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Dentistry · Community dentistry: examiner calibration
Sample itemBefore a caries prevalence survey, two examiners score the same 20 children independently. Which statistic measures their agreement beyond that expected by chance?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Kappa statistic
Examiner calibration checks the reliability of scoring. For categorical scores such as caries codes, the kappa statistic measures agreement beyond chance, and values of about 0.8 or more are regarded as strong agreement. Chi-square and t-tests compare groups and do not measure agreement.
Option by option
A. Chi-square test
Chi-square tests association between categories, not reliability.
B. Standard error of the mean
The standard error describes variation of a sample mean.
C. Kappa statistic (correct)
Correct. Kappa corrects the observed agreement for agreement by chance.
D. Student t-test
A t-test compares two means and does not measure agreement.
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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