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Table 2
Study Questions Grouped by Origin
Questions from clinical practice:
1.Is there any benefit of routine Pap smear in persons who have had a hysterectomy for benign disease?
2.Is ultrasound the best diagnostic test available to exclude the presence of lower extremity deep vein thrombosis?
3.Are nonacetylated salicylates really safer, e.g., have less incidence of acid-peptic problems, in patients with NSAID (nonsteroidal anti-inflammatory drug) gastrointestinal intolerance (who benefit from anti-inflammatory effect)?
4.Is the elevation of alkaline phosphatase a better indicator of recurring prostate cancer than a rising PSA (prostate-specific antigen)?
5.Is the Cytobrush superior to a spatula for obtaining cells for Pap smears, in terms of technical quality (e.g., percentage of interpretable smears)?
6.Does dietary protein effect the level of proteinuria in patients with protein-losing nephropathy?
7.Is there any benefit of ultrasound as physical therapy for sprained ankle?
8.Is penicillin superior to ciprofloxacin for the outpatient treatment of pelvic inflammatory disease?
9.Is anti-inflammatory therapy (NSAIDs) better than Tylenol for elderly patients with degenerative joint disease?
10.Is there evidence of an association between petroleum product exposure and bladder cancer?
Questions derived from medical test questions:
1.Is a high-dose (1,200 to 1,500 mg daily) regimen of zidovudine therapeutically superior to a low-dose (500 to 600 mg daily) one for reducing the progression to AIDs in patients with positive HIV antibody ?
2.Will PSA screening lower the mortality rate from prostate cancer in low-risk men after they reach the age of 50 years?
3.Is there good evidence that an antibiotic can prevent endocarditis in an 18-year-old woman with rheumatic heart disease (mild mitral regurgitation) who is to have a dental root canal?
4.A 52-year-old woman recently had a modified radical mastectomy for infiltrating ductal carcinoma of the breast. Her axillary lymph nodes are negative for tumor. Would estrogen receptor negativity be more likely to indicate a relatively poor prognosis for this patient, rather than thyroid hormone receptor positivity?
5.A 40-year-old premenopausal woman consults you about her risk of breast cancer. Does prior use of birth control pills increase her risk?
6.Does anti-reflux surgery in patients with Barrett's esophagus reduce the risk of developing adenocarcinoma?
7.Is long-distance running associated with intervertebral disc narrowing in men?
8.Would plasma norepinepherine levels indicate poor prognosis in congestive heart failure better than hyponatremia?
9.Is Trental (pentoxifylline) the best drug available to improve symptoms of peripheral vascular disease?
10.Do the majority (>50 percent) of terminal AIDS patients have clinical symptoms of cardiac involvement?
J Am Med Inform Assoc. 2002 May–Jun; 9(3): 283–293.
doi: 10.1197/jamia.M0996.