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PSM · Study designs
Sample itemWhich study design is usually most efficient for examining a rare disease?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Case-control study
Case-control studies begin with people who have and do not have a rare outcome, then compare prior exposures, making them efficient when waiting for enough incident cases in a cohort would be impractical.
Option by option
A. Cross-sectional prevalence survey only
Cross-sectional surveys measure prevalence but have limited temporal inference.
B. Randomized trial of every possible exposure
Randomizing every exposure is usually infeasible and unethical.
C. Case-control study (correct)
Correct: case-control designs are efficient for rare outcomes.
D. Ecological description only
Ecological studies use group-level data and have different limitations.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.