Community Medicine (PSM) · Screening of Diseases and Health Concepts

When two screening tests are applied in PARALLEL (simultaneously) for the same disease, the result compared to using either test alone is:

  • A Lower sensitivity, higher specificity
  • B Higher sensitivity, higher specificity
  • C Lower sensitivity, lower specificity
  • D Higher sensitivity, lower specificity
Correct answer: D. Higher sensitivity, lower specificity

Explanation

Parallel testing — a positive result on EITHER test is considered positive — maximizes sensitivity (catches more true cases, fewer false negatives) at the cost of specificity (more false positives). It is used when missing a case is catastrophic, such as HIV screening in blood banks. Series testing (both tests must be positive) achieves the opposite: higher specificity with lower sensitivity, used to confirm positives from initial parallel screening.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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