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PSM · Bias
Sample itemAn observed exposure-outcome association is distorted by a third factor related to both; what is this source of bias called?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Distortion by a factor related to exposure and outcome
The defining Bias principle supports Distortion by a factor related to exposure and outcome; it directly accounts for the forensic observation, evidence requirement, or public-health measure in the question.
Option by option
A. Random assignment
Random assignment does not establish the requested bias conclusion.
B. Loss of all participants
Loss of all participants is not consistent with the finding or appropriate action described.
C. Perfect measurement
Perfect measurement may be useful elsewhere but is not the best answer here.
D. Distortion by a factor related to exposure and outcome (correct)
Correct. Distortion by a factor related to exposure and outcome best fits the important clue in this sample.
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.