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1) Um novo teste de diagnóstico foi desenvolvido para detectar
uma determinada doença cardíaca. Em um estudo clínico com 1.000 pacientes,
200 têm a doença e 800 não a têm. O teste apresenta os seguintes resultados:
• Verdadeiros Positivos (VP): 180
• Falsos Positivos (FP): 100
• Verdadeiros Negativos (VN): 700
• Falsos Negativos (FN): 20
 
a) Calcule a sensibilidade do teste
 
 
 
 
b) Calcule a especificidade do teste
 
 
 
 
c) Determine o valor preditivo positivo (VPP) e o valor preditivo negativo (VPN)
do teste.
 
 
 
 
d) Descreva o que significam a sensibilidade e a especificidade em termos da
eficácia do teste clínico.
 
 
 
 
2) Um teste de triagem para diabetes foi aplicado a uma população de 2.000
pessoas, das quais 300 foram diagnosticadas com diabetes. O teste possui
uma sensibilidade de 90% e uma especificidade de 85%.
a) Quantas pessoas foram corretamente identificadas como tendo diabetes
Pesquisa em Saúde I – Sensibilidade e Especificidade
 
 
 
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(Verdadeiros Positivos)? (Dica: VP = Sensibilidade × número de casos de diabetes)
 
 
 
 
b) Quantas pessoas foram erroneamente identificadas como tendo diabetes
(Falsos Positivos)? (Dica: FP = (1 - Especificidade) × número de pessoas sem diabetes)
 
 
 
 
c) Quantas pessoas foram corretamente identificadas como não tendo diabetes
(Verdadeiros Negativos)?
 
 
 
 
d) Baseado nos resultados acima, quantas pessoas não diagnosticadas com
diabetes realmente têm a doença (Falsos Negativos)?
 
 
 
 
e) Se você fosse responsável por recomendar este teste para uso em larga
escala, quais considerações faria com base nos valores de sensibilidade e
especificidade?
 
 
 
3) Dois pediatras querem investigar um novo teste de laboratório que identifica
infecções por estreptococos. O Dr. Hugo usa o teste de cultura padrão, que tem
uma sensibilidade de 90% e especificidade de 96%. Já a Dra Carol usa o novo
teste, que é 96% sensível e 96% específico. Se 200 pacientes forem
submetidos à cultura com ambos os testes, qual das seguintes opções está
correta?
a) Dr. Hugo irá identificar corretamente mais pessoas com infecção por
estreptococos do que a Dra. Carol
b) Dr. Hugo irá identificar corretamente menos pessoas com infecção por
estreptococos do que a Dra. Carol
c) Dr. Hugo irá identificar corretamente mais pessoas sem infecção
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estreptocócica do que a Dra. Carol
d) A prevalência de infecção estreptocócica é necessária para determinar que
pediatra irá identificar corretamente o maior número de pessoas com a doença
 
 
4) Um teste de triagem é usado da mesma maneira em duas populações
semelhantes, mas a quantidade de resultados falso-positivos entre aqueles que
testam positivo na população A é menor do que entre aqueles que testam
positivo na população B. Qual é a explicação provável para este achado?
a) É impossível determinar o que causou a diferença
b) A especificidade do teste é menor na população A
c) A prevalência da doença é menor na população A
d) A prevalência da doença é maior na população A
e) A especificidade do teste é maior na população A
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