Psychiatry · USMLE Step 1

USMLE Rapid Review: Behavioral Science and Ethics

A condensed rapid review pass over the highest yield behavioral science, ethics, and biostatistics facts for final week review.

35 cards · basic cards · AI-written, checked twice. Edit anything.

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What does sensitivity measure in a diagnostic test?
The proportion of people with the disease who correctly test positive (true positive rate).
What does specificity measure in a diagnostic test?
The proportion of people without the disease who correctly test negative (true negative rate).
What mnemonic describes using a highly sensitive test to rule out disease?
SnNout: high Sensitivity, a Negative result rules OUT disease.
What mnemonic describes using a highly specific test to rule in disease?
SpPin: high Specificity, a Positive result rules IN disease.
What does positive predictive value (PPV) measure?
The probability that a person with a positive test result actually has the disease.
What does negative predictive value (NPV) measure?
The probability that a person with a negative test result truly does not have the disease.
How does increasing disease prevalence affect a test's PPV?
PPV increases as prevalence increases, even though sensitivity and specificity stay constant.
What is a type I error in hypothesis testing?
Incorrectly rejecting a true null hypothesis (a false positive finding).
What is a type II error in hypothesis testing?
Failing to reject a false null hypothesis (a false negative finding).
What is statistical power?
The probability of correctly rejecting a false null hypothesis, equal to 1 minus beta.
What does relative risk compare, and in which study design is it typically used?
The incidence of disease in an exposed group versus an unexposed group, used in cohort studies.
What does odds ratio estimate, and in which study design is it typically used?
The odds of exposure among cases versus controls, used in case-control studies.
What ethical principle refers to a patient's right to make decisions about their own care?
Autonomy.
What ethical principle obligates a physician to act in the patient's best interest?
Beneficence.
What ethical principle means "first, do no harm"?
Nonmaleficence.

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