Question 59 (part 2) · LEK · Predictive values

The positive predictive value for the diagnosis of colorectal cancer in the presence of blood in the stool is 5%. This means that:

  1. A. cancer is present in every 20 patients with this symptom.
  2. B. it is not justified to continue the diagnosis in the event of such a symptom.
  3. C. the predictive value will be lower if additional clinical symptoms suggestive of proliferative change are present.
  4. D. the test’s sensitivity would be lower for more advanced stages of cancer.
  5. E. colonoscopy is not a better way to detect colorectal cancer.
Hint

PPV is the probability of disease among those with a positive finding; turn 5% into a simple fraction.

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