) Phase 3 trial done in a susceptible
population
20. Which of the following is not true about a
randomized control trial?
a) Baseline characteristics of intervention
and control groups must be similar
b) Investigator bias can be minimized by
double blinding
23. Assignment 7
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
c) The sample size depends on the
hypothesis being tested
d) Drop outs should be excluded from the
analysis
21. State whether true or false. In a randomized
controlled trial, the investigator is unaware
of the sequence of allocation of the
participants to one of the study arms before
and until the assignment is complete. This
process is known as allocation concealment.
a) True
b) False
22. Which of the following is NOT a feature of
randomized controlled trials?
a) Simple random sampling
b) Randomization
c) Allocation concealment
d) Blinding
23. A research group from a medical college in
Lucknow conducted a study to assess the
efficacy of a new herbal medicine for the
prevention of pneumonia in elderly. What
type of randomized controlled trial is this
study?
a) Screening RCT
b) Diagnostic RCT
c) Therapeutic RCT
d) Prophylactic RCT
24. In which type of population is a phase-I
vaccine trial conducted?
a) Healthy volunteers
b) High risk group
c) Diseased population
d) Laboratory animals
25. State whether true or false. Randomization is
a process, where the participants have an
equal chance of being assigned to any one of
the study groups.
a) True
b) False
26. Which of the following is NOT an advantage
of randomized controlled trials?
a) Provides high quality evidence
b) Controls for selection and confounding
bias
c) Establishes temporality of association
d) Entails minimal ethical issues
27. Post-marketing surveillance is done in which
of the clinical trial phases?
a) Phase 1
b) Phase 2
c) Phase 3
d) Phase 4
28. State whether true or false. Randomized
controlled trials are retrospective in nature.
a) True
b) False
29. In a clinical trial conducted by the
Orthopaedic department of a medical college
in Bhubaneshwar, the investigators
compared the wound healing time between
conventional suturing technique and stapling
technique for open fractures. The
investigators, patients and data analysts
were aware about the treatment assignment.
What best describes this study design?
a) Open-label RCT
b) Single blind RCT
c) Double blind RCT
d) Triple blind RCT
30. Blinding in a randomized controlled trial
addresses which of the following biases?
a) Ascertainment bias
b) Recall bias
c) Volunteer bias
d) Attrition bias
---------------
24. Assignment 8
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. Obtaining an estimate that is generalizable to
relevant study population in a research study
is
a) External validity
b) Internal validity
c) Bias
d) Confounding
2. Any process that tends to produce results
that depart systematically from true values in
a research study
a) Chance
b) Bias
c) Random error
d) Effect Modification
3. Systematic selection of more number of
expose participants with the higher risk of
outcome in a cohort study will result in
a) Selection bias
b) Information bias
c) Confounding
d) Random error
4. The effect of the exposure of interest on the
outcome is distorted because of the effect of
extraneous factors that are related to both
the exposure and outcome. This
phenomenon is called
a) Correlation effect
b) Confounding
c) Recall bias
d) Measurement error
5. Biases can occur during which stage of
research study?
a) Study design
b) Study implementation
c) Data analysis
d) At any of the above stages
6. All are true regarding measures to reduce
information bias, EXCEPT
a) Precise operational definitions of all
variables
b) Detailed measurement protocols
c) Adequate sample size
d) Training, Certification and re-certification
of data collectors
7. Variability in estimation due to
unknown/uncontrollable factors
a) Chance
b) Bias
c) Confounding
d) Effect modification
8. All are true regarding confounding in an
epidemiological study, EXCEPT
a) May simulate an association that does
not exist
b) May increase or decrease the strength of
association
c) May not reveal an association that does
exist
d) Always change the direction of effect
9. The method which can used to alleviate
confounding during data analysis in an
epidemiological study
a) Multivariate analysis
b) Restriction
c) Matching
d) Randomization
10. To reduce selection bias in case-control
studies, all of the following are true EXCEPT
a) Use population based design
b) Apply different eligibility criteria for
selecting cases and controls
c) Both cases and controls undergo the
same diagnostic procedures
d) Avoid hospital based design
11. Obtaining an accurate estimate of disease
frequency and effect of exposure on health
outcomes in study population pertains to
a) External Validity
b) Internal Validity
c) Bias
d) Confounding
25. Assignment 8
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
12. Blinding in an epidemiological study is a way
to deal with
a) Chance
b) Selection Bias
c) Information Bias
d) Sampling Error
13. Better recall of exposure only among the
cases in a case control study can result in
a) Information bias
b) Confounding
c) Investigator bias
d) Selection bias
14. The ability of a tool to correctly measure
what it is supposed to measure is called as
a) Precision
b) Validity
c) Reliability
d) Consistency
15. Bias may distort the association between
exposure and outcome among the study
participants
a) True
b) False
16. A case control study was conducted to know
the effect of smoking on lung cancer among
hospitalized patients. The controls were
recruited from patients admitted to the
respiratory ward for other conditions. What
type of bias will be introduced by virtue of
recruiting controls from the hospital who are
potentially different from the general
population?
a) Selection bias
b) Information bias
c) Confounding
d) Random error
17. A researcher studied the effect of coffee
drinking on Myocardial Infarction. The effect
of coffee drinking on Myocardial Infarction
was distorted because of the presence of a
third factor, ie. smoking. This phenomenon is
called as
a) Correlation effect
b) Confounding
c) Recall bias
d) Measurement error
18. Which of the following method is used to
address for known confounders at the
designing stage of a study
a) Matching
b) Regression
c) Stratification
d) Adjusted analysis
19. Systematic distortion of the truth by study
subjects is called as
a) Plagiarism
b) Chance
c) Confounding
d) Prevarication
20. Crude association in the presence of a
confounder is the actual causal association
a) True
b) False
21. Which of the following is the best method of
ensuring that the experimental and control
arms in an experimental study are similar
with regard to known and unknown
confounders at the planning stage?
a) Matching
b) Randomization
c) Stratification
d) Multivariate analysis
22. When the study finding is generalizable to the
target population, then it is
a) Internally valid
b) Reliable
c) Accurate
d) Externally valid
23. Which of the following can introduce
selection bias in a case control study?
26. Assignment 8
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
a) Differential recall about exposure by the
cases
b) Collecting data differently from the
exposed and unexposed
c) Inclusion of controls not representative
of the target population
d) Systematic distortion of the truth by the
study participants
24. Which of the following is TRUE about
information bias in a cohort study?
a) It is caused by higher attrition rate among
the exposed group
b) It can be caused by selecting controls
from the community
c) It can be avoided by uniform outcome
ascertainment
d) It can be minimised by reducing loss to
follow-up
25. Which of the following is NOT a systematic
error in an epidemiological study?
a) Random error
b) Confounding
c) Selection bias
d) Information bias
26. Which of the following measure is related to
ensuring the internal validity of a study?
a) Using a validated study questionnaire to
assess outcomes
b) Including an adequate number of study
participants
c) Complying strictly with the study protocol
d) All the above
27. Which of the following is FALSE about
confounding in epidemiological studies?
a) Confounding may simulate an association
when it does not exist
b) Confounding does not increase or
decrease the strength of the association
c) Confounding may hide an association that
exists
d) Confounding may change the direction of
an exposure-outcome association
28. Systematic collection of data by an
investigator supporting an expected
conclusion in an epidemiological study may
result in
a) Confounding
b) Information bias
c) Selection bias
d) Random error
29. Which of the following is NOT a method of
dealing with confounding during the design
stage?
a) Restriction
b) Stratification
c) Matching
d) Randomization
30. A cohort study was conducted to examine the
association between obesity and
cardiovascular disease. During analysis,
gender was suspected to be a confounder.
Which of the following methods will help in
examining the confounding effect due to
gender?
a) Matching
b) Restriction
c) Randomization
d) Multivariate regression
-------------------------
27. Assignment 9
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. Which methods in qualitative research use
flexible interview guide?
a) In depth Interviews and participant
observation
b) Focus Group Discussions and In-depth
interviews
c) Participant Observation and focus group
discussions
d) Structure interviews and surveys
2. Which of the following study designs can be
used as a tool a generate ideas/hypotheses?
a) Qualitative study
b) Case-control study
c) Experimental study
d) Cohort study
3. The qualitative data analysis method in
which investigators code text into categories
and build theoretical models
a) Content analysis
b) Grounded theory
c) Schema analysis
d) Hermeneutics
4. Open-ended, one-to-one interviews to
discover interviewee's own framework of
meanings
a) In-depth Interviews
b) Focus Group Discussions
c) Participant observation
d) Structured interviews
5. Audio recordings during Focus Group
Discussions
a) Can be done without any prior informed
written consent
b) Cannot be done
c) Should always be done
d) Can be done with prior informed consent
6. All of the following are situations in which
qualitative research methods can be used,
EXCEPT
a) Familiar and sufficiently researched
matter
b) To seek the depth of understanding
c) Exploration of behaviors
d) View the social phenomenon holistically
7. The main methods used in qualitative
research method include all EXCEPT
a) In-depth Interviews
b) Focus Group Discussions
c) Participant observation
d) Structured questionnaire based
interviews
8. The observer becomes a part of the group or
event in this method of qualitative study
a) In-depth Interviews
b) Focus Group Discussions
c) Participant observation
d) Structured interviews
9. All the statements regarding Participant
Observation is true EXCEPT
a) Observer becomes a part of the
event/group
b) Systematic collection of data is easy
c) Analytic methods for observation are not
well described
d) Data is very detailed
10. The qualitative data analysis method which
uses theoretical framework as the basis for
analysis
a) Content analysis
b) Grounded theory
c) Schema Analysis
d) Hermeneutics
11. Which of the following are characteristics of
qualitative research methods?
a) Objective, measurable, reliable and
repeatable
b) Subjective, measurable, credible and
repeatable
c) Subjective, credible, inductive and
interpretation of responses
d) Objective, credible, inductive and
interpretation of responses
28. Assignment 9
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
12. The research method which is best suited for
collection of information regarding highly
sensitive matters such as alcohol use
a) Focus Group Discussions
b) Participant Observation
c) In-Depth Interview
d) Group discussions
13. Which of the following is not the utility of
qualitative research
a) To provide insight to why people behave
in a certain way
b) To estimate the prevalence of disease
c) To help understand the results of a
quantitative study
d) For developing a questionnaire
14. Which of the following statement is true
regarding Participant Observation
a) Observer becomes a part of the
event/group
b) Systematic collection of data is easy
c) Analytic methods for observation are well
described
d) Data is brief as compared to in-depth
interviews
15. Open ended group interviews that promotes
discussion among participants is called as
a) In depth Interviews
b) Focus Group Discussions
c) Participant Observation
d) Structured interviews
16. A researcher decided to conduct a study to
explore the child feeding practices among
mothers of under five children in a
community. Which of the following
qualitative techniques can the researcher
employ to gather wide range of information
on the topic in a short span of time?
a) Structured interview
b) In depth Interview
c) Participant Observation
d) Focus Group Discussion
17. In qualitative research, researchers interpret
the social reality from the participants’ point
of view.
a) True
b) False
18. Which of the following statements is
“Incorrect” about in-depth interviews?
a) Findings are always generalizable
b) The transcripts are time consuming to
analyze
c) Helps understand sensitive issues
d) Useful when participants are
knowledgeable on a particular topic
19. Which of the following statement is “False”
about focus group discussion.
a) Focus group discussions help understand
local terminologies
b) Group interaction is integral for an
effective discussion
c) Heterogeneity of the group is a pre-
requisite
d) Audio and video recordings are done with
prior consent
20. Triangulation is the use of multiple methods,
multiple theories and or multiple sources for
a comprehensive understanding of the topic
in question
a) True
b) False
21. Which of the following characteristics is NOT
related to qualitative research data?
a) Subjective validity
b) Data is in text form
c) Hypothesis testing is a goal
d) It involves interpretation of responses
22. Which of the following CANNOT be done
using qualitative research?
a) Viewing a social phenomenon holistically
b) Estimating the burden of a disease
c) Seeking in-depth understanding of a
phenomenon
29. Assignment 9
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
d) Unfamiliar subject matter
23. A researcher wants to estimate the
prevalence of exclusive breast feeding in a
remote tribal population. She also wants to
understand the myths and taboos
associated with breast feeding. Which of the
following approaches can be employed in
this scenario?
a) Qualitative study
b) Clinical trial
c) Mixed-methods study
d) Cross-sectional study
24. Which of the following is NOT a data
collection method used in qualitative
research?
a) Interviews
b) Sociogram
c) Participant observation
d) Focus group discussion
25. Which of the following is NOT a feature of
‘In-depth interviews’?
a) It involves two or more participants at a
time
b) It follows an interview guide
c) It is suitable for a highly sensitive topic
d) It obtains rich contextualized information
26. Which of the following is an advantage of
conducting ‘in-depth interviews’?
a) It expresses the ‘Emic’ perspective
b) It is generalizable
c) It is a quick process
d) It uses a systematic sampling approach
27. State whether true or false. In a focus group
discussion, it is easy to obtain personal
behaviors on a sensitive issue
a) True
b) False
28. Which of the following is TRUE regarding
‘participant observation’ method?
a) It is easy to analyze the data
b) The researcher himself becomes a part
of the study group
c) Data obtained is very concise
d) The researcher interviews each
participant in detail
29. State whether true or false. Data obtained
from Focus Group Discussion may be
sensitive to biased analysis.
a) True
b) False
30. The analytical approach where the
researcher proceeds to develop a theory
based on learnings obtained from the data is
called
a) Grounded theory analysis
b) Content analysis
c) Schema analysis
d) Factor analysis
------------------
30. Assignment 10
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. In a study on hypertension, patients are
categorized based on their systolic blood
pressure as normal, pre-hypertension, stage
1 hypertension and stage 2 hypertension.
What type of variable is this?
a) Qualitative
b) Descriptive
c) Nominal
d) Ordinal
2. Most commonly used measure of central
tendency is
a) Mode
b) Median
c) Mean
d) Range
3. First quartile (Q1) is equivalent to
__________ percentile
a) 25th
b) 50th
c) 75th
d) 1st
4. Find the median in the following sample of
observations: 12, 26, 10, 29, 48
a) 29
b) 48
c) 26
d) 25
5. The following measure is not influenced by
extreme values in a data set
a) Arithmetic Mean
b) Inter-quartile range
c) Range
d) 'b' and 'c'
6. Which of the following statistic does not
belong with the others?
a) Range
b) Variance
c) Mode
d) Standard deviation
7. 'Number of children per household' is an
example of a continuous variable
a) True
b) False
8. In a study, researchers are interested in
measuring the cholesterol levels of
participants. Cholesterol level is a ________
variable
a) Ordinal
b) Nominal
c) Continuous
d) Discrete
9. In the following set of data, what is the
mean? 4,1,9,7,3,8,2,6
a) 5
b) 4.5
c) 9
d) 8
10. Difference between the minimum value and
the maximum value of the observations
a) Variance
b) Inter-quartile range
c) Range
d) Standard Deviation
11. All the following are measures of dispersion
except
a) Mean
b) Variance
c) Standard deviation
d) Range
12. Which percentile is equivalent to the
median?
a) 25
b) 50
c) 75
d) 100
13. All the following are true for standard
deviation (SD) EXCEPT
a) It is the square root of the average of the
squared deviations of the observations
from the arithmetic mean
b) It is the most important measure of
dispersion
31. Assignment 10
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
c) It is expressed in the same units of
measurement as the observation
d) The square of the standard deviation is
called mean deviation
14. A researcher measures fasting blood level of
glucose of 100 participants. The mean blood
sugar level was measured as 110 mg/dl. The
standard deviation was 11 mg/dl. Calculate
the coefficient of variance.
a) 20%
b) 14%
c) 10%
d) 25%
15. A researcher measures the height of 100
school going children for his study. What type
of variable is ‘height’?
a) Nominal
b) Ordinal
c) Continuous
d) Discrete
16. A chest physician observed the distribution of
forced expiratory volume (FEV) in 100
Chronic Obstructive Pulmonary disease
(COPD) patients and calculated a median
value of 2.0 litres. The value of first and third
quartile of the distribution was 1.5 litres and
3.0 litres respectively. Based on this data how
many patients in the sample are expected to
have a FEV between 1.5 and 3.0 litres?
a) 100
b) 50
c) 25
d) 75
17. The average of the absolute deviations of the
observations from the arithmetic mean is
known as
a) Variance
b) Inter-quartile range
c) Mean deviation
d) Standard deviation
18. In a study, a researcher was interested in
measuring the hemoglobin levels of 10
participants. The values are 10.0, 8.5, 12.0,
14.0, 11.5, 13.5, 9.0, 12.0, 11.3, 7.5. What is
the mode of this distribution?
a) 7.5
b) 12.0
c) 10.9
d) 14.0
19. All the following are examples of a nominal
variable EXCEPT
a) Gender
b) Age
c) Place of residence
d) Colour of eyes
20. Which of the following is true about inter-
quartile range?
a) It describes the middle value of the
distribution
b) It divides the distribution into two halves
c) It covers the middle 50% of observations
d) It is affected by the extreme values in the
distribution
21. When the data set contains too many
extreme values, the most representative
average value is
a) Mean
b) Mode
c) Median
d) Variance
22. The age of ten pregnant women who visited
an ANC clinic is given. What is the mean age
of this group? (26, 31, 25, 26, 30, 27, 25, 32,
25 and 33 years).
a) 45
b) 28
c) 25
d) 32
23. Which of the following is a relative measure
of dispersion when comparing variables
which are measured in different units?
32. Assignment 10
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
a) Inter-quartile range
b) Coefficient of variation
c) Range
d) Standard deviation
24. The following scores were obtained by ten
medical students in a quiz: (5, 3, 6, 8, 7, 8, 3,
11, 6, 3) What is the median score of this
group?
a) 3
b) 6
c) 8
d) 11
25. ‘Height of the students in a particular class
measured in centimeter’ is an example of a
continuous variable
a) True
b) False
26. What is the appropriate measure of
dispersion to report when median is reported
as the measure of central tendency for a
given set of data?
a) Standard deviation
b) Inter-quartile range
c) Variance
d) Coefficient of variance
27. In the NCD clinic of a primary health Centre,
fasting blood sugar (in g/dL) of 11 patients
was measured. The following values were
obtained - (85, 93, 104, 108, 105, 120, 129,
202, 160, 400, 410). What is the most
appropriate measure of central tendency for
this data?
a) Mean = 120
b) Median = 120
c) Mean = 174.1
d) Median = 174.1
28. Which of the following about ‘Range’ is
TRUE?
a) It indicates the way in which values
cluster about a particular point
b) It gives the number of observations
bearing the same value
c) It is the difference between the
minimum and maximum value
d) It shows the degree to which the mean
value differs from its expected value.
29. In a survey, socio-economic status (SES) was
collected in the following manner – ‘Lower,
Lower Middle, Upper Middle and Upper’.
What type of variable is SES?
a) Ordinal
b) Nominal
c) Continuous
d) Discrete
30. Body weights of 11 children who attended a
pediatric OPD was measured. For this group,
the first quartile, median, mean and third
quartile were 8.5, 12, 11.9 and 16,
respectively. Calculate the Interquartile
Range.
a) 3.5
b) 7.5
c) 0.1
d) 24.5
-----------------------------
33. Assignment 11
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. The process by which some members of a
population are selected as representative of
the entire population is known as
a) Census
b) Sampling
c) Survey
d) Randomization
2. Sampling based upon equal chance of
selection is called
a) Stratified random sampling
b) Simple random sampling
c) Systematic sampling
d) Subjective sampling
3. A researcher wishing to draw a sample from
sequentially numbered houses uses a
random starting point and then selects every
6th houses, s/he has thus drawn a ________
sample
a) Sequential
b) Systematic
c) Simple random
d) Stratified
4. The following statement is correct regarding
sampling error
a) Sampling error is difficult to measure in
simple random sampling
b) Sampling error is easy to measure in
stratified sampling
c) The magnitude of error can be measured
in non-probability samples
d) The magnitude of error can be measured
in probability samples
5. The only sampling method allows to draw
valid conclusions about the population is
a) Non-probability sampling
b) Convenience sampling
c) Probability sampling
d) Subjective sampling
6. All the following are true regarding cluster
sampling EXCEPT
a) It needs a complete list of units
b) The sampling unit is group of subjects
c) Sampling error is difficult to measure
d) Resources required are less
7. Methods used in probability samples are
a) Stratified sampling
b) Multi-stage sampling
c) Cluster sampling
d) All of the above
8. All the following statements are true
regarding simple random sampling EXCEPT
a) Sampling error is easily measurable
b) It needs a complete list of all units
c) It ensures equal chance of selection for
each unit
d) It always achieves best
representativeness
9. People who volunteer or who can be easily
recruited are used in a sampling method
called
a) Cluster sampling
b) Multi-stage sampling
c) Convenience sampling
d) Systematic sampling
10. Based on the number of cigarettes per day, a
researcher divides the population into three
risk groups for lung cancer (low, moderate,
high risk). If the researcher then draws a
random sample from each of these risk
groups independently, s/he has created a
_________ sample
a) Systematic
b) Simple random
c) Stratified
d) Group data
11. All the following are non-probability sampling
methods EXCEPT
a) Convenience sampling
b) Snowball sampling
c) Quota sampling
d) Systematic sampling
34. Assignment 11
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
12. In a study to measure the prevalence of
fluorosis in a district, towns are sampled first.
This is followed by a sample of wards within
the selected towns, and finally a sample of
households within the selected wards. What
is the type of the sampling used here?
a) Multistage sampling
b) Systematic random sampling
c) Simple random sampling
d) Convenience sampling
13. The magnitude of sampling error can be
measured in probability sampling.
a) True
b) False
14. All the following statements are true
regarding stratified sampling EXCEPT
a) It classifies population into homogeneous
subgroups
b) The probability of a participant being
selected is unknown
c) The sampling error is difficult to measure
d) It allows inclusion of representative
participants from all subgroups
15. Which of the following is true about non-
probability sampling?
a) It removes the possibility of bias in
selection of participants
b) Sampling error can be measured
c) Quota sampling is a type of non-
probability sampling
d) Inferences drawn from non-probability
sampling can be generalized
16. Random sampling in probability samples
reduces the possibility of selection bias
a) True
b) False
17. Which of the following statement is true
regarding systematic random sampling?
a) Sampling error cannot be measured
b) The chance of selection for each sampling
unit is unknown
c) The selected sampling units are likely to
be more representative than simple
random sampling
d) It is a type of non-probability sampling
18. A researcher planned a cross-sectional study
to assess the level of satisfaction of patients
attending a clinic. For this, the researcher
selected the first 100 patients who visited the
clinic starting from a fixed date. What is the
type of the sampling mentioned in this case?
a) Snowball sampling
b) Purposive sampling
c) Simple random sampling
d) Stratified random sampling
19. The list of all individuals in the study
population from whom study participants in
a research are to be selected is known as
a) Sampling frame
b) Study population
c) Sampling unit
d) Study sample
20. Which of the following is an advantage of
multistage sampling?
a) Sampling error is easy to measure
b) It does not require a complete list of the
total population
c) It requires only one sampling list
d) It always achieve the best representative
sample
21. Which of the following sampling method
ensures that valid conclusions can be drawn
about different subgroups in a population?
a) Simple random sample
b) Systematic random sample
c) Stratified random sample
d) Cluster random sample
22. Which of the following about simple random
sampling method is FALSE?
a) It needs a complete list of the units in the
target population
35. Assignment 11
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
b) Purposive sampling is a type of simple
random sample
c) It draws units from the target population
randomly
d) It gives equal chance of selection to every
unit in the target population
23. Sampling achieves
a) Efficient utilization of resources
b) Elimination of random error
c) Low non-response rate
d) Complete enumeration of population
24. In simple random sampling, the probability of
selection of each individual is
a) Unequal
b) Equal
c) Unknown
d) One
25. Which one of the following biases is
prevented by an appropriate sampling
technique?
a) Volunteer bias
b) Interviewer’s bias
c) Social desirability bias
d) Recall bias
26. In a neighborhood with 5000 houses, a
researcher wants to obtain a systematic
random sample of 50 houses. What will be
the sampling interval in this case?
a) 1000
b) 100
c) 0.1
d) 0.01
27. Which one of the following statement about
cluster sampling is FALSE?
a) Units within a cluster are heterogeneous
b) Sampling frame of the entire study area is
not required
c) Variability between clusters is assumed
to be high
d) Sampling error is difficult to measure
28. Which one of the following statements about
multistage sampling is TRUE?
a) It saves resources as compared to simple
random sampling
b) It requires a complete listing of the entire
population
c) It’s sampling error can be easily measured
d) It is not suitable for sampling from a large
population
29. Which one of the following about stratified
random sampling is FALSE?
a) Units within a strata are homogenous
b) Sample is taken from every strata
c) Precision improves with low numbers
sampled in each stratum
d) Stratum specific estimates are weighted
to obtain the overall estimate
30. State whether True or False: Commonly used
statistical inferences have the assumption of
a probability sample.
a) True
b) False
-------------------------
36. Assignment 12
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. Statistical power is defined as the probability
of
a) Accepting a null hypothesis when it is
false
b) Rejecting a null hypothesis when it is true
c) Rejecting a null hypothesis when it is
false
d) Failing to reject a null hypothesis when it
is false
2. Steps in the estimation of sample size
included all of the following EXCEPT
a) Identify major study variable
b) Decide on the desired precision of the
estimate
c) Adjust for population size
d) Adjust for selection bias
3. A type-II error occurs when
a) The null hypothesis is rejected when it is
false
b) The null hypothesis is not rejected when
it is false
c) The null hypothesis is not rejected when
it is true
d) The null hypothesis is rejected when it is
true
4. Exact calculation of design effect for a study
parameter can take place you after study
completion
a) True
b) False
5. Population variance can be estimated from
a) A pilot study
b) Reports of previous studies
c) Guessing
d) 'a' and 'b'
6. The recommended minimum level of power
for an analytical study
a) 5%
b) 95%
c) 80%
d) 0.05%
7. In general, sample size formula takes into
account the crude association between
exposure and outcome as well as the
confounders
a) True
b) False
8. Design effect of 'more than 1' needs to be
considered in studies involving
a) Cluster sampling
b) Simple random sampling
c) Stratified random sampling
d) Non-probability sampling
9. Which of the following is necessary in sample
size determination?
a) Desired confidence level
b) Desired precision
c) Magnitude of the population variance
d) All of the above
10. Which one of the following statements is
false?
a) Design effect is a relative change in the
variance due to use of clusters
b) As the magnitude of the expected effect
increases, the required sample size
increases
c) The population variance is unknown in
general and has to be estimated
d) Larger the sample size, smaller the
sampling error
11. A type-I error occurs when
a) The null hypothesis is rejected when it is
false
b) The null hypothesis is not rejected when
it is false
c) The null hypothesis is not rejected when
it is true
d) The null hypothesis is rejected when it is
true
12. Which of the following is true about β error?
a) It is the probability of correctly rejecting
the null hypothesis when it is false
37. Assignment 12
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
b) It is the probability of accepting the null
hypothesis when it is false
c) It is the probability of rejecting the null
hypothesis when it is true
d) It is the probability of making a Type I
error
13. All the following are essential statistical
considerations for sample size calculation
EXCEPT
a) Desired precision
b) Anticipated proportion of factor of
interest
c) Sampling method
d) Allocated budget
14. For each confounder/variable added in the
study empirically 10% increase in the sample
size should be made.
a) True
b) False
15. The design effect should be calculated after
completion of the study and it, need not be
counted at the design stage.
a) True
b) False
16. When estimating sample size for a cross-
sectional study, we need to account for
a) Expected proportion of characteristic of
interest
b) Estimated design effect, in case of cluster
sampling
c) Population size
d) All the above
17. The power of a study
a) Does not influence the sample size
b) Represented as ‘α’
c) Can be defined as the probability of
correctly rejecting null hypothesis when
it is false
d) Represented as the probability of making
a Type I error
18. The following are needed to calculate sample
size for analytical studies using simple
random sampling method EXCEPT
a) Desired value for the probability of α
b) Magnitude of the expected effect based
on previous studies
c) Desired value for the probability of β
d) Estimated design effect
19. A researcher wants to estimate the
prevalence of surgical site infection following
cesarean section at a tertiary care hospital.
What would be the minimum number of
sample size to estimate the magnitude of
surgical site infection following cesarean
section if it is estimated that the proportion
of surgical site infection will be 10% in the
hospital considering 5% absolute precision
and 95% confidence level (Z α/2 = 1.96).
a) 100
b) 138
c) 148
d) 158
20. Precision is described as a measure of how
close an estimate is to the true value of a
population parameter.
a) True
b) False
21. In a cross-sectional study, a group of
researchers wanted to estimate the
prevalence of cephalosporin-resistant E.coli
among adult males with urinary tract
infections. From previous literature, the
prevalence was found to be 6.5%. If the
researchers want to estimate the prevalence
with a 20% relative precision and 95%
significance level, what is the minimum
sample size required?
a) 1042
b) 1381
c) 6
d) 600
38. Assignment 12
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
22. Which of the following factors is NOT
essential for calculating sample size for a
single mean estimation?
a) Need for statistical significance
b) Assumptions about population standard
deviation
c) Precision
d) Significance level
23. Adjustments to a calculated sample size need
NOT be done for which of the following
reasons?
a) Non-response rate
b) Finite population size
c) Cluster design
d) Hospital-based study
24. State whether true or false. A pilot study can
be conducted to get an estimate of the
expected prevalence of the disease being
studied to calculate the minimum required
sample size.
a) True
b) False
25. A cross-sectional study aims to estimate the
prevalence of Hydatid liver disease among
patients undergoing Ultrasonography in a
tertiary care hospital. Which of the following
is NOT required for calculating the minimum
required sample size for this objective?
a) Significance level
b) Assumed prevalence
c) Precision
d) Population variance
26. What is Type I error?
a) The probability of accepting the null
hypothesis when it is false
b) The probability of rejecting the null
hypothesis when it is true
c) The probability of rejecting the null
hypothesis when it is false
d) The probability of accepting the null
hypothesis when it is true
27. Ability of a study to detect correctly the
presence of an association is known as
a) Precision
b) Power
c) Confidence
d) Significance
28. Standard deviation of a sampling distribution
is called systematic error
a) True
b) False
29. Design effect is considered for which of the
following sampling strategy?
a) Cluster sampling
b) Simple random sampling
c) Stratified random sampling
d) Non-probability sampling
30. In a hospital based cross-sectional study, it is
planned to estimate the mean D-dimer level
among COVID-19 patients. From previous
literature, the standard deviation was found
to be 200 ng/mL. If the researchers want to
estimate the mean with a 50 ng/mL precision
and 95% significance level, what is the
minimum sample size required?
a) 62
b) 16
c) 31
d) 248
--------------------------
39. Assignment 13
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. Selection of study participants depends on
a) Representativeness
b) Acceptable cost
c) Adequate size
d) All of the above
2. Target population is determined by
a) Demographic characteristics
b) Temporal characteristics
c) Clinical characteristics
d) 'a' and 'c'
3. Study sample is a subset of accessible
population
a) True
b) False
4. Representativeness of a study sample refers to
a) The extent to which the characteristics of
the sample accurately reflect the
characteristics of the population
b) The size of the sample which is large
enough
c) Volunteering nature of the subjects from
the population
d) The extent to which the characteristics of
exposed population accurately reflect the
characteristics of unexposed sample
5. Non-response in a study can be minimized by
a) Repeat contact of the study participants
b) Providing compensation for participants
time
c) Less invasive and less sensitive
questionnaires
d) All of the above
6. External validity means
a) The degree to which the inferences drawn
from a study can be generalized to a
broader population beyond the study
population
b) The degree to which the observed findings
lead to correct inferences about
phenomena taking place in the study
sample
c) The degree to which a test actually
measures what it is designed to measure
d) The degree to which the findings are
reliable
7. Participants may be excluded from the study
because of
a) Interference with the success of study
follow-up
b) Ethical concerns
c) Interference with the quality of data
collection or non-acceptance to participate
in the study
d) All of the above
8. While choosing the accessible population and
the sampling approach for selection of study
population, an important factor that we need
to consider is
a) Simplicity
b) Technology
c) Feasibility
d) Reliability
9. If your research question is related to
diagnosis, treatment or prognosis of a severe
medical condition, then it is an easy and cost-
effective way to recruit the study population
from the community
a) True
b) False
10. Reasons for interference with the success of
follow-up in a study may include
a) Migration of some study participants from
the study area
b) Marriage of some of the female study
participants because of which they might
move out of the study area
c) Refusals for follow-up
d) All of the above
11. The population defined by clinical and
demographic characteristics is called
a) Target population
b) Accessible population
40. Assignment 13
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
c) Subset
d) Study sample
12. The population defined by geographical and
temporal characteristics is called as
a) Target population
b) Accessible population
c) Subset
d) Sample size
13. Random errors can be effectively handled by
a) Randomisation
b) Representativeness
c) Adequate sample size
d) All of the above
14. A researcher found an inference about a
particular disease of interest. If he/she wants
to generalize the results, it is important to have
a) Internal validity
b) External validity
c) Feasibility
d) Accuracy
15. Reasons for interference with the success of
follow-up in a study may include
a) Out-migration of some study participants
from the study area
b) Marriage of some of the female study
participants because of which they might
move out of the study area
c) Refusals for follow-up
d) All of the above
16. Less invasive and less sensitive questionnaires
will
a) Increase the power
b) Decrease the power
c) Improve the significance
d) Reduce the non-response
17. The external validity in a research study means
a) The degree to which the observed findings
lead to correct inferences about
phenomena taking place in the study
sample
b) The degree to which a test actually
measures what it is designed to measure
c) The degree to which the inferences drawn
from a study can be generalized to a
broader population beyond the study
population
d) The degree to which the findings are
reliable
18. The degree to which the observed findings lead
to correct inferences about phenomena of
interest in the study sample is
a) Reliability
b) Feasibility
c) Internal validity
d) External validity
19. Which factor is important to consider while
choosing the accessible population and the
sampling approach?
a) Feasibility
b) Sensitivity
c) Specificity
d) Reliability
20. The participants may be excluded from the
study because of
a) Interference with the success of study
follow-up
b) Ethical concerns
c) Interference with the quality of data
collection
d) All of the above
21. Which of the following helps to minimize the
random error in a research study?
a) Limited study duration
b) Adequate sample size
c) Adequate budget
d) More than six investigators
22. Representativeness of the study participants
similar to the population of interest can help in
which of the following aspects of a research
study?
a) Generalizability of the findings
41. Assignment 13
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
b) Internal validity
c) Reduce information bias
d) Minimize recall bias
23. An investigator intends to estimate the
prevalence of Urinary Tract Infection (UTI)
among circumcised children (<5 years old) in
Jaipur city. However, the researcher selects the
study participants from one government
hospital. Which of the following is the target
population in this study?
a) All children aged <5 years in the city
b) All circumcised children aged <5 years in
the city
c) All circumcised children aged <5 years
attending the government hospital
d) All children having UTI in the city
24. Which of the following is the accessible
population in the above study?
a) All children aged <5 years in the city
b) All circumcised children aged <5 years in
the city
c) All circumcised children aged <5 years
attending the government hospital
d) All children having UTI in the city
25. State whether true or false. High non-response
rate in a study may affect the internal validity.
a) True
b) False
26. Which of the following is TRUE about study
validity?
a) An internally valid study result is always
generalizable to the target population
b) An internally valid study result may or may
not be generalizable to the target
population
c) An externally valid study result is not
generalizable to the target population
d) A study without internal validity can be
generalized to the target population
27. Which of the following statements on study
populations is TRUE?
a) Study sample is a subset of the accessible
population
b) Target population is a subset of the
accessible population
c) Accessible population is a subset of the
study sample
d) Target population is a subset of the study
sample
28. State whether true or false. Biases can affect
both internal and external validity.
a) True
b) False
29. In a community based vaccine trial, which aims
to compare the 1 year incidence of
intussusception in children receiving/not
receiving rotavirus vaccine, which of the
following can be a likely exclusion criterion?
a) Children who may leave the study area
within a month
b) Children aged 0 months to 24 months
c) Children without pre-existing intestinal
anomalies
d) Children who have not received rotavirus
vaccine previously
30. In a cohort study planned to estimate the
incidence of birth defects among Zika virus
infected pregnant women in Chennai city,
which of the following CANNOT be an inclusion
criterion?
a) First trimester pregnant women with lab-
confirmed Zika virus infection
b) Pregnant women who are permanent
residents of Chennai city
c) Pregnant women aged above 18 years
d) Pregnant women taking drugs known to
cause birth defects
-----------------------------
42. Assignment 14
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. Which of the following statements regarding
study objectives is correct?
a) Objectives should be defined at the
planning stage of study
b) Objectives can be defined at any time of
the study
c) Objectives can be changed even at the
end of the study
d) Objectives should be defined before
identifying the research question
2. Which of the following is (are) required to
determine the key indicators for planned
research study?
a) Frame study objectives
b) Identify parameters needed for the key
indicators
c) Choose the right study design
d) All of the above
3. Which of the following can improve
efficiency of a research study?
a) Time management
b) Planning and scheduling activities
c) Budgeting
d) All of the above
4. Which of the following represents the
correct sequence in a life cycle of a study?
a) Identifying data needs, formulating study
objectives, planning analysis, spelling out
research question
b) Formulating study objectives, planning
analysis, spelling out research question,
identifying data needs
c) Identifying data needs, spelling out
research question, formulating study
objectives, planning analysis
d) Formulating study objects, spelling out
research question, identifying data
needs, planning analysis
5. It should be ensured that
products/deliverables of health research
projects are delivered within the
a) Defined timeframe
b) Defined budget
c) Expected quality standards
d) All of the above
6. Which of the following statements best
describes the study objectives?
a) They should be minimum, achievable
and clear
b) They can be primary and / or secondary
c) Adding objectives during study
implementation is a good practice
d) 'a' and 'b'
7. Principles to be followed while collecting the
information elements are
a) Use the variables that will best reflect
the information element
b) Adopt standardize case definitions and
laboratory criteria/normal ranges
c) Choose the most accurate ways of
collecting information on various
elements
d) All of the above
8. Study conducted following an ad hoc
approach may lead to the following
consequences
a) Generation of useful data in programs or
for policy making
b) Efficient utilization of resources
c) Serious difficulties in analysis and
interpretation
d) All of the above
9. Common reasons for research study failures
a) Poorly defined research question
b) Vague timelines
c) Lack of supervision
d) All of the above
10. Sample size for a cross-sectional study is
decided based on the following
a) Assumed/reported prevalence
b) Confidence interval
c) Acceptable precision
43. Assignment 14
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
d) All of the above
11. Which of the following is a criterion for a
good research question?
a) Long and self-explanatory question using
complex terms
b) A question based on ill-defined
hypothesis
c) A question based on strong hunch on
part of the investigator
d) A question based on established theory
and some research evidence
12. Which of the following can be considered
true in case of ad hoc approach to conduct a
research study?
a) Its advantages are the low development
effort and possibility of getting results
in a short time span
b) Its advantage is that the accuracy of the
results is usually high
c) Only 'a'
d) Both 'a' and 'b'
13. A cross sectional study is carried out to
examine whether naval medical personnel of
a higher rank have more positive copying
skills than those of a lower rank. Which of
the following statement is true of this study?
a) Neither variable is dependent as the
researcher cannot manipulate them
b) The independent variable is rank and
the dependent variable is copying skills
c) The independent variable is copying skills
and the dependent variable is rank
d) None of the above
14. Indicators are considered positive when they
have a direct relationship (association,
correlation) with the state of health. Which
of the following are the examples of positive
indicators?
a) The proportion of cured tuberculosis
cases
b) Incidence of AIDS
c) Life expectancy at birth
d) 'a' and 'c'
e) 'b' and 'd'
f) 'a', 'b', 'c' and 'd'
15. Which of the following techniques is
preferentially used when the population is
finite?
a) Purposive sampling technique
b) Area sampling technique
c) Systematic sampling technique
d) None of the above
16. A study began in 1980 with enrollment of a
group of 7000 adults in Pondicherry who
were asked about their alcohol
consumption, smoking, diet, environmental
risk factors etc. All the participants were
periodically examined and evaluated for
evidence of various types of cancers
between 1990-1995. Which of the following
study designs was used by the investigators?
a) Case-control study
b) Prospective cohort study
c) Ecological study
d) Retrospective cohort study
17. An increased number of postoperative
wound infections were recorded in patients
who underwent incision appendectomy
compared with those who had a
laparoscopic procedure. Which of the
following statement/s is/are true in such a
scenario?
a) This association may simply be owing to
the presence of a confounding factor
b) Association between the two can be
better studied in randomized controlled
clinical trials
c) Both 'a' and 'b'
d) None
18. In a study to evaluate the effectiveness of a
new medication, which of the following will
generate a stronger evidence?
44. Assignment 14
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
a) Comparing outcomes among those
receiving medication with those not
receiving the same.
b) Comparing outcomes among those
receiving higher doses of medication
with those receiving lower doses
c) Comparing adverse events and drug
reactions among those receiving
medication and those not receiving
medication
d) All of the above
19. Smart objectives are goals that are designed
to be be specific, measurable, achievable,
relevant and time-bound. Which of the
following is an illustration of non-
measurable objective?
a) Incidence of colorectal cancers in Indian
adult men
b) Experiences shared by victims of
domestic violence
c) To determine if regular skin emollients
applied from 2 weeks of age reduced
development of atopic dermatitis by age
12 months in the general infant
population
d) None of the above
20. Validity of a research can be improved by:
a) Taking the true representative sample of
the population
b) Eliminating extraneous factors and
collecting detailed information on
confounding factors
c) 'a' and 'b'
d) None of these
21. Which of the following is ideally the first
step in developing a study?
a) Fixing the title
b) Formulating the research question
c) Writing the background
d) Planning for analysis
22. Which of the following is a reason for the
failure of a study?
a) Poorly stated research question
b) Unrealistic timeline
c) Inadequate supervision
d) All the above
23. Which of the following represents the
correct sequence in the life cycle of a study?
i. Developing research question
ii. Planning the data analysis
iii. Data collection
iv. Data analysis
a) i, iii, iv, ii
b) i, ii, iii, iv
c) i, iii, ii, iv
d) ii, iii, iv, i
24. Which of the following factor is NOT
essential for effective planning and
management of a study?
a) Time management
b) Financial management
c) Reduction of sample size
d) Team work
25. Which of the following is to be followed
while collecting the information elements?
a) Use of variables that best reflect the
information element
b) Standardized case definitions
c) Use of validated and standardized
methods
d) All the above
26. State whether true or false. Framing several
study objectives improves the study
planning and management
a) True
b) False
27. State whether true or false. Selection of
study design should be related to the
objectives.
a) True
b) False
45. Assignment 14
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 4
28. A postgraduate wants to do a community
based thesis. Which of the following is a part
of the planning and program management
of the study?
a) Calculating sample size
b) Arranging transport to community
c) Writing thesis
d) All the above
29. Which of the following can be used to
represent the duration, timeline and
sequence of activities and milestones of a
research project?
a) Bar chart
b) Histogram
c) Gantt chart
d) Pie chart
30. Who is primarily responsible for resource
allocation and time management in a study?
a) Institute where the research is
conducted
b) Principal investigator
c) Funding agency
d) Scientific committee
---------------------------------
46. Assignment 15
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. Which component of the data collection
instrument is constituted by open, closed
and semi-open items?
a) Introduction
b) Identifier
c) Questions
d) Concluding statement
2. Self-administered questionnaire can be
a) Paper-based or computer-assisted
b) Used in face-to-face interviews
c) Used in telephonic interviews
d) All of the above
3. While formulating the questions, all the
following need to be followed, EXCEPT
a) Short and clear questions
b) Avoid ambiguities
c) Avoid words of every-day language
d) Avoid negatives and double negatives
4. Structured observation guide
a) Is useful to document certain processes
b) Use checklist of items
c) Can be used for in-depth interviews
d) 'a' and 'b'
5. The interviewer does not provide options
for responses in
a) Open-ended questions
b) Close-ended questions
c) Semi-open questions
d) All of the above
6. What is the disadvantage of closed
questions with dichotomous options in a
study questionnaire?
a) Detailed information available
b) Oversimplifies the issues
c) Forces an unclear position
d) May not be useful for key well framed
issues
7. The information about participant's
attitudes for behaviors such as wearing
helmets, washing hands before eating,
constitute
a) Facts
b) Knowledge
c) Judgments
d) Texts
8. The type of questions in which there is a
possibility to add other answer in addition
to the options suggested
a) Open questions
b) Semi-open questions
c) Closed questions
d) Close questions with multiple options
9. The type of questions in a questionnaire
which allow creation of continuous
variables as responses
a) Closed questions with quantitative
answers
b) Open questions with quantitative
answers
c) Both of the above
d) None of the above
10. All are true regarding the order of
questions in a data collection tool EXCEPT
a) From intimate to casual
b) From general to specific
c) From simple to complicate
d) In chronological order, if questions
related to sequence of events
11. A question was framed by an
ophthalmologist as a part of data collection
tool for her research- “Which of the
following symptoms you had in the last one
week?” The options were 1. Eye pain 2.
Redness of eye 3. Watering of eye 4. Low
vision
Given that a study participant may have
multiple complaints, which of the following
best describes the type of question?
a) Open question
b) Closed questions with dichotomous
options
c) Closed question with multiple options
47. Assignment 15
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
d) Closed question with quantitative
answers
12. A researcher has framed a question in the
research tool as- “What is the monthly
income of the family?” This information
constitutes
i. Facts
ii. Knowledge
iii. Judgments
iv. Healthy Life styles
13. Which of the following is correct in relation
to an open question?
a) Answers are suggested
b) Stimulate memory
c) Easy to code and analysis
d) Freedom to respond is compromised
14. Glasgow coma Scale (GCS) is a scoring
system to understand the consciousness
level of a person. The score varies between
3 and 15. A researcher has included a
question in research tool- “What is the GCS
score during admission?” This question is
an example of:
a) Open question
b) Closed question with dichotomous
option
c) Closed question with multiple option
d) Closed question with quantitative
answers
15. An investigator wanted to study the clinical
profile of patients presented with foreign
body in nose, attended in the emergency
department in the last 2 years in a hospital.
Which of the following is the most suitable
way to collect data?
a) Review of records
b) Cohort study
c) Randomized trial
d) Focus group discussion
16. Order of a question should be all, except
a) From simple to complicated
b) From general to specific
c) From intimate to casual
d) In chronological order
17. Structured observation guide
a) Is useful to document certain process
b) Uses checklist of items
c) Both 'a' and 'b'
d) None of the above
18. Which of the following factors related to
data collection may lead to study failures?
a) Poorly defined research question
b) Vague timelines
c) Lack of supervision
d) All of the above
19. In which of the following type of question
the interviewer does not provide options
for responses?
a) Open-ended questions
b) Close-ended questions
c) Semi-open questions
d) Closed question with multiple options
20. 'Age in years' is commonly a continuous
variable. However, a resident doctor
decided to ask age as a closed question
with dichotomous options (If age>65 years
or <65 years). What is the disadvantage of
such type of ques in a study questionnaire?
a) Detailed information available
b) Oversimplifies the issues
c) Forces an unclear position
d) It is easy to convert a dichotomous
variable to a continuous variable
21. Which one of the following is NOT a
component of a data collection tool?
a) Informed consent
b) Concluding statements
c) Identifiers
d) Tabulated results
22. Which of the following is TRUE about a data
abstraction form?
48. Assignment 15
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
a) It is used to collect data by going
through records
b) It is more valid than a questionnaire
c) It can be self-administered by the
participants
d) It is also called an observational checklist
23. Which of the following is FALSE about a
questionnaire?
a) It can contain instructions or prompts for
data collectors
b) It should contain unique participant
identifiers
c) It should avoid skip patterns
d) It can contain a mix of open and closed
questions
24. Identify the type of the question given
below. “How do you spend your leisure
time?_____________
a) Open ended
b) Closed
c) Semi-open
d) Open question with closed answers
25. Which of the following is TRUE about ‘Open
question with closed answers’?
a) Its answers are not suggested to the
participants
b) It can be used in a self-administered
questionnaire
c) It is analyzed like an open ended
question
d) It is expressed as a closed question to
the participants
26. What is the type of the question given
below?
From where do you usually get health-
related information?
i. Television
ii. Radio
iii. Newspaper
iv. Magazine
v. Others (specify)________________
a) Open ended
b) Closed
c) Semi-open
d) Open question with closed answers
27. Which of the following is FALSE about
formulating questions in a study tool?
a) They must be concise and precise
b) They must use scientific terms
c) They must use a neutral tone
d) They must avoid double negatives
28. Which rule is NOT followed in the framing
of the question given below? "When and
where did you get tested for COVID-19
infection?"
a) Using a neutral tone
b) Avoiding use of double negatives
c) Asking a single question at a time
d) Using simple words of everyday language
29. State whether true or false. Before using a
data collection tool in the study, it will be
useful to get it reviewed by a statistician.
a) True
b) False
30. What is FALSE about pilot testing of a study
questionnaire?
a) It checks the tool for clarity and
acceptability
b) It is conducted among persons who will
be included in the study
c) It provides an estimate of the duration of
interview
d) Changes are made to the questionnaire
based on its findings
-------------------------
49. Assignment 16
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. Reliability denotes
a) Precision
b) Repeatability
c) Reproducibility
d) All of the above
2. This should not be done in data collection
a) Training of staff members
b) Review of collected data for quality and
completeness
c) Manipulation of data
d) Validation
3. Supportive supervision is essential for a
good data collection process
a) True
b) False
4. The collected data should be
a) Complete
b) Readable
c) Consistent
d) All of the above
5. Which of the following is (are) true about
the training of data collection staff?
a) Conduct on-site training
b) Conduct mock training sessions
c) Training is always optional
d) 'a' and 'b'
6. Which one of the following is the proper way
of validating the data?
a) Repetition of full data collection in the
same population
b) Data collection in new population
c) Repetition of data collection in a
randomly selected subset in the same
population
d) Repeat data collection is not required
7. Appropriate means to troubleshoot the
difficulties in data collection process
a) Regular review meetings
b) Facilitate the discussion to identify issues
during the review
c) Clarify the issues experienced by staff
during data collection
d) All of the above
8. There is no need to present the study and its
objectives to the field investigators
a) True
b) False
9. Which of the following statement is (are)
true regarding data collection for an
epidemiological study?
a) Reliability refers to consistency of
information
b) Accuracy is the ability of a measurement
to be correct on an average
c) Feasibility is the ability of investigator to
understand the data
d) 'a' and 'b'
10. Time pressure during data collection may
result in dilution of data quality
a) True
b) False
11. A data collection tool should be
_____________
a) Valid
b) Reliable
c) Both 'a' and 'b'
d) None
12. A neurosurgeon is planning for a hospital-
based study on the patients coming to the
emergency department with head injury.
The collected data should be
a) Complete
b) Readable
c) Consistent
d) All of the above
13. Which of the following should not be done
in relation to data collection?
a) Training of staff members
b) Review of collected data for quality and
completeness
c) Validation
50. Assignment 16
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
d) None of the above
14. State whether true or false: Piloting a data
collection tool should be done under
supervision
a) True
b) False
15. All of the following are true about a
‘question by question guide’, except
a) It is a document for the data collectors
b) It helps in maintaining uniformity of the
data collection
c) It helps participants on how to respond
d) It clarifies doubts on data collection
16. Time pressure during data collection may
result in dilution of the data quality
a) True
b) False
17. Which one of the following is the proper way
of validating the data?
a) Repetition of full data collection in the
same population
b) Data collection in a new population
c) Repetition of data collection in a
randomly selected subset in the same
population
d) Repeat data collection not required
18. Which of the following statement is true
regarding data collection for an
epidemiological study?
a) Reliability refers to consistency of
information
b) Accuracy is the ability of a measurement
to be correct on an average
c) Both ‘a’ and ‘b’
d) None of the above
19. Who is mainly responsible to check the
accuracy of data collection instruments
before leaving the location?
a) Field investigator
b) Field supervisor
c) Principle investigator
d) Study participant
20. All the following statements are true about
training of the data collectors, except
a) Essential to ensure good quality data
b) The investigators should choose the right
people
c) Communication skill is important for the
data collectors
d) Onsite training is not essential for data
collectors
21. The ability of an instrument to produce
similar results on repeated measurement is
called
a) Validity
b) Reliability
c) Accuracy
d) Sensitivity
22. The mean value of fasting blood sugar
among 50 healthy volunteers in a
community was found to be 90 g/dL with a
standard deviation of 5 mg/dL using a new
diagnostic test. In the same volunteers, the
gold standard test found a mean of 88 g/dL
with standard deviation of 4.7 g/dL. What
can be said about the new diagnostic test?
a) The new diagnostic test is valid
b) The new diagnostic test is reliable
c) The new diagnostic test is valid and
reliable
d) The new diagnostic test is invalid and
unreliable
23. Which of the following is NOT used as a
criterion to judge the quality of data
collected in a study?
a) Accuracy
b) Repeatability
c) Precision
d) External validity
24. Which of the following should NOT be done
during data collection in a study?
a) Referring to the data collection guide
51. Assignment 16
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
b) Checking the quality of data
c) Modifying the study objectives
d) Validating the data collection process
25. State whether true or false. Accuracy of an
instrument is the ability to measure what it
intends to measure.
a) True
b) False
26. Which of the following is the correct
sequence of steps of data collection?
i. Preparation of data collection guide
ii. Checking the collected data for
completeness
iii. Training of the data collector
iv. Validating the collected data
a) i, iv, iii, ii
b) ii, iii, iv, i
c) i, iii, ii, iv
d) iii, i, iv, iii
27. State whether true and false. A data
collection guidebook can be revised time to
time as issues in the data collection process
are identified.
a) True
b) False
28. Which of the following should NOT be done
during training of data collectors?
a) Simulating the data collection procedure
b) Discussing the study objectives with
them
c) Using an early version of the
questionnaire for training
d) Revising the question guide according to
queries
29. Which of the following does NOT apply in
checking the quality of filled forms during
data collection?
a) Completeness
b) Consistency
c) Readability
d) Statistical significance
30. During data collection in a study, a data
collector is faced with a situation where the
participant refuses to answer a particular
question in the middle of the interview.
What is the appropriate action in this
situation?
a) End the interview and report to the
investigator
b) Continue the interview with the
remaining questions
c) Seek the answer to that question from
family members
d) Try to persuade the participant to
answer the question somehow
---------------------
52. Assignment 17
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. Steps in data management include
a) Defining a variable, creating a study
database and dictionary
b) Enter data, correct errors and create
data set for analysis
c) Backup and archive data set
d) All of the above
2. When we are creating variable name, it
should be
a) Clearly understandable and should refer
to the questionnaire
b) Long and can have spaces
c) Consistent and without duplicates
d) 'a' and 'c'
3. In a data management system, each row
represents a
a) Variable
b) Record
c) Heading
d) Appendix
4. What is (are) the specifications that we
need to check before doing data entry?
a) Minimum and maximum values, legal
codes, skip patterns
b) Record name and description of record
c) Automatic coding, coping data from
preceding record and calculations
d) 'a' and 'c'
5. Identifier in the database is (are)
a) Unique
b) Maintained by a computerized index
c) Secured by quality assurance procedures
d) All of the above
6. Key elements of data management
a) Data structure and data entry
b) Individual and aggregated databases
c) Mother and daughter databases
d) All of the above
7. The design of data collection instrument
a) Data entry friendly
b) Outline of major data collection
topics/items
c) Auto coding function
d) All of the above
8. When we are coding for data entry, we
should
a) Prefer numerical coding
b) Use highly complex codes
c) Decide on the codes for 'missing values'
and 'not applicable' items
d) 'a' and 'c'
9. When information is available at various
levels (e.g. at Village, Household, Individual
and Illness episode), we can store
information at each level in separate
databases and link when necessary
a) True
b) False
10. Which of the following is (are) not true
about normalized database?
a) Normalized database facilitates further
aggregation
b) It has only one count by record
c) Normalized database does not facilitate
further data aggregation
d) 'a' and 'b'
11. A post-graduate researcher has completed
the data collection for her thesis. During
data management, she should do all the
following, except
a) Applying for the ethics committee
clearance
b) Create study database
c) Create dataset for analysis
d) Back-up dataset
12. Data documentation includes information
about the following items
a) Structure (Name, number of records etc)
alone
b) Storage information (Media, location,
backup information)
53. Assignment 17
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
c) Structure (Name, number of records
etc), Variables (Name, values, coding),
History (Creation, modification), and
Storage information (Media, location,
backup information)
d) Structure (Name, number of records
etc), Storage information (Media,
location, backup information), and
Variables (Name, values, coding)
13. A variable name should be
a) Clearly understandable and should refer
to the questionnaire
b) Short, no space
c) Consistent and without duplicates
d) All of the above
14. Design of data entry can be broadly
outlined as
a) Identifier, Demographics, Outcome, and
Exposure
b) Informed consent, Identifier, and
Demographics
c) Identifier, Demographics, Outcome and
data analysis plan
d) Informed consent, Identifier,
Demographics, Outcome and data
analysis plan
15. All of the following are true about ‘Coding’
a new variable, except
a) Prefer numerical coding
b) Decide on missing values while coding
c) Avoid cumbersome codes
d) Coding with ‘0’ and ‘1’ should be
avoided for dichotomous variables
16. Data entry can be considered as an
opportunity to partially clean the data
a) True
b) False
17. A researcher in diabetes expected that that
the fasting blood sugar levels may take any
value between 50 and 150 gm/dL. In this
research any coding of missing value as 99
may lead to an erroneous result.
a) True
b) False
18. While documenting the storage information
of the database, we need to document
a) Investigators information
b) Time, place, person information
c) Media, location and backup information
d) Hardware configuration
19. Which of the following is incorrect in
relation to the data catalogue?
a) It describes all the variable for any future
reference
b) It is useful if we share the data with
others
c) It is useful to know how a variable has
been coded
d) It is advisable to exclude the missing
values from data catalogue
20. Which of the following is incorrect about
normalized database?
a) Normalized database facilitates further
aggregation
b) It has only one count by record
c) Normalized database does not facilitate
further data aggregation
d) Both ‘b’ and ‘c’
21. Which of the following is FALSE about
Unique Identifier (ID)?
a) It can be same for more than one
participant in a study
b) It can be alphanumeric
c) It can be a composite number
d) It can be used to maintain the anonymity
of participants
22. Which of the following is NOT a quality
assurance measure in designing a data
entry form?
a) Using legal values
b) Using minimum and maximum values
54. Assignment 17
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
c) Avoiding skip patterns
d) Use of automatic coding
23. In a data management system each column
represents a(n)-
a) Variable
b) Record
c) Heading
d) Appendix
24. Which of the following is FALSE about
Mother-Daughter databases?
a) Information is collected at various levels
b) Information of each level is stored in a
different database
c) They can be linked by a common index
identifier
d) Each database cannot have its own
unique identifier system
25. State whether true or false. Coding with ‘0’
and ‘1’ should be avoided for dichotomous
variables.
a) True
b) False
26. Which of the following is FALSE about data
dictionary?
a) It is created after the data entry is
started
b) It contains the values assigned to the
variables
c) It gives a brief description of the
variables
d) It links the variables in the database to
the questionnaire
27. Identify the type of variable in this
question. “Have you ever smoked
cigarettes?
i. Yes
ii. No
a) Categorical
b) Ordinal
c) Continuous
d) Discrete
28. In a study on cancer, the ‘stage of cancer’
was recorded as Stage I, Stage II, Stage III
and Stage IV. Which of the following
variable types best describes the ‘stage of
cancer’?
a) Nominal
b) Ordinal
c) Categorical
d) Continuous
29. In a study with 100 participants, age was
recorded as a continuous variable. During
data entry, it was seen that age was missing
in the forms for 13 people. Which of the
following is TRUE in this situation?
a) Missing values can be coded as ‘999’
b) Age variable should be removed from
the study
c) An arbitrary value can be assigned by the
data entry operator
d) Participants with missing age should be
removed from the study
30. State whether true or false. While entering
the systolic blood pressure (expected value
60 to 200) value in a database, coding the
missing value as 99 may lead to an
erroneous result.
a) True
b) False
----------------------
55. Assignment 18
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. The three stages of data analysis are in the
following order
a) Descriptive stage, analytical stage and
recoding stage
b) Recoding stage, descriptive stage and
analytical stage
c) Analytical stage, descriptive stage and
recoding stage
d) Descriptive stage, coding stage, recoding
stage
2. We need to avoid the following while
performing data analysis
a) Post hoc analysis
b) Data drenching
c) Stratified data analysis
d) 'a' and 'b'
3. In the descriptive stage of analysis, we use
logistic regression models
a) True
b) False
4. "Epi-Info" is a software used for data entry
and data analysis
a) True
b) False
5. In analytical stage of data analysis, we
perform the following in order
a) Stratified analysis, univariate analysis
and multivariate analysis
b) Univariate analysis, stratified analysis
and multivariate analysis
c) Multivariate analysis, univariate analysis
and stratified analysis
d) Frequency analysis and univariate
analysis
6. Among the seven steps of data analysis
strategy, the sequence of data analysis is as
follows
A. Conduct advanced analysis
B. Identify main variables
C. Become familiar with the data
D. Identify study type
E. Examine outcome/exposure
association
F. Characterize study population
G. Create additional two-way tables
a) A, B, C, D, E, F, G
b) G, E, F, D, A, B, C
c) D, B, C, F, E, G, A
d) E, F, G, C, A, B, D
7. In case of descriptive studies, which of the
following is wrong?
a) We describe the study outcome for 1
group
b) We compare the study outcome for 2
groups
c) We calculate the incidence for cohort or
surveillance data
d) We calculate prevalence for cross
sectional survey
8. If we are doing an analytical study and the
study outcome is of acute nature and rare
condition what is the appropriate (i) study
design and (ii) measure of association?
a) Cohort study - Relative risk
b) Case-control study - Odds ratio
c) Cross-sectional study - Prevalence ratio
d) Surveillance - Incidence
9. Analysis plan depends on
a) Objectives of the study
b) Budget
c) Study type (Descriptive or analytical)
d) 'a' and 'c'
10. Use of spreadsheets, such as Excel, should
be avoided for data management and
analysis
a) True
b) False
11. Multivariate regression models are used
during the descriptive stage of analysis
a) True
b) False
56. Assignment 18
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
12. “Epi-Info” is a software that can be used to
create data collection instrument format
a) True
b) False
13. In a research study the analysis plan
depends on
a) Objectives and study type
b) Allocated budget
c) Availability of the statistician
d) Existing time for analysis
14. At the time of data cleaning, which of the
following is not done?
a) Checking and removing duplicates
b) Dealing with missing observations
c) Calculating strength of association
d) Checking range and legal values
15. To describe the study population
characteristics we need to
a) Calculate the frequency distribution
b) Calculate measures of association
c) Look for correlation between variables
d) perform multivariable regression
16. While examining the association between
exposure and outcome based on a priori
hypotheses, we compare frequency of
exposures between cases and controls
using appropriate measure of association
a) True
b) False
17. If we are doing an analytical study and the
study outcome is of acute nature and a
frequent condition what is the appropriate
(i) study design and (ii) measure of
association?
a) Cohort study - relative risk
b) Case-control study – odds ratio
c) Cross sectional study - Prevalence
d) Surveillance - Incidence
18. Which of the following statements are
CORRECT
a) Plan for data analysis is made at the end
of the study
b) Recoding can be done for key variables
c) Multivariate analysis is done before
doing a univariate analysis
d) Data drenching is acceptable
19. Which of the following is the correct
sequence for data analysis
i. Multivariate analysis
ii. Recoding
iii. Measures of association
iv. Frequency distribution
a) ii, iii, iv, i
b) i, iii, iv ii
c) ii, iv, iii, i
d) iii, iv, i, ii
20. Spreadsheets are ideal tools for data entry
and analysis
a) True
b) False
21. All the following are done to characterize
the study population EXCEPT
a) Provide frequency distribution of age
b) Provide percentages of gender
c) Compare baseline characteristics of
study groups
d) Conduct logistic regression analysis
22. Which of the following is the appropriate
measure of association in a case-control
study?
a) Odds ratio
b) Prevalence ratio
c) Relative risk
d) Incidence
23. State whether true or false. Prevalence
ratio is one of the measures of association
calculated in an analytical cross-sectional
study.
a) True
b) False
57. Assignment 18
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
24. State whether true or false. Hypothesis
testing is conducted in an analytical
epidemiological study.
a) True
b) False
25. Identify the correct sequence in the steps
of data analysis.
i. Identify exposure, outcome and
other variables
ii. Check data for consistency,
duplicates and missing values
iii. Examine association between
outcome and exposure
iv. Examine baseline characteristics of
the study population
a) i, ii, iii, iv
b) i, ii, iv, iii
c) ii, iv, i, iii
d) iii, i, ii, iv
26. Which of the following is NOT done during
the analytic stage of data analysis?
a) Calculating frequency of the outcome in
one group
b) Calculating frequency of the outcome by
age and gender
c) Calculating odds ratio between
exposure and outcome
d) Applying logistic regression
27. Relative risk is calculated in which of the
following study designs?
a) Cross-sectional study
b) Cohort study
c) Case study
d) Case control study
28. State whether true or false. Risk ratio can
be calculated in a descriptive cross-
sectional study.
a) True
b) False
29. In a case-control study to examine the
association between mobile phone use and
acoustic neuroma, 24 cases of acoustic
neuroma and 72 hospital controls were
recruited from the ENT department of a
medical college in Gilgit. History of mobile
phone use (>6 hours/day) was ascertained
using a standard questionnaire. Exposure
was present among 16 cases and 18
controls. Calculate the measure of
association.
a) Odds ratio 1.5
b) Relative risk 1.5
c) Odds ratio 6
d) Relative risk 6
30. In a case control conducted taking 100
autism children and 200 normal children in
Bhopal city, it was found that 90 autism
children and 60 normal children had a
history of instrumental delivery. Calculate
the measure of association between
instrumental delivery and autism.
a) 12
b) 21
c) 6
d) 9
--------------------------
58. Assignment 19
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. In which of the following guidelines,
discussion on rationale and justification of
risk benefit analysis of research and
voluntary consent in research was initiated?
a) Belmont report
b) Helsinki declaration
c) Nuremberg code
d) CIOMS guidelines
2. In which type of the following study/studies
is (are) informed consent not necessary?
a) Investigation of an outbreak
b) Analysis of mortality data of 2001-2010
c) Using verbal autopsy to determine the
cause of death
d) All of the above
3. In which of the following type of research,
ethical review is (are) mandatory?
a) Prevalence of HIV infection using blood
investigation
b) Awareness about diabetes using
questionnaire only
c) Calculate out of pocket expenditure
using secondary data
d) All of the above
4. Which of the following is not important in
the context of an informed consent
document?
a) Detailed description of study procedures
b) Budget of the study
c) Details regarding compensation and
post-trial access to care
d) Contact details of the Principal
Investigator
5. In the middle of a clinical trial, one
participant decides to withdraw from the
trial. But, the investigator pressurizes the
participant to continue in the study till it
completes. Which of the following ethical
principles does the investigator violate?
a) Justice
b) Autonomy
c) Beneficence
d) Non-Maleficence
6. Which of the following are not ethical
practices in health research?
a) Taking informed consent from
participants prior to study participation
b) Giving lot of money to increase study
participation
c) Lack of adherence to study protocol
d) 'b' and 'c'
7. "Do no harm" concept was emphasized in
which of the following ethical principles?
a) Justice
b) Autonomy
c) Beneficence
d) Non-Maleficence
8. Genetic research that involves human
participants and conducted by a private
research institute should follow
a) ICMR Guidelines
b) Genome Policy and Genetic Research
[2000]
c) Both 'a' and 'b'
d) Neither 'a' nor 'b'
9. While conducting research among tribal
populations, which of the following is
recommended?
a) Consent from the tribal head (Group
consent) is desirable
b) Group consent can replace individual
consent
c) Women can be excluded from informed
consent process
d) Confidentiality not required
10. In a clinical research, the researcher
knowingly excludes recruitment of female
participants without any compelling
indications. Which of the following ethical
principle does the investigator violate?
a) Justice
b) Autonomy
59. Assignment 19
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
c) Beneficence
d) Non-Maleficence
11. In which of the following situations is ethics
review essential?
a) When already available or archived data
are used for research
b) Involving some risk when some
questions are asked, some samples are
collected or some drugs are given
c) ‘a’ and ‘b’
d) Only ‘b’
12. A study participant can be forced by the
investigator to continue in a trial against his
will. This is in conflict with which of the
following ethical principles?
a) Autonomy
b) Justice
c) Beneficence
d) None of the above
13. The physician should do what is medically
indicated, do good than possible harm. This
principle is encompassed in the ethical
dimension of:
a) Beneficence
b) Justice
c) Nonmaleficence
d) Autonomy
14. Study monitors, regulators and ethics
committee members have an authority to
verify the consent documentation of
research participants.
a) True
b) False
15. Which of the following is not true about an
Informed Consent?
a) IC helps participants take an informed
decision about participation in the
research study
b) IC has information on potential risks and
benefits of the study
c) IC process intends to protect the study
participants
d) IC taken by coercion is considered valid
16. Which of the following have the guidance in
the Belmont report?
a) The procedure of ‘informed consent’
b) The basic ethics principles of autonomy,
justice and beneficence
c) Review by ethics committee
d) All of the above
e) None of the above
17. Which of the following is typically not within
the domain of ethical review of the
proposed research?
a) Novelty of research
b) Competence of researchers
c) Relevance of research
d) To advocate for the study in the
community
18. The process of Informed consent can be
repeated several times during the research
study if necessary.
a) True
b) False
19. As part of evaluation of a new vaccine which
requires taking a daily oral dose of a
refrigerated vaccine, the research team
offers to provide a refrigerator to families of
participants who don’t have one. Which of
the following ethical issues the Institutional
Ethics Committee will have to deal with
while reviewing the research study?
a) Undue inducement
b) Coercion
c) Compromising principle of justice
d) None of the above
20. In an observational study on menstrual
hygiene among school going girls aged 14 to
16 years, informed assent will be required to
be taken from the adolescent girls. In
60. Assignment 19
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
addition, informed consent will be required
from:
a) Parent of adolescent girls
b) Institutional Head
c) Both
d) None of the above
21. State whether true or false. Review of health
records for research does NOT require
approval of institute ethics committee
a) True
b) False
22. A participant wants to withdraw from a
study before its completion. Which of the
following principles of ethics entitles
him/her to do so?
a) Autonomy
b) Justice
c) Beneficence
d) Non-maleficence
23. Which of the following does NOT describe
ethical principles in research?
a) Nuremberg code
b) Helsinki declaration
c) Council for International Organization
and Medical Sciences
d) Bhore report
24. When a research study is planned among
adolescents (12-15 years), the following is
NOT required?
a) Assent from participant
b) Consent from participant
c) Consent from parent
d) Consent from legally accepted
representative
25. Non-Maleficence means
a) Self-respect
b) Do no harm
c) Fair and correct
d) Doing good
26. State whether true or false. Once a
participant has provided informed consent,
it cannot be withdrawn.
a) True
b) False
27. Which of these is NOT a part of informed
consent process?
a) Confidentiality
b) Disclosure of risks and benefits
c) Compensation for lost wages
d) Encouraging the person to consent
28. Which of the following statement is NOT
correct?
a) Compensation for participants is offered
for trial related injury
b) Research participants can be paid for
travel expenses
c) Payment can be offered to encourage
participation
d) Wage loss of the participants can be
compensated
29. Which of the following is NOT a
responsibility of the Institutional Ethics
Committee?
a) Evaluate the potential benefit from the
study to the community
b) Protect the rights of the study
participants
c) Sanction funding for the study
d) Re-evaluate the study if and when
modified
30. When a particular ethnic group is excluded
from a research study without any valid,
scientific reason(s), this is breach of -
a) Autonomy
b) Justice
c) Beneficence
d) Non maleficence
--------------------------------
61. Assignment 20
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. A study design that randomly assigns
participants into an experimental group or
a control group is call as
a) Cohort study
b) Case-control study
c) Randomized controlled trials
d) Cross-sectional study
2. Which of the following statements is (are)
true in case of adverse events in a clinical
trial?
a) An unexpected clinical/familial/social
problem that occurs during treatment
with a drug or other therapy is termed as
adverse event
b) Adverse events do not have to be caused
by the drug or therapy under trial
c) Temporal relationship between study
product administration and adverse
events is critically important
d) All of the above
3. To ensure that safety and welfare of the
research participants is adequately
protected, it is important that the clinical
trial protocol is critically reviewed for the
following
a) Scientific content
b) Ethical issues
c) Regulatory norms
d) All of the above
4. Informed consent is provided after
explanation of
a) All study procedures
b) Risks
c) Benefits
d) All of the above
5. Bodies like Drug Controller General of India
(DCGI) and Health Ministry Screening
Committee (HMSC) are concerned with the
following
a) Regulatory review
b) Scientific review
c) Ethics review
d) All of the above
6. Which of the following is (are) monitored in
a clinical trial?
a) Adherence to Good Clinical Practice
(GCP)
b) Documentation of informed consent,
randomization and study product
administration
c) Adverse events reporting
d) All of the above
7. The primary responsibilities of the Data
Safety Monitoring Body (DSMB) are to
a) Periodically review and evaluate the
accumulated study data for participant
safety, study conduct and progress of
trial
b) Periodically review and evaluate the
accumulated study data for participant
safety, study conduct and progress and
make recommendation concerning the
continuation, modification, or
termination of the trial
c) Periodically make recommendations
concerning the continuation,
modification, or termination of the trial
d) Decide the randomization sequence
8. Which of the following best describes the
advantages of conducting a Randomized
controlled trial?
a) It is only effective design for
overcoming selection bias of
participants
b) The result can be readily generalized
c) It is a simple, uncomplicated and
nonregulated study design
d) It requires small sample size
9. When is the Informed consent obtained
from the subjects in a clinical trial?
a) Prior to participation in the trial
b) Just after the trial has started
62. Assignment 20
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
c) At any point during the conduct of a trial
d) At the end of the trial
10. Investigators are required to report adverse
events occurring during a clinical trial to
which of the following agencies?
a) Regulatory authority
b) Sponsor
c) Institutional Ethics Committee
d) All of the above
11. A method of allocating treatment such that
each subject has an equal chance of
receiving any of the possible treatments in
a clinical trial is known as:
a) Blinding
b) Randomization
c) Allocation concealment
d) None of the above.
12. Which of the following statements
regarding document storage and archival
after the conclusion of a trial; is correct?
a) If the data is computerized, there is no
need to archive paper based records.
b) The investigator has a right to refuse to
show the data even to regulatory
authorities
c) Archival for a period of 5 - 15 years as
per the requirement of the sponsor may
be necessary
d) All of the above
13. Which of the following is not true?
a) Data Safety Monitoring Body (DSMB) is
an independent entity.
b) DSMB is appointed by the Investigators
c) DSMB periodically reviews and
evaluates the accumulated study data
for participants’ safety
d) DSMB assures that the scientific
integrity of the trial is maintained
during the period of interim analysis
14. An unexpected clinical/ familial/ social
problem that occurs while on treatment
with a drug or other therapy during
participation in a clinical trial without any
judgment about causality or relationship to
the drug is known as:
a) Serious adverse event
b) Adverse event
c) Reportable event
d) None of the above
15. Clinical trials require review at various
levels as per the in-country guidelines.
State whether true or false.
a) True
b) False
16. The most common method of preventing
potential harm to study participants is by
adhering to ‘trial stoppage rules’ based on
evidence on unacceptable toxicity or
adverse effects rates seen during
monitoring. State whether true or false.
a) True
b) False
17. Which of the following is true about
screening protocol of a clinical trial?
a) Those who are interested in participating
in the trial participate in an interview
may have to undergo medical
examination
b) Eligibility of the potential participant is
determined in screening
c) Information on study related procedures
and inclusion and exclusion criteria are
provided by the study investigators to
the potential participants
d) All the above three statements are true
e) None of the above is true
f) Only ‘a’ is true
18. Reimbursements for which of the following
raise no ethical questions?
a) Compensating for the time spent in
coming over and the loss of daily wages
due to participation
63. Assignment 20
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
b) For the travel cost involved
c) For food expenses
d) Only ‘a’ and ‘b’
e) ‘a’, ‘b’ and ‘c’
19. Which of the following statements is
wrong?
a) Drug Controller General of India is a
Regulatory Authority in India
b) Institutional Governing Board is
responsible for scientific review of
projects
c) Institutional Ethics Committee is
responsible for ethics review of a
proposal
d) None of the above
20. Which of the following are NOT methods
for identifying and preventing potential
harm to study participants?
a) Adverse and serious adverse events
reporting
b) Periodic review of the project by Data
Safety Monitoring Board
c) Close watch on enrolment targets
d) Regular monitoring of the trial by a pre-
identified monitoring agency
21. State whether true or false. The scientific
advisory committee examines the safety
and welfare of the research participants in
a trial.
a) True
b) False
22. If the project is getting funded
internationally, which of the following
committees looks at the regulatory affairs?
a) Health ministry screening committee
b) Genetic engineering approval committee
c) Ethics committee
d) All the above
23. State whether true or false. In order for a
clinical trial to be ethically appropriate,
participants must give their informed
voluntary consent.
a) True
b) False
24. Which of the following is FALSE with regard
to data analysis in clinical trials?
a) Baseline characteristics of participants
should be compared across study arms
b) Interim analysis can be performed if pre-
stated in the protocol
c) Analyses in clinical trials are only
descriptive in nature
d) People who are lost to follow up can be
included in the analysis
25. Which of the following is FALSE when
dealing with serious adverse events in a
clinical trial?
a) Making provision for free treatment
b) Informing the regulatory authorities
c) Taking action only if 1% are affected by
the adverse events
d) Withdrawing the implicated intervention
for the affected
26. A trial can be pre-maturely stopped if
a) A significant unanticipated risk is
demonstrated
b) The investigators lose interest
c) The principal investigator retires
d) Minor adverse events are reported
27. Data Safety Monitoring Body (DSMB) is
primarily responsible for which of the
following?
a) Periodically review and evaluate the
accumulated study data for participant
safety
b) Periodically review and evaluate the
study conduct and progress
c) Make recommendations concerning the
continuation, modification, or
termination of a clinical trial
d) All of the above
64. Assignment 20
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 4
28. Which of the following is NOT an advantage
of a Randomized Controlled Trial?
a) Controls for confounding bias effectively
b) Provides high level of evidence
c) Can be conducted in the community or
hospital
d) Blinding in trial eliminates selection bias
29. Which of the following statement is FALSE
with regards to a Randomized Controlled
Trial?
a) Adverse events should be reported to
the Data Safety Monitoring Board
b) Trial related documents must be
archived after the trial is over
c) Drug trials ideally should have a pre-
defined stoppage rule
d) Ethics committee clearance cannot be
withdrawn after initial approval
30. State whether true or false. It is unethical
to use a placebo for the control arm instead
of the current standard of care in a clinical
trial.
a) True
b) False
---------------------------
65. Assignment 21
COMPILED BY DR. VIMESH MISTRY (MEDICAL COLLEGE BARODA) 1
1. If there are many study objectives, it may be
necessary to differentiate the objectives into
primary and secondary or general and
specific objectives
a) True
b) False
2. Which among the following is not a
component of concept paper?
a) Background and Justification
b) Objectives and Methods
c) Expected benefits, Key references and
Budget
d) Conclusion
3. Which of the following is NOT true about
references in the concept paper?
a) We can cite references in Introduction
and Methods section
b) It is important to write references
following standard guidelines
c) Statements should be linked to
references
d) We can have as many references as
possible
4. The "Background and Justification" section
in the concept paper should be written in
the following sequence
a) Known and unknown aspects of the
problem, information that needs to be
generated to address the problem in an
effective manner and statement of
objectives
b) Known and unknown aspects of the
problem, Importance of the study
problem and information that needs to
be generated to address the problem in
an effective manner
c) Importance of the study problem,
known and unknown aspects of the
problem and information that needs to
be generated to address the problem in
an effective manner
d) Information that needs to be generated
to address the problem in an effective
manner, known and unknown aspects of
the problem and statement of objectives
5. Advantages of writing a concept paper
include
a) You may be able to organize your ideas
b) It gives an opportunity to stand out and
receive a positive response from
reviewers
c) You are sure to get funding
d) 'a' and 'b'
6. The elements of the methods section in the
concept proposal needs to be adopted
according to the study design chosen
a) True
b) False
7. The ethics section of the concept proposal
should include information about
a) Key measures taken to protect the study
participants
b) The ethics committee to which the study
will be submitted for approval
c) Scientific committee that will review the
study
d) 'a' and 'b'
8. Which of the following needs to be spelt out
in "Expected benefits" section of the
concept proposal?
a) Expected outputs that the study will
generate with timeline
b) Proposed immediate action based on
research findings
c) How this research may set agenda for
further research
d) All of the above
9. Budget estimate is not mandatory in the
concept proposals. However, it would be
very useful to prepare the indicative budget
for key items
a) True
66. Assignment 21
COMPILED BY DR. VIMESH MISTRY (MEDICAL COLLEGE BARODA) 2
b) False
10. While writing the concept papers for
intervention studies, the methods section
must have the following details
a) Primary and secondary outcome
definitions
b) Randomization, sequence allocation and
allocation concealment
c) Dose, frequency, nature of Intervention
d) All of the above
11. Immediately after identification of research
topic and statement of objectives, it may be
preferable to
a) Write protocol
b) Outline one-page concept paper
c) Prepare dummy tables as per the
analysis plan
d) Seek review by an institutional ethics
committee
12. References need to be written following
standard guidelines such as International
Committee of Medical Journal Editors
(ICMJE)
a) True
b) False
13. Which of the following is the guideline that
can be used for drafting protocols for a
clinical trial?
a) SPIRIT
b) PRISMA
c) CARE
d) STROBE
14. Why is concept paper necessary for a
research project?
a) It helps to finish the data collection
rapidly
b) It helps to organize the ideas
c) It helps to get instant approval of ethics
committee
d) It helps to publish the research quickly
15. Which of the following components are
included in the background and justification
section of the concept paper
a) Context of the study problem
b) Operational definitions
c) Sampling technique
d) Study procedure
16. Which of the following information is not
addressed in the ethics section of the
concept paper?
a) Information about sample and data
storage
b) Key measures taken to protect the study
participants
c) The ethics committee to which the study
will be submitted for approval
d) Budget for salary of the projects staff
17. Which of the following is a component of
concept paper?
a) Abstract
b) Objectives and Methods
c) Conclusion
d) Discussion
18. What is the basis for writing a one page
concept paper?
a) Lack of time to draft a complete protocol
b) Overcomes inhibitions in drafting a
complete protocol
c) It is mandatory for scientific committee
protocol
d) For ethics committee approval
19. The indicative budget in a concept paper
includes salaries, per diem, travel,
equipment and supplies
a) True
b) False
20. The concept paper helps agencies for
a) Screening the proposal for funding
b) Scientific committee approval
c) Ethics committee approval
d) Publishing the manuscript
67. Assignment 21
COMPILED BY DR. VIMESH MISTRY (MEDICAL COLLEGE BARODA) 3
21. Which of the following is NOT included in
the background section of a concept paper?
a) Importance of a health problem
b) Known fact about the health problem
c) Prior contribution of the researcher in
the topic
d) Knowledge gap in that topic
22. The methods section of the concept paper
contains the following:
a) Key operational definitions
b) Conclusions
c) Context of study
d) Novelty of the study
23. Which of the following best describes the
‘Expected Benefits’ section of a concept
paper?
a) Financial benefit to the funding agency
b) Policy changes based on the study
findings
c) Financial benefit to the researcher
d) Academic improvement of the
researchers
24. Which of the following are components of a
concept paper?
a) Study title and references
b) Study title, abstract and references
c) Abstract and references
d) Study title, results and references
25. Sampling strategy is discussed in which of
the following section of a concept paper?
a) Background
b) Objectives
c) Methodology
d) Results
26. Which of the following statement is true
about the ‘Reference’ section of a concept
paper?
a) References must be written following
standard guidelines
b) Unlimited references are preferred in a
concept paper
c) Reference section is usually an optional
component
d) References are usually required for the
results section
27. A post graduate has mentioned the
estimated budget for her thesis to be 50,000
INR in the concept paper. Which of the
following components of the budget may
not be justified?
a) Salary for data collectors
b) Travel cost for data collection
c) Equipment cost
d) Remuneration for the thesis guide
28. Identify the INCORRECT statement about
protocol writing?
a) A protocol is a must for obtaining the
ethics committee approval
b) A well-written protocol is often helpful
to draft a one-page concept proposal
c) All known facts in a protocol must be
supported by appropriate reference
d) Peer review helps in improving the
quality of a protocol
29. All the followings are recommended while
writing a concept paper, EXCEPT
a) Preparing a concise document
b) Presenting mostly in bullet forms
c) Describing the methods section in detail
d) Restricting the number of objectives
30. Which of the following is a consideration in
framing the objectives of a concept paper?
a) Choosing appropriate action verbs
b) Calculating sample size based on the
secondary objectives
c) Stating broad objectives
d) All the above
------------------
68. Assignment 22
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. Description of the intervention is essential
in a research protocol for
a) Experimental study
b) Case-control study
c) Cohort study
d) Cross-sectional study
2. Inclusion and exclusion criteria should be
included under the following section in the
protocol
a) Sampling
b) Study population
c) Study design
d) Sample size
3. The details regarding data quality assurance
should be written in the following section in
the protocol
a) Data collection
b) Data analysis
c) Project implementation
d) Data entry
4. The following annexure in the study
protocol deals with toxicity management
a) Study management forms
b) Standard operating procedures
c) Consent forms
d) Adverse event management form
5. Study population, sample size and sampling
are included in the following section of the
protocol
a) Introduction
b) Methods
c) Objectives
d) Expected Benefits
6. First step for writing a successful protocol
a) Write a one page concept paper
b) Identify topic, research question and
objectives
c) Write a draft protocol
d) Seek ethics approval
7. Key outcomes and exposures should be
explained under
a) Data analysis
b) Data collection tools
c) Sampling
d) Operational definitions
8. Human participant protection paragraph
addresses all except
a) Confidentiality
b) Risks
c) Compensation
d) Sample size calculation
9. Willingness of 'study participants' to
participate in the study is obtained by
a) Informed consent
b) Oral commitment
c) Willingness not necessary
d) None of the above
10. The section that guides how the objectives
lead to indicators
a) Introduction
b) Study design
c) Budget
d) Objectives
11. Which of the following statements is True
regarding the first draft of the protocol
a) The draft is the final document and has
to be adhered to as it is.
b) The concept paper can be used as an
outline for drafting the first draft of the
protocol.
c) Background with justification, method of
conducting the study and expected
benefits are stated briefly as in the
concept paper.
d) Additional references must not be
added.
12. It is ideal that the first draft of the protocol
a) Exceeds >2000 words
b) Does not exceed >2000 words
c) Exceeds >3000 words
d) Does not exceed >3000 words
69. Assignment 22
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
13. Data collection paragraph in the protocol
should specify all, EXCEPT
a) The kind of data that will be collected
b) Information about the data collector
involved in data collection
c) The detailed manner in which the data
collector is going to collect the data
d) The details of how the collected data
will be used for policy
recommendations
14. Mode of data entry, software for data
analysis and plan for data analysis are
included in the following section of the
protocol
a) Introduction
b) Methods
c) Objectives
d) Expected Benefits
15. Which of the following is a step for drafting
a successful protocol?
a) Writing an abstract
b) Submitting for peer review
c) Seeking consent from participants
d) Data analysis
16. Which of the following statements is true?
a) It is sufficient to mention whether the
study is quantitative or qualitative in
study design section
b) The concept paper can contain more
than 20 references relating to the study
c) Sample size calculation is not necessary
for conducting research
d) Human subject protection statement
should be included in the methods
section
17. The introduction can be 40% of the content
of the protocol
a) True
b) False
18. Which of the following sections mentions
about the detailed plan for conducting the
study
a) Introduction
b) Results
c) Methods
d) Discussion
19. Which of the following is a part of
introduction section of the protocol?
a) Inclusion and Exclusion criteria
b) Detailed budget
c) Participant safety and protection
d) Background with justification
20. Informed consent, procedures for
minimizing participant risk and
compensations are included in which of the
following sections
a) Introduction
b) Abstract
c) Human subject protection
d) Study procedure
21. Which of the following is NOT an
appropriate step of protocol development?
a) Development of research question
b) Preparation of the analysis plan
c) Development of study tool
d) Initiation of data collection
22. In which of the following section of a
protocol, is the analysis plan written?
a) Objective
b) Results
c) Budget
d) Methods
23. State whether true or false. Study
population and the study sample are same.
a) True
b) False
24. Which of the following is CORRECT about
operational definitions in a study protocol?
a) It is part of the background section
b) It spells out the key research gaps
70. Assignment 22
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
c) It should be broad and non-specific
d) It may be supported by appropriate
references
25. Which of the following component is LEAST
appropriate for a project implementation
plan?
a) Calculating sample size
b) Coordinating project activities
c) Assigning job responsibilities
d) Preparing project timeline
26. Human subjects are protected by all the
following mechanisms, EXCEPT
a) Obtaining informed consent from the
participants
b) Reviewing proposal by the ethics
committee
c) Incentivizing target population for
participation
d) Compensating participants for loss of
wages
27. Which section of a protocol describes the
need to maintain anonymity of study
participants while sharing data to others?
a) Human subject protection
b) Data collection methods
c) Data analysis plan
d) Expected benefits
28. In the methods section of a protocol, a
researcher can include all the following,
EXCEPT
a) Analysis plan
b) Supportive reference
c) Expected benefits
d) Quality assurance
29. The number of study participants required
for a research study can be decided by
a) Pilot study
b) Sample size calculation
c) Sampling procedure
d) All the above
30. State whether true or false. Researchers
can amend a research protocol after re-
obtaining the ethics committee clearance
for the amendments made.
a) True
b) False
------------------------------
71. Assignment 23
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 1
1. All of the following statements regarding
research publications are correct, Except
a) Publishing paper is important for getting
promotion in academic institutions
b) Publishing research findings help to
identify the research gaps
c) Negative findings in a research should
not be published
d) Publishing research findings improves
the credibility of a researcher
2. A senior resident of Psychiatry department
of a medical college wrote a manuscript
based on his thesis work. He has put his
wife's name as a co-author who is working
in the Physiology department of the same
college. Which of the following statements
supports the act of the senior resident in
providing authorship to his wife?
a) He can give authorship to anyone since it
is his research work
b) The guide should decide on who should
be the authors
c) His wife has contributed in designing
the residents’ thesis work
d) It is not a good practice to include
researcher from different department as
authors
3. Which of the following is incorrect about
authorship?
a) Authorship confers credit, implies
responsibility and accountability of the
published work
b) International Committee of Medical
Journal Editors recommends criteria on
authorship
c) It is mandatory to declare the
contribution of each author
d) It is not mandatory that all authors
should approve the final version of the
manuscript
4. Which of the following is false about
plagiarism?
a) It can be copying and pasting of contents
from a published manuscript
b) It can be copying someone's idea
c) It is not considered as a serious
publication misconduct
d) 'Urkund' is one of the software used to
check plagiarism
5. Which of the following is (are) the
consequence(s) of plagiarism of
manuscript?
a) The journal can retract the manuscript
b) Institute can take action on the
author/researcher
c) The researcher loses professional
reputation
d) All of the above
6. You have finished writing a manuscript and
plan to publish it. Which of the following is
the best practice?
a) Submit to multiple journals at the same
time
b) Submit to a journal and wait for the
journal's response
c) Submit to many journals; once it gets
published in one journal, withdraw it
from the other journals
d) Submit the same manuscript in different
languages to different journals
7. A researcher conducted a study to identify
risk factors for exacerbation of bronchial
asthma. The researcher was due for job
promotion. However, the researcher was
lacking enough publications to ensure
promotion. Hence, in order to have
maximum number of publications from the
work, the researcher decided to produce
three different manuscripts instead of one
manuscript comprehensively covering all
72. Assignment 23
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 2
aspects of the study. What is this act
called?
a) Plagiarism
b) Falsification
c) Salami slicing
d) Fabrication
8. Which of the following organizations
directly deals with publication ethics?
a) Indian Medical Association (IMA)
b) Committee on Publication Ethics (COPE)
c) World Health Organization (WHO)
d) Joint National Committee (JNC)
9. A group of researchers submitted a
manuscript for publication based on a drug
trial. Because they did not register under
the clinical trial registry of India (CTRI), one
reputed journal rejected the paper. The
researcher resubmitted the paper in a
different journal and this journal published
it without asking any queries. Which of the
following is the correct statement?
a) It is necessary to register all drug trials
under CTRI
b) The journal which published the paper is
likely to be a predatory journal
c) Both 'a' and 'b' are correct
d) None of the above
10. Among the following which is the best
practice for determining the authorship?
a) Authorship can be based on the criteria
given by ICMJE
b) Authorship should be decided after
submission to a journal
c) It is necessary to include head of the
department/institution as a co-author
d) Authorship can be gifted to friends even
if they have not contributed to that
study
11. Which of the following is incorrect about
publishing a research work?
a) Publishing paper is important for getting
promotion in academic institutions
b) Publishing research findings helps to
identify the research gaps
c) Common people should not read such
research findings
d) None of the above
12. All clinical trials in India should be
registered with Clinical Trial Registry of
India.
a) True
b) False
13. A neonatologist planned to conduct a
clinical trial to explore the effect of
intervention X on hypothermia of the
newborn children (Age <7 days) over
intervention A (The current practice). All
the following are true about the trial,
except
a) Ethics Committee approval is a must to
conduct the trial
b) The trial should be registered under the
Clinical Trial Registry of India
c) Informed consent should be taken from
either of the parents
d) Age appropriate assent is a must in this
trial
14. Manipulating data is known as fabrication
a) True
b) False
15. Which of the following is correct about
determining the authorship?
a) The investigators can follow ICMJE
guideline to determine authorship
b) The sequence should always be based on
alphabetical orders
c) The investigators should include the
head of the institution’s name
irrespective of his/ her contribution
d) None of the above
73. Assignment 23
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 3
16. A group of researchers submitted a
manuscript in a reputed journal. Even after
5 months of submission, they did not
receive the peer review comments from the
journal. The authors decided to submit the
manuscript to a different journal without
informing the editor of the previous
journal. Which of the following term
describes the situation best?
a) Duplicate publication
b) Simultaneous submission
c) Self-citation
d) Breach of confidentiality
17. Dr. D has copied the idea of Dr. A for his
thesis. Copying an idea shouldn’t be
considered as plagiarism.
a) True
b) False
18. Dr. A is in the process of writing review of
literature for her thesis. Her guide has
instructed her to avoid plagiarism. Dr. A
should take all the following measures to
avoid plagiarism, except
a) Avoid copying and pasting
b) Acknowledge original sources
c) Take help of anti-plagiarism software
d) Copy from her own previous work
19. Which of the following is correct in relation
to the conflict of interest?
a) Conflict of interest is always financial
b) Conflict of interest necessarily changes
the outcome of interest
c) It is recommended to hide the COI
during submission of a manuscript
d) Readers can determine the influence of
COI on conclusion of the paper
20. An editor of a reputed journal found that
most of the finding of a manuscript
matches with a previously published paper
by different authors. The editor considered
it as a case of plagiarism. Which of the
following about plagiarism is true?
a) The journal can retract the article, if
already published
b) The editor can inform the authors’
institute about it
c) The researchers may lose their
reputation
d) All of the above
21. Which of the following is TRUE regarding a
clinical trial?
a) It is mandatory to register the trial under
‘Clinical Trials Registry of India’ after
completing it.
b) Ethical issues are considerably low in
clinical trials when compared with
descriptive studies.
c) Informed consent is a must for
recruiting a study participant in a
clinical trial
d) Both ‘a’ and ‘c’
22. Altering the original data to obtain a
statistically significant result by the
researcher is known as
a) Fabrication
b) Falsification
c) Fascination
d) Fasciation
23. All the following help in reducing ethical
issues associated with research publication,
EXCEPT
a) Obtaining the institutional ethics
committee permission
b) Including a guest author to improve the
acceptance of the manuscript
c) Obtaining permission from the copyright
holder to reproduce a figure
d) Declaring familial relationship between
an author and the CEO of the funding
agency
74. Assignment 23
Compiled By Dr. Vimesh Mistry (Medical College Baroda) 4
24. Which of the following is INCORRECT about
publishing research finding?
a) Publication often helps in career
progression and academic promotion
b) It is a way to communicate research
findings with the peer groups
c) Conflicts of interest can be suppressed
as it has implication in study findings
d) It identifies research gaps
25. State whether true or false. The first author
is mostly responsible for addressing the
comments received from the reviewers of
the journal.
a) True
b) False
26. Submitting a manuscript to more than one
journal at the same time is known as
a) Duplicate publication
b) Self-citation
c) Simultaneous publication
d) Peer review
27. Which of the following is NOT an essential
criterion for authorship?
a) Conceptualizing the study
b) Drafting the manuscript
c) Approval of the final manuscript
d) Being departmental head
28. A Post Graduate in a medical college
submitted a proposal to the ethics
committee of the institute. The committee
found that the proposal is a near copy of an
earlier proposal from the same
department. This act of the PG can be best
termed as
a) Fabrication
b) Falsification
c) Plagiarism
d) Breach of confidentiality
29. State whether true or false. Unpublished
work must be acknowledged in a
manuscript.
a) True
b) False
30. Direct or indirect influence of which of the
following aspect is considered ‘conflict of
interest’?
a) Financial
b) Personal
c) Social
d) All the above
----------------------------