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

In a dataset of birth weights from a rural block, most values are high but a few very low birth weight babies pull the curve to the left. Which relationship between the measures of central tendency is expected?

  • A Mean is greater than median, which is greater than mode
  • B Mean equals median equals mode
  • C Mean is less than median, which is less than mode
  • D Mean lies between median and mode
Correct answer: C. Mean is less than median, which is less than mode

Explanation

In a negatively skewed (left skewed) distribution the long tail points toward low values, so the mean is pulled down below the median, and the median lies below the mode: mean less than median less than mode. The reverse order holds in positive skew, which kills option A. Option B describes a symmetrical normal distribution where mean, median and mode coincide.

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

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