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What principle underlies the development of clinical practice guidelines

 >the development process and evaluation of guidelines should focus on outcomes, the most important for consumers (quality of life, survival)

Which 5 options are the main documents of clinical research

--researcher's brochure --protocol of clinical research --information for the subject of the study and the form of informed consent --clinical trial reports --individual registration card

What guidelines are followed by the Ethics Committee in its work (6 correct answers)

--The Constitution of the Republic of Kazakhstan --state standard "Good Clinical Practice" --state standard "Good laboratory practice" --Convention on Human Rights and Biomedicine --Helsinki Declaration of the World Medical Association --The World Health Organization committees of ethics, conducting an examination of biomedical research

What are the advantages of the Cochrane Library (5 correct answers)

--high-quality research data --international cooperation --latest information --good structuring of information --shortens the search and evaluation time

What are the advantages of the MEDLINE database (5 correct answers)

--universality of access --international coverage --indexing based on subject headings --search by publication type --quality filters are available

What are the drawbacks of the bibliographic databases (4 correct answers)

--lack of full texts --reflects the bias of publications --not always available --sometimes uncomfortable to use --it's hard to get foreign articles

What are the advantages of bibliographic databases (6 correct answers

--a wide range of indexed logs --regular update --time saving --usability --free text search --advanced search tools

What are the advantages of secondary information logs, if we consider them as sources of information (5 correct answers)

--structured abstracts --comments of independent experts --critical assessments of evidence --methodologically reliable studies --strict selection criteria for information

What are the shortcomings of the primary information journals, if we consider them as sources of information (6 correct answers)

--do not always contain reviews --roads --access to libraries is limited --it takes a long time to search and view --there are too many of them --bias of publications

What are the drawbacks of books, if we consider them as sources of information (3 correct answers)

--quickly become obsolete --access to libraries is limited --it takes a long time to search and view

Which 3 logical operators of Boolean logic should be entered in upper case for searching in most electronic databases

--AND --OR --NOT

What are the 3 of the following indicators of clinical and pharmacological expertise related to the parameter №5 “Assessment of clinical effectiveness and monitoring of drug therapy on the basis of the necessary complex clinical, laboratory and instrumental investigations

--medication correction carried out --control drug therapy was conducted --the goal of drug therapy on the level of care

What are the 3 of the following indicators of clinical and pharmacological expertise related to the parameter №3 “Evaluation dosing regimen and selection of drug administration routes

--rationality dose regime --rational ways of selecting injection drugs --rationality of the exchange rate regime

What are the 5 parameters of clinical and pharmacological expertise

--conformity assessment of medical therapy approved clinical protocols of diagnosis and treatment, the main purpose PM --evaluation of selection Message for the underlying disease and taking into account comorbidities --evaluation dosing regimen and selection of drug administration routes --evaluation of the interaction of drugs, the risk of unwanted side effects --evaluation of clinical efficacy

What are the 5th factors determine the level of evidence recommendations

--type (design) study --number of studies and the number of the included patients --pointedness results --clinical significance of the effect and its variations --applicability of study results to the population of interest

What should be the representativeness of the sample? (2 correct answers

--quality --quantitative

Which of the following 4 options are levels of health

--individual health --family health --health groups of people united by any sign --public health

Which of the following 4 options are stages of clinical research organization

--preparatory --data collection and statistical processing of the primary --statistical and logical analysis of the information received --formulation of conclusions

What are the main components of evidence-based medicine? What are 3 types of the following are correct

--high quality scientific research data --clinical judgment and personal professional experience of the doctor --individual characteristics of the patient

What are the features in the meta-analysis? What are 3 types of the following are correct

--allows reducing the chance of systematic errors --allows to increase the sample size and to reduce the dispersion --inconsistency of data is possible to obtain a statistically significant result

What distinguishes systematic review, unlike conventional surveys? What are 5 variants of the following options are correct

--responds to a clearly defined clinical questions --compiled on the basis of the search is absolutely all sources of information in different languages --analyzes the accuracy of all data on a special technique --regularly updated (updated with new research results) --adds a meta-analysis using only valid data

Which of the following 4 options are secondary research

--reviews --clinical guidelines --analyzes the decision-making --economic analyzes

Which of the following 4 options are the primary research

--randomized controlled trials --cohort studies --research "case-control" --cross study

Which of the following 4 types are to describe a systematic review

--formulated clinical questions --object - the results of original research --critical analysis and evaluation of original research --the reduction of systematic and random errors

At the patient accepting 2 various preparations: terfenadin (concerning seasonal fever) and itraconazol (in connection with a fungal infection), in lack of side effects in the past at their reception separately, life-threatening arrhythmia at their simultaneous reception has developed. The attending physician assumes that it is result of medicinal interaction, and hurries to report about it. Which of the following 3 options are characteristics for this study

--case report --descriptive study --low level of Evidence

It is planned during the study to determine whether a permanent long-term use of tap water unfiltered lead eventually to the development of urolithiasis. Which of the following 3 options are characteristics for this study

--cohort study --prospective study --analytical study

Which of the following options are database of evidence-based medicine (4 correct variants

-- Evidence – based Medicine Reviews from Ovid Technologies -- Cochrane Library -- Best Evidence -- Medline

Which of the following types of options are cohort studies (3 correct variants

--prospective --retrospective --mixed

What of the following 4 types are characteristics of phase IV clinical trial

--identification of any interactions with medications --detection and identification of previously unknown adverse reactions, and risk factors --the impact on survival --the use of drugs in other age groups or categories of patients

What of the following 4 types are characteristics of the phase III clinical trial

--Thousands of patients --Multicenter large studies in different patient populations --Application methods of randomization, stratification, "blinding" --Economic evaluation of treatment methods

Which of the following 4 types are characteristics of the phase II clinical trial

--Selection of the multiplicity of the drug --The first controlled study involving patients --Determining the optimal dosage level of new drug --200-600 patients

Which of the following 4 types are characteristics of pre-clinical trials

--participate animals --mutagenic toxicity --teratogenic toxicity --carcinogenic toxicity

Which of the following 4 types are characteristics of the I phase of the clinical trial

--involved healthy volunteers --tolerability of a new drug --pharmacokinetic Parameters --pharmacodynamic effects

Which of the following 4 options are secondary indicators (surrogate) in terms of clinical research

--lowering glucose levels --functional activity --blood sugar levels --blood pressure level

Which of the following 4 options are indicative of primary (hard) in terms of clinical research

--mortality --disability --serious complications --serious side effects

Which of the following 5 options related to hard endpoints of clinical trials

--reduction in the number of deaths --increase in life expectancy --disability --quality of life --reduction in the duration of hospitalization

What are 3 ways to eliminate the systematic errors in the selection of investigated

--randomization --stratification --selection of pairs

What are the objectives of randomized controlled trials (2 correct answers

--study methods of treatment --study methods of prevention

What are the 5 basic features of RCTs

--randomization --blinding (masking) --follow-up (observation of all patients to the end of the study) --comparison of outcomes (etiology, reasons, efficiency) in the test and control groups after intervention --the most powerful way to assess the effectiveness

What are the 5 signs of quality RCTs (randomized clinical trial

-randomization (well done) --observation of patients to the end of the study (80%) --double (triple) blinding --similarity of the main indicators of the groups at the beginning of the study --a significant statistical difference of indicators between the groups at the end of the study

Does leads long-term use of alcohol in the development of gastric ulcers in patients with chronic gastritis Which of the following answers corresponds to the component of intervention under the principle of PICO

- long-term alcohol intake\

How much in the average person include to part of the working group for the drafting of clinical guidelines

- 10-20 human

From what action begins the development of clinical guidelines

- choice of theme

The result of this analysis is to determine the direct benefits from the use of drugs or the use of medical technology. Direct medical costs and outcomes are measured in monetary units. The result of the analysis of "cost - benefit" is to determine the direct benefits of the technology or drug. Currently, cost-benefit analysis is used only in conjunction with the methods of determining the CUA and called CEA. How called this pharmacoeconomic analysis

- Analysis of "expenses - benefit (benefits)"

In conducting this analysis, the effect is calculated on the number of life-years (QALY - quality-adjusted life-years). Under this option, the analysis takes into account not only the achievement of certain clinical effects as opinion (judgment) of the patient on the progress made in terms of their usefulness. The analysis is based on the patient's preference of certain results of the intervention (drug therapy, surgery or others.). How called this pharmacoeconomic analysis

- Analysis of "expenses - utility (utility)"

In conducting this analysis, comparing medicines and programs (standard of care) for identical performance criteria (decreased blood pressure, years of life saved, etc.). Advantages of analysis are that it allows to take into account and to correlate both costs and effectiveness of treatment modalities. It consists of two stages: analysis of the results of medical interventions (drug therapy), the aim of which is to determine the size of the average or marginal costs per patient; calculation and comparison of cost-effectiveness ratios for each of the options under consideration patients. How called this pharmacoeconomic analysis

- Analysis of "expenses - effectiveness"

This pharmacoeconomic analysis is used to justify the lower cost of treatment; wherein in preliminary clinical trials based on the fact that both methods of treatment (drugs) have an equivalent therapeutic efficacy. The advantages of this analysis is that it allows you to compare alternative technologies, choosing the cheapest, but its drawback is that it is a little impractical, since quite rare to find alternative therapies that have the same clinical effects, and differ only in value. How called this pharmacoeconomic analysis

- Analysis of "expenses minimization"

This pharmacoeconomic analysis is based on the account of expenses incurred by a medical institution during the diagnosis and treatment of certain diseases. Performing this analysis is justified in individual medical institutions to optimize the calculation of tariffs for medical care. When comparing the cost of the disease in several patients of the medical establishment to one nosological form calculates the average value calculation treatment of the disease in a particular health care facility. How called this pharmacoeconomic analysis

- Analysis of the "cost of illness"

At the end of the clinical-pharmacological expertise on a scale for the integrated assessing the quality of drug treatment score is 0.75. What does this mean

- about a good level of medical therapy

At the end of the clinical-pharmacological expertise on a scale for the integrated assessing the quality of drug treatment score is 0.9. What does this mean

- about the high level of drug therapy

Which of the following options is an example of dependent samples

- glycemic control group of patients at different time points

What is the accepted probability of faultless prognosis in medical research in establishing the confidence limits of any index

-95% or more

Which of the following options refers to quantitative traits

-growth

Which of the following options refers to the qualitative characteristics

-sex

Which of the following options corresponds to the index, which characterizes the reliability of the information contained in the scientific journal

-citation index

On the basis of what sources information, the physician must decide on the choice of treatment from the perspective of evidence-based medicine

-articles from peer-reviewed journal with a high index of citation

What is the purpose of clinical epidemiology

-development and application of effective methods of clinical research

How called the science that develops techniques of clinical studies

-clinical epidemiology

Does leads the application of influenza vaccine in patients with pneumonia over 60 years and have a concomitant disease - chronic obstructive pulmonary disease (COPD) to decrease the frequency of exacerbations compared with no treatment What design of study answer this questions

- a randomized controlled trial

Does leads the application of influenza vaccine in patients with pneumonia over 60 years and have a concomitant disease - chronic obstructive pulmonary disease (COPD) to decrease the frequency of exacerbations compared with no treatment Which of the following answers corresponds to the intervention according to the principle of PICO

- application of influenza vaccine

Does leads the application of influenza vaccine in patients with pneumonia over 60 years and have a concomitant disease - chronic obstructive pulmonary disease (COPD) to decrease the frequency of exacerbations compared with no treatment Which of the following answers corresponds to the outcome according to the principle of PICO

- reduction in the rate of exacerbation

Does leads the application of influenza vaccine in patients with pneumonia over 60 years and have a concomitant disease - chronic obstructive pulmonary disease (COPD) to decrease the frequency of exacerbations compared with no treatment Which of the following answers corresponds to the component of comparison according to the principle of PICO

- absence of treatment

Does leads the application of influenza vaccine in patients with pneumonia over 60 years and have a concomitant disease - chronic obstructive pulmonary disease (COPD) to decrease the frequency of exacerbations compared with no treatment Which of the following answers corresponds to the population according to the principle of PICO

- Patients with pneumonia over 60 years and have a concomitant disease - chronic obstructive pulmonary disease (COPD)

Does leads the application of IGCS (inhaled glucocorticosteroids) in patients with chronic obstructive pulmonary disease (COPD) to decrease the frequency of exacerbations compared with no treatment What design of study answer this questions

- a randomized controlled trial

Does leads the application of IGCS (inhaled glucocorticosteroids) in patients with chronic obstructive pulmonary disease (COPD) to decrease the frequency of exacerbations compared with no treatment Which of the following answers corresponds to the intervention according to the principle of PICO

- application of IGCS

Does leads the application of IGCS (inhaled glucocorticosteroids) in patients with chronic obstructive pulmonary disease (COPD) to decrease the frequency of exacerbations compared with no treatment Which of the following answers corresponds to the component of the outcome according to the principle of PICO

- reduction in the rate of exacerbation

Does leads the application of IGCS (inhaled glucocorticosteroids) in patients with chronic obstructive pulmonary disease (COPD) to decrease the frequency of exacerbations compared with no treatment Which of the following answers corresponds to the component of the population according to the principle of PICO

- Patients with COPD
- compared with no treatment

Which of the following options is "elusive" non-material costs of medical care

- Discomfort

Which of the following options is a direct non-medical costs of health care

- cash ("pocket") expenses of patients (eg, payment of services at the health facility

Which of the following options is a direct non-medical costs of health care

- transportation costs (when moving patients health, and personal or public transport)

Which of the following options is indirect (indirect) costs of medical health care

- economic losses due to lost productivity in the workplace of the patient

Which of the following options is indirect (indirect) costs of medical health care

- economic losses due to lost productivity in the workplace of the patient

Which of the following options is the direct medical costs of health care

- the cost of professional health services (fee for medical consultations, as well as the payment of the working time of doctors or nurses)

Which of the following options is the direct medical costs of health care

- the cost of maintaining a patient in a hospital, or the cost of services at home, including nurses

Which of the following options is a potential benefit to the health care system from the practical application of clinical recommendations

- the foundation to improve the efficiency of treatments (establishment of standards of care and protocols, patient management) and sustainable financing

Which of the following options is a potential benefit for doctors from the practical application of clinical recommendations

- improving the quality of clinical decisions

Which of the following options is a potential benefit for patients from the practical application of clinical recommendations

- improve the prognosis of the disease, reducing morbidity and mortality, improving quality of life, or certain aspects of it

What international organization in another called "Database of Systematic Reviews"

- The Cochrane Library

The main task of what international organization is to create, update and disseminate systematic reviews of health care interventions, which should ease the interested parties make decisions in various fields of medicine

- The Cochrane Library

Which of the following options is an international organization of researchers who aim to find and summarize the results ever randomized clinical trials of therapeutic interventions

- The Cochrane Library

By the end of the 70s. vaginal carcinoma found in many young women whose mothers received diethylbestrol. What research is needed to plan for surveillance while the healthy women whose mothers received this medication

- Cohort study

In 1830, a French doctor P.Lui based on clinical observations showed that bleeding is ineffective for the treatment of acute pneumonia. To what type of study refers this work

- nonrandomized study with simultaneous control

The tragic story with "thalidomide children" was the cause of conduction of the study design

- Study of the type “case-control”

Mother of a teenager 13 years the interest of effective papillomavirus vaccine to prevent cervical cancer. The application of this vaccine in the world began less than five years ago. Research of what type will help answer the question of mother

- Cohort study

Headmaster offers to deal with overweight children in the school cafeteria to prohibit the sale of sweets. What is the correct wording of the question to follow the proper collection of data and information search

- Whether the ban will reduce the sale of sweets in the school cafeteria the number of overweight children

One section of the clinical practical guidelines according AGREE instrument was a standardized score of less than 20%. What conclusion do the expert group under this section

- categorically not recommended

Conducted epidemiological study, which involved 1300 healthy participants. Of the 600 patients who underwent blood transfusion during the 2.5 years of follow 60 people sick serum hepatitis, and from 700 patients without blood transfusions in the same period fell ill only 15. What type of design in question

- Cohort study

What design of the study is designed to determine whether declines over time the level of intraocular pressure

- Cohort study

In which of the following situations descriptions of case series is the correct type of study

- message about severe side effects of a new drug

What design of the study is designed for determine the development of children who have had polio at an early age

- cohort study

What studies applies apart from cohort studies for the establishment of a causal link

- Study “case-control”

What kind of studies refers to secondary research methods

- Systematic review and meta-analysis

To what kind of epidemiological study fit the following definition of "special kind of scientific study performed on a specially developed method, the object of which is the result of other, original research"

- Systematic review

To what kind of epidemiological study fit the following definition of "special kind of prospective studies to assess the various interventions, the conditions of which are aimed at eliminating the effect of systematic errors on the obtained results"

- a randomized controlled trial

To what epidemiological studies suited the expression "necessary for the rare, new and unusual phenomena can be for assess the true effectiveness in practice"

- Description of case

To what kind of study refer the survey of the population (in whole or in separate groups) at a certain time with the aim to study the prevalence of a disease

- transverse study

On the use of what method of epidemiological studies can assume the next title of the article "The prevalence of drug use among residents of Temirtau"

- transverse cross-sectional study

What design of study is characteristic for article entitled "Animals poisons in the complex therapy of cancer"

- a randomized controlled trial

How called the study in which participants were randomly divided into groups - the intervention and control

- a randomized controlled trial

Which of the following options corresponds to the Science about application of epidemiological knowledge, methods and arguments to the study of favorable and adverse effects for the rational use of drugs in different human populations

- pharmacoepidemiology

Which of the following options corresponds to the analysis of the cost of drug therapy for the health system and society with the aim to identify the most profitable drugs (kinds of treatments) for funding organizations, patients and manufacturers

- pharmacoeconomics

What standard is a quality production, ensuring production of drugs, approved by the relevant state bodies Standards

- Good Manufacturing Practice (GMP)

Which of the following allegations of evidence-based medicine is the right

- medicine, based on the technology of gathering, critical analysis

What does meant by a clinical-pharmacological expertise

- analysis, estimation of rationality and quality of drug therapy

What is the gold standard by the study of the effectiveness of treatment

- double-blind, randomized, controlled clinical trial

Publication of what designs of study is necessary search in the base of PubMed, to find the most demonstrative research in relation of treatment

- randomized clinical trial

Which definition includes a structure, scheme, organization of studies

- study Design

What section of the medical article to answers the following questions: "Is the using approach optimal ", "How evaluation methods correspond to the character set of problems ", "How objective proposed methods of selecting patients, tracking the results and their analysis

- Methods of study

What section of the medical article answers the questions: "What is the purpose of this research ", "Which place is it takes this scientific study in the field of knowledge "

- introduction

Conducted a qualitative analysis of 26 randomized clinical studies with historical controls, dedicated to cisplatin chemotherapy in cancer of the esophagus. Which design of the study conducted

- systematic review

Which of the following options applies to pre-clinical studies

- animal studies