Physiotherapy exam 2017-05-19

Degrees: Physiotheraphy
Date: May 19, 2017

Probability and random variables

Question 1

The prevalence of sciatica in a population is 3%. The Lasegue’s test is a neurotension test that is used to diagnose the sciatica with a sensitivity of 91% and a specificity of 26%. On the other hand, there is an alternative test with a sensitivity of 80% and a specificity of 90%.

  1. Compute the positive predictive value for the Lasegue’s test.
  2. Assuming that the tests are independent, compute the probability of having a positive outcome in both tests.
  3. Compute the probability of getting a wrong diagnose in the Lesegue’s test or in the alternative test.
  4. Which test is better as a screening test (to rule out the sciatica)?

  1. PPV=P(D|+)=0.0366. It is not a goot test to confirm the sciatica as the post test probability of having the sciatica for a positive outcome is very low.
  2. Naming L to the event of having a positive outcome in Lasegue’s test and A to the event of having a positive outcome in the alternative test: P(L+A+)=P(L+)P(A+)=0.74510.121=0.0902.
  3. Naming WL to the event of having a wrong diagnose with Lasegue’s test and WA to the event of having a wrong diagnose with the alternative test: P(WLWA)=P(WL)+P(WA)P(WLWA)=0.7205+0.1030.72050.103=0.7493.
  4. Lesegue test: NPV=P(D|)=0.9894. Alternative test: NPV=P(D|)=0.9932. Thus, the alternative test is better to rule out the sciatica.

Question 2

A physiotherapist opens a clinic and use the social networks to advertise it. In particular he send a friend request to 20 contacts on Facebook. If the probability that a Facebook user accept the friend request is 80%, what is the probability that more than 18 accept the friend request? What is the expected number of friend requests accepted?

Naming X to the number of accepted friend request, XB(20,0.8) and P(X>18)=0.0692. The expected number of accepted friend request is 16.

Question 3

According to a study of the Information Society of Spain in 2013, the spanish checks the mobile phone 150 times a day in average. What is the probability that a spanish person checks the mobile phone more than 2 times an hour?

  1. Naming X to the number of times that a spanish person checks the phone in an hour, XP(6.25) and P(X>2)=0.9483.

Question 4

The the cervical rotation in a population follows a normal probability distribution model with mean 58º and standard deviation 6º.

  1. Between what values are the cervical rotation of the central 50% of the population?
  2. Taking into account the precision of the measurement instrument, a goniometer, a rotation less than 53º is considered a mobility limitation. If we take a random sample of 100 persons from this population, what is the expected number of persons with mobility limitation in the sample?

Naming X to the cervical rotation, XN(58,6).

  1. (Q1,Q3)=(53.9531,62.0469).
  2. P(X<53)=0.2023 and the expected number of persons with mobility limitation in a sample of 100 persons is 20.2328.
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