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Which statement BEST describes evidence-based practice (EMP)?
A. Clinical decisions based mainly on the therapist's personal experience and anecdotal outcomes
B. The conscientious, explicit, and judicious use of current best evidence in decisions about individual patient care
C. Applying the same protocol to every patient regardless of presentation
D. Using only randomized controlled trials while ignoring patient preferences
B. The conscientious, explicit, and judicious use of current best evidence in decisions about individual patient care
A strong research question should have ALL of the following characteristics EXCEPT:
A. It is significant (contributes to or impacts many people)
B. It is innovative (introduces something new — a new treatment or assessment tool)
C. It addresses a clearly stated knowledge gap
D. It is a simple replication of a question that has already been answered
It is a simple replication of a question that has already been answered
Which statement about the two major categories of statistics is CORRECT?
A. Descriptive statistics are used to make inferences about the population
B. Inferential statistics only summarize the characteristics of the sample
C. Descriptive statistics summarize/describe the sample; inferential statistics draw conclusions about the population
D. Qualitative studies rely primarily on inferential statistics
Descriptive statistics summarize/ describe the sample; inferential statistics draw conclusions about the population
A study analyzes data collected at a single point to provide a 'snapshot' of characteristics or associations. This design is:
A. Randomized controlled trial
B. Cohort study
C. Cross-sectional study
D. Cross-over study
Cross-sectional study
Which qualitative research design seeks to understand the 'lived experience' of individuals with a particular concept, situation, or event?
A. Narrative research
B. Phenomenological research
C. Ethnography
D. Grounded theory
Phenomenological research
Which qualitative design seeks to understand a specific process or action by generating a theory, using methods such as interviews with open, axial, and selective coding?
A. Narrative research
B. Phenomenological research
C. Ethnography
D. Grounded theory
Grounded theory
A researcher enrolls the first 30 patients who walk into the clinic and agree to participate. This sampling method is BEST described as:
A. Random (probability) sampling
B. Convenience (non-probability) sampling
C. Stratified random sampling
D. Systematic random sampling
Convenience (non-probability) sampling
A study is described as 'underpowered.' The most likely problem and its consequences are:
A. The sample is too large, increasing Type I error
B. The sample is too small, increasing the risk of Type II error
C. The population is too small, increasing Type I error
D. The population is too large, increasing Type II error
The sample is too small, increasing the risk of Type II error
The following statements about variables are all true EXCEPT:
A. The dependent variable is the outcome
B. The independent variable may also be called the exposure or predictor
C. Only the dependent variable can have levels
D. Extraneous variables may also be called confounders or covariates
Only the dependent variable can have levels
A confounder is a third variable that is related to BOTH the independent variable and the dependent variable and can distort the true relationship between them.
True
False
True
1 multiple choice option
A study finds that patients who exercise more use fewer opioids. However, patients with lower baseline pain severity BOTH exercise more AND use fewer opioids. In this study, pain severity is best described as a:
A. Dependent variable (outcome)
B. Independent variable (exposure)
C. Confounder
D. Variable that proves exercise causes reduced opioid use
Confounder
'Adjusted' results, such as an adjusted odds ratio or adjusted beta coefficient, indicate that the analysis controlled (accounted) for potential confounders.
True
False
True
Ten bilingual clinical instructors each independently rate the SAME 25 students' Spanish proficiency, and the researchers then compare the instructors' scores with one another. What type of reliability is being tested?
A. Intra-rater reliability
B. Inter-rater reliability
C. Test-retest reliability
D. Internal consistency
Inter-rater reliability
A single full-time research assistant will collect ALL of the pain-sensitivity data for a study using one device. Which type(s) of reliability must be ensured?
A. Inter-rater and test-retest
B. Intra-rater (and test-retest of the instrument)
C. Inter-rater only
D. Inter-rater and intra-rater
Intra-rater (and re-test of the instrument)
Face validity means that a measurement, on the surface, appears to assess what it is intended...
True
False
True
Construct validity evaluates whether a test truly represents the underlying concept (construct) that the researcher intends to measure.
True
False
True
The following statements about validity are all INCORRECT, EXCEPT:
A. Content validity is about the internal consistency (reliability) among items in a questionnaire
B. Concurrent validity refers to the correlation of a new test with an established measure administered at the same time
C. Convergent validity is assessed using p-values
D. Content validity is established by correlating a test with a gold-standard measure
Concurrent validity refers to the correlation of a new test with an established measure administered at the same time
A researcher estimates overall body-fat percentage by tape-measuring wrist circumference. Assistants are trained so that each gets the same result every time and their results agree with one another. The BEST description of this situation is:
A. The test appears to have face validity and is reliable
B. The test is reliable but does not appear to have face validity
C. The test appears to have face validity but is not reliable
D. The test is neither valid nor reliable
The test is reliable but does not appear to have face validity
A researcher records gait speed (meters per second) for 200 older adults. What level of measurement is gait speed?
A. Nominal
B. Ordinal
C. Interval
D. Ratio
Ratio
Course satisfaction is rated as 'extremely satisfied,' 'satisfied,' 'not satisfied,' and 'will never take this course again!!' What is the level of measurement?
A. Ratio
B. Ordinal
C. Nominal
D. Interval
Ordinal
Participants are categorized as 'grumpy,' 'cocky,' or 'short-tempered.' What is the level of measurement for this variable?
A. Ratio
B. Ordinal
C. Interval
D. Nominal
Nominal
The following statements about levels of measurement are all true EXCEPT:
A. Eye color (brown, blue, green) is nominal
B. Temperature in degrees Celsius is ratio
C. Height in centimeters is ratio
D. Pain rated as mild / moderate / severe is ordinal
Temperature in degrees Celsius is ratio
A confidence interval (CI) provides information about precision and the range of plausible population values, whereas a p-value alone only tells you whether a result is statistically significant.
True
False
True
The following statement about p-values and 95% confidence intervals are all true EXCEPT:
A. A p-value essentially tells you only YES/NO about statistical significance
B. Increasing the sample size makes the 95% CI wider
C. A 95% CI is a range within which the true population value is estimated to lie
D. A 95% CI can help you detect a potential Type II error
Increasing the sample size makes the 95% CI wider
Which of the following statements about effect size is INCORRECT?
A. Effect size quantifies the magnitude of a difference or relationship
B. Some effect sizes are independent of sample size and allow comparison across studies
C. Effect size is the ability to detect a difference or relationship if one truly exists
D. A large effect size is often associated with clinical significance
Effect size is the ability to detect a difference or relationship if one truly exists
You can reject the null hypothesis in all of the following scenerios EXCEPT:
A. The p-value < alpha
B. The 95% CI for a beta coefficient does NOT include 0
C. The 95% CI for an odds ratio does NOT include 1
D. The 95% CI for a beta coefficient includes 0
The 95% CI for a beta coefficient includes 0
If the 95% CI of an odds ratio includes 0, then the p-value is greater than alpha.
True
False
False
It is recommended to use non-parametric statistical methods in all of the following situations EXCEPT:
A. The outcome distribution among participants is skewed
B. The outcome is nominal-level data
C. The outcome is ratio-level but not normally distributed
D. The outcome is interval-level with a normal distribution
The outcome is interval-level with a normal distribution
A researcher measures a 0-100 mental-health score BEFORE and AFTER treatment in the SAME 100 health-care providers to see if treatment improved the score. The most appropriate statistical test is:
A. ANOVA
B. Independent t-test
C. Correlation analysis
D. Paired t-test
Paired t-test
A researcher wants to compare the mean weekly exercise hours across THREE cohorts (Class of '25, '26, and '27). The most appropriate statistical test is:
A. Independent t-test
B. Paired t-test
C. ANOVA
D. Correlation analysis
ANOVA
You analyze a single DPT cohort's pre-test and post-test scores on an anatomy exam. This requires a statistical test that allows for the _____ comparison.
A. Between-group
B. Within-group
Within-group
A significant ANOVA result tells you that:
A. Exactly which specific groups differ from one another
B. At least one group differs significantly, but NOT where the difference is (post-hoc testing is needed)
C. The pre and post scores of one group differ
D. There is a correlation among the groups
At least one group differs significantly, but NOT where the difference is (post-hoc testing is needed)
You measure running speed on a treadmill that maxes out at 5 mph, but several participants are elite college sprinters (mean male speed ≈ 8 mph). What measurement problem will you likely encounter?
A. Floor effect
B. Ceiling effect
Ceiling effect
The following statements are all true EXCEPT:
A. Clinically meaningful change reflects the patient's perspective of change
B. MCID is the smallest change that would be meaningful to the patient
C. Statistical significance and clinical significance are the same thing
D. A statistically significant result may still fail to be clinically significant, raising questions about clinical application
Statistical significance and clinical significance are the same thing
A correlation of r = -0.57 is found between anxiety scores (higher = more anxious) and physical-activity scores (higher = more active). The correct interpretation is:
A. More anxiety is associated with higher physical activity
B. Higher anxiety is associated with lower physical activity, AND lower anxiety with higher physical activity
C. It is a very strong negative correlation
D. Higher anxiety causes reduced physical activity
Higher anxiety is associated with lower physical activity, AND lower anxiety with higher physical activity
Which statement about correlation analysis is CORRECT?
A. Correlation can establish a cause-and-effect relationship
B. Correlation analysis has an exposure (independent variable) and an outcome (dependent variable)
C. Correlation just describes a bivariate relationship
D. Correlation is appropriate for nominal-level data
Correlation just describes a bivariate relationship
Examine the correlation matrix below. Which statement is TRUE?

**Correlation is significant at p < 0.01
A. There is a significant negative correlation between Sleep quality (#1) and Depression (#2)
B. There is a significant positive difference between Variable #1 and Variable #3
C. Depression (#2) and Physical activity (#3) are significantly correlated
D. Higher sleep quality causes lower depression
There is a significant negative correlation between sleep quality (#1) and Depression (#2)
In a linear regression, the beta for the effect of daily step count (per 1,000 steps) on a 0-10 pain score is -0.35 (95% CI: -0.60, -0.10). The correct interpretation is:
A. For every additional 1,000 steps, pain increases by 0.35 points, and this is significant
B. For every additional 1,000 steps, pain decreases by 0.35 points, and this is significant because the CI excludes 0
C. For every additional 1,000 steps, pain decreases by 0.35 points, but this is not significant
D. Step count causes a 35% reduction in pain
For every additional 1,000 steps, pain decreases by 0.35 points, and this is significant because the CI excludes 0
The table shows adjusted odds of long-term opioid use by post-op PT dose. Which interpretation is CORRECT? (OR=odds ratio)

A. Compared with 1–5 sessions, the 6–12 session group had 8% lower odds of long-term opioid use, and it is significant
B. Compared with the reference group (1–5 sessions), ≥13 sessions had ~20% reduced odds of long-term opioid use, and it is significant (CI excludes 1)
C. Compared with the reference group, ≥13 sessions had ~20% greater odds of long-term opioid use
D. The 6–12 session result is significant because its CI includes 1
Compared with the reference group (1-5 sessions), ≥13 sessions had ~20% reduced odds of long-term opioid use, and it is significant (CI excludes 1)
A logistic regression reports an OR of 0.54 (95% CI: 0.34, 0.88) for the effect of a one-unit increase in a pain-facilitation score on achieving a good surgical outcome. The correct interpretation is:
A. For every one-unit increase, there is a 54% greater odds of a good outcome
B. For every one-unit increase, there is a 46% reduced odds of a good outcome, and it is significant
C. For every one-unit increase, there is a 54% reduced odds of a good outcome, but it is not significant
D. The result is non-significant because the 95% CI includes 1
For every one-unit increase, there is a 46% reduced odds of a good outcome, and it is significant