Screening and Diagnostic Test Validity · USMLE Step 1

A screening test for diabetes is used in a population where the disease prevalence is very low. Which parameter will be most affected?

  1. Sensitivity
  2. Specificity
  3. Positive predictive value
  4. Accuracy
Show answer and explanation

Correct answer: Positive predictive value

Positive predictive value (PPV) decreases when disease prevalence decreases. This means many positive results may be false positives in low-prevalence settings.

Difficulty: Medium Question 4 of 20

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