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PSM · Epidemiology: interviewer bias
Sample itemIn a case-control study of oral cancer, an interviewer who knows which participants are cases probes cases more persistently about tobacco chewing than controls. Which bias does this introduce?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Interviewer bias
Interviewer bias arises when the person collecting data elicits information differently from cases and controls because of knowledge of their status. Recall bias arises from the participants' own memory, not the interviewer's behaviour. Blinding the interviewer and using structured questionnaires reduce it.
Option by option
A. Interviewer bias (correct)
Correct. Differential probing by an interviewer who knows case status is interviewer bias.
B. Lead-time bias
Lead-time bias is a screening artefact that lengthens apparent survival.
C. Recall bias
Recall bias comes from participants remembering exposures differently, not from how the interviewer asks.
D. Berkson's bias
Berkson's bias comes from hospital-based selection of cases and controls.
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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