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PSM · Screening
Sample itemWhy can a highly sensitive test be useful as an initial screen?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. It minimizes false-negative results
High sensitivity identifies most affected people and is useful when missing disease is costly, with positive results often followed by a specific confirmatory test.
Option by option
A. It eliminates confirmatory testing
Screen positives often need confirmation.
B. It guarantees high positive predictive value
Predictive value also depends on prevalence.
C. It always has perfect specificity
Specificity may be lower.
D. It minimizes false-negative results (correct)
Correct: sensitivity reduces missed cases.
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.
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