PLEASE ANSWER THE QUESTION BASED ON THE IMAGE PROVIDED

Case Studies In Health Information Management
3rd Edition
ISBN:9781337676908
Author:SCHNERING
Publisher:SCHNERING
Chapter7: Healthcare Statistics And Research Methods
Section: Chapter Questions
Problem 7.31.1C
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PLEASE ANSWER THE QUESTION BASED ON THE IMAGE PROVIDED

For items 40-41, refer to data below:
The rapid antigen detection test for streptococcal pharyngitis has
a positive and negative likelihood ratio of 20 and 0.05, respectively.
The pediatrician evaluates his 5-year-old patient who had sudden
onset of sore throat, exudative pharyngitis, and a fever of 39°C. He
estimates the pretest probability of streptococcal pharyngitis in this
child to be 50%. Use the likelihood ratio nomogram provided to
estimate post-test probability.
0.1T
99
0.2+
-98
0.5+
+95
2000
1+
1000
500
200
100
50
20
10
5-
+90
2+
-80
70
-60
+50
-40
10+
40. If the rapid antigen test is positive, what is the probability that
this child has actual streptococcal pharyngitis?
A. Approximately 75%
B. Approximately 85%
C. Approximately 95%
D. Approximately 98%
+30
+20
20
1-
30
0.5
0.2
0.1
0.05
0.02
0.01
-0.005
0.002
0.001
0.0005
40
50
10
60
5
70
80+
+2
90
41. If the rapid antigen test is negative, what is the probability that
this child truly does not have actual streptococcal pharyngitis?
A. Approximately 1%
B. Approximately 10%
C. Approximately 2%
D. Approximately 5%
95
-0.5
98
+0.2
99
-0.1
Pre-test
probability (%)
Likelihood
ratio
Post-test
probability (%)
Transcribed Image Text:For items 40-41, refer to data below: The rapid antigen detection test for streptococcal pharyngitis has a positive and negative likelihood ratio of 20 and 0.05, respectively. The pediatrician evaluates his 5-year-old patient who had sudden onset of sore throat, exudative pharyngitis, and a fever of 39°C. He estimates the pretest probability of streptococcal pharyngitis in this child to be 50%. Use the likelihood ratio nomogram provided to estimate post-test probability. 0.1T 99 0.2+ -98 0.5+ +95 2000 1+ 1000 500 200 100 50 20 10 5- +90 2+ -80 70 -60 +50 -40 10+ 40. If the rapid antigen test is positive, what is the probability that this child has actual streptococcal pharyngitis? A. Approximately 75% B. Approximately 85% C. Approximately 95% D. Approximately 98% +30 +20 20 1- 30 0.5 0.2 0.1 0.05 0.02 0.01 -0.005 0.002 0.001 0.0005 40 50 10 60 5 70 80+ +2 90 41. If the rapid antigen test is negative, what is the probability that this child truly does not have actual streptococcal pharyngitis? A. Approximately 1% B. Approximately 10% C. Approximately 2% D. Approximately 5% 95 -0.5 98 +0.2 99 -0.1 Pre-test probability (%) Likelihood ratio Post-test probability (%)
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ISBN:
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SCHNERING
Publisher:
Cengage