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Psychiatry · USMLE Step 1 · Healthcare and Nursing

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.

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35 basic cards for USMLE Step 1 Psychiatry. It opens with "What does sensitivity measure in a diagnostic test?" and "What does specificity measure in a diagnostic test?". Study it alongside the other USMLE Step 1 sets below.

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What does sensitivity measure in a diagnostic test?
Show answerThe proportion of people with the disease who correctly test positive (true positive rate).
What does specificity measure in a diagnostic test?
Show answerThe 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?
Show answerSnNout: high Sensitivity, a Negative result rules OUT disease.
What mnemonic describes using a highly specific test to rule in disease?
Show answerSpPin: high Specificity, a Positive result rules IN disease.
What does positive predictive value (PPV) measure?
Show answerThe probability that a person with a positive test result actually has the disease.
What does negative predictive value (NPV) measure?
Show answerThe 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?
Show answerPPV increases as prevalence increases, even though sensitivity and specificity stay constant.
What is a type I error in hypothesis testing?
Show answerIncorrectly rejecting a true null hypothesis (a false positive finding).
What is a type II error in hypothesis testing?
Show answerFailing to reject a false null hypothesis (a false negative finding).
What is statistical power?
Show answerThe 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?
Show answerThe 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?
Show answerThe 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?
Show answerAutonomy.
What ethical principle obligates a physician to act in the patient's best interest?
Show answerBeneficence.
What ethical principle means "first, do no harm"?
Show answerNonmaleficence.

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