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PSM · Study design
Sample itemWhat is the main limitation of a cross-sectional study?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Cannot establish temporal sequence reliably
Cross-sectional studies measure exposure and outcome together, so they estimate prevalence but often cannot determine whether exposure preceded disease.
Option by option
A. Cannot establish temporal sequence reliably (correct)
Correct: simultaneity limits causal temporality.
B. Always requires decades of follow-up
They do not require long follow-up.
C. Cannot measure prevalence
Prevalence is a key cross-sectional measure.
D. Cannot include healthy participants
Healthy people may be included.
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.