LATIHAN SOAL METODE EPIDEMIOLOGI

UKURAN DALAM EPIDEMIOLOGI

Pengampu: dr. M.Sakundarno Adi, MSc
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For each numbered situation below, select the most appropriate measure from the
following lettered options. Each lettered option can be use once, more than once, or not at
all.

A. Five year survival

B. Prevalence
C. Incidence rate
D. Risk
E. Case fatality

1. Which is the best measure to estimate the proportion of the U.S. population that
is over weight?
2. Which is the best measure to estimate how fast new cases acute myelogenous
leukemia develop among workers exposed to benzene?
3. Which is the best measure to estimate the proportion of patients with breast
cancer who will be alive 5 years diagnosis?
4. Which is the best measure to estimate the proportion of proffessional football
player who will suffer a knee injury during a season?
5. Which is the best measure to assess the risk of death among persons with West
Nile Virus Infection?
6. Which is the best measure to estimate how quickly people develop hypertension
after age 21?

A study about risk of myocardial infarction among cigarette smokers was conducted for
five years, between 1998 and 2003. The result of observation on six patients are depicted
schematically in figure 1.

7. The prevalence of myocardial infarction in mid 2002 was

a. 1/6 = 0.17
b. 2/6 = 0.33
c. 1/4 = 0.25
d. 2/4 = 0.50
e. 2/3 = 0.67

8. The incidence rate of myocardial infarction over the observation period was
a. 3 / 6 = 0.50 cases/person-year
b. 3/10 = 0.30 cases/person-year
c. 2/15 = 0.13 cases/person-year
d. 3/15 = 0.20 cases/person-year
e. 3 / 5 = 0.60 cases/person-year
A

B
Diagnosis Death

C
Lost
D
Diagnosis

F
Diagnosis

1998 1999 2000 2001 2002 2003

Figure 1. Observation on six elderly cigarette smokers.

Question 9-12 based on the information in the table 1, for each numbered question below,
select the single best answer from the lettered options.

9. The Black-to-White ratio of incidence rates among women is:

A. 6.5/0.2
B. 6.5/1.1
C. 6.5 – 0.2
D. (6.5 x 2.2)/(13.5 x 0.2)
E. (6.5 – 0.2)/6.5

10. The male-to-female ratio of incidence rates among whites is

A. 2.2/1.2
B. 2.2 – 0.2
C. (2.2 x 6.5)/(13.5 x 0.2)
D. (2.2 – 0.2)/2.2
E. 2.2/0.2
 11. The black-to-white excess rate of occurrence (in cases per 100,000 person-years)
among males is
A. 3.7
B. 7.0
C. 9.7
D. 11.3
E. 13.3

12. The overall male-to-female excess rate of occurrence (in cases per 100.000 peson-
years)
A. 2.0
B. 7.0
C. 2.7
D. 1.4
E. 8.6

Table 1. Incidence rates (per 100,000 person-years) of primary and secondary syphilis by
race and gender, US 2002.

Race
Gender White Black All
Male 2.2 135 3.8
Female 0.2 6.5 1.1
All 1.2 9.8 2.4