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SECTION 1: RESEARCH & EVIDENCE-BASED PRACTICE (Questions 1-35)
Question 1
Which of the following represents the highest level of evidence in the evidence
hierarchy?
A) Randomized Controlled Trial
B) Cohort Study
C) Meta-analysis
D) Expert Opinion
Correct Answer: C
Rationale: The evidence hierarchy places meta-analysis at the highest level, followed by
systematic reviews, randomized controlled trials, cohort studies, case reports/series, and
expert opinions/editorials. Meta-analysis statistically combines results from multiple
studies to provide the most robust evidence for clinical decision-making. Expert opinion
represents the lowest level of evidence.
Question 2
A systematic review differs from a meta-analysis in that:
,A) A systematic review does not include statistical pooling of results
B) A systematic review is a lower level of evidence
C) A systematic review only includes randomized controlled trials
D) A systematic review is not considered evidence-based
Correct Answer: A
Rationale: A systematic review comprehensively collects and evaluates all relevant
studies on a topic but does not necessarily statistically combine the results. A meta-
analysis specifically uses statistical methods to pool results from multiple studies . Both
are high-level evidence sources, but meta-analysis provides quantitative synthesis.
Question 3
Which research design is considered the gold standard for evaluating the effectiveness
of an intervention?
A) Cohort Study
B) Case-Control Study
C) Randomized Controlled Trial (RCT)
D) Cross-Sectional Study
Correct Answer: C
Rationale: The Randomized Controlled Trial (RCT) is the gold standard for evaluating
intervention effectiveness . RCTs use randomization to minimize bias and allow for
causal inference. Cohort studies observe outcomes over time but lack randomization.
Case-control studies are retrospective, and cross-sectional studies assess prevalence at a
single point in time.
Question 4
A researcher wants to study the relationship between smoking and lung cancer by
following a group of smokers and non-smokers over 20 years. This is an example of:
A) Case-Control Study
B) Cross-Sectional Study
,C) Cohort Study
D) Randomized Controlled Trial
Correct Answer: C
Rationale: A cohort study follows a group of individuals (cohort) over time to compare
outcomes between those exposed and not exposed to a risk factor . This design is ideal
for studying disease etiology and risk factors. Case-control studies are retrospective, and
cross-sectional studies assess prevalence at one point in time.
Question 5
In the evidence hierarchy, which level is the lowest?
A) Systematic Review
B) Cohort Study
C) Case Reports/Series
D) Expert Opinions/Editorials
Correct Answer: D
Rationale: Expert opinions and editorials represent the lowest level of evidence in the
evidence hierarchy . While expert opinion has value, it is considered the least reliable
source for clinical decision-making compared to meta-analyses, systematic reviews,
RCTs, and observational studies.
Question 6
Which research design is best suited for studying rare conditions?
A) Randomized Controlled Trial
B) Cohort Study
C) Case-Control Study
D) Meta-analysis
Correct Answer: C
Rationale: Case-control studies are well-suited for studying rare conditions or diseases
with long latency periods. They are retrospective, comparing individuals with the
, condition (cases) to those without (controls) and looking back for exposures. Cohort
studies require large sample sizes and long follow-up periods for rare conditions.
Question 7
Incidence refers to:
A) The number of existing cases of a disease
B) The rate of new cases of a disease
C) The total number of hospitalizations
D) The mortality rate from a disease
Correct Answer: B
Rationale: Incidence is the rate of new cases of a disease in a population at risk during a
specified time period . It conveys information about the risk of contracting a disease.
Prevalence measures the total number of existing cases (new and old) at a specific point
in time.
Question 8
Prevalence is best described as:
A) The rate of new cases of a disease
B) The total number of existing cases of a disease at a specific time
C) The number of deaths from a disease
D) The risk of developing a disease
Correct Answer: B
Rationale: Prevalence measures how widespread a disease is by counting the total
number of existing cases (both new and pre-existing) at a specific point in time .
Prevalence is influenced by both incidence and disease duration.
Question 9
A researcher is studying the risk of developing hypertension over 10 years. Which
measure of disease frequency is most appropriate?