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PSM · Screening
Sample itemWhat is lead-time bias in cancer screening?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Earlier diagnosis makes survival from diagnosis appear longer
Lead-time bias occurs when screening advances diagnosis date without changing death date, artificially increasing measured survival after diagnosis.
Option by option
A. Test misses true cases
Missing cases is false-negative error.
B. Treatment causes adverse effects
Adverse effects are screening harms but not lead time.
C. Screening detects only harmless disease
Harmless detection is overdiagnosis.
D. Earlier diagnosis makes survival from diagnosis appear longer (correct)
Correct: earlier clock start creates apparent longer survival.
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.
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