Community Medicine (PSM) · Biostatistics (Measures of Central Tendency, Tests of Significance, Sampling)

Fasting blood sugar was measured in 50 diabetic patients before starting a new exercise programme and again after 3 months in the same patients. The investigator wants to know whether the mean change is statistically significant. The most appropriate test is:

  • A Unpaired t-test
  • B Paired t-test
  • C Chi-square test
  • D One-way ANOVA
Correct answer: B. Paired t-test

Explanation

When the same subjects are measured twice, the observations are paired, and the correct analysis is the paired t-test applied to the differences within each subject. The unpaired (Student) t-test requires two independent groups, so it would ignore the within-subject correlation and lose statistical power. ANOVA compares three or more independent group means, and chi-square tests proportions, not continuous means.

Reference: Mahajan's Methods in Biostatistics for Medical Students and Research Workers, 9th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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