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PSM · Study design
Sample itemWhich study design is most efficient for investigating a rare disease?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Case-control study
Case-control studies begin with people who have the outcome and compare prior exposures, making them efficient when the disease is rare.
Option by option
A. Cross-sectional survey of only healthy people
Healthy-only surveys cannot compare disease occurrence.
B. Case-control study (correct)
Correct: selecting cases first avoids following a huge population for rare events.
C. Randomized trial enrolling the whole population
Whole-population trials are usually impractical for rare outcomes.
D. Ecological study with no individual data
Ecological data cannot establish individual exposure relationships reliably.
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.