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Reliability and validity — USMLE Step 3 MCQ

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ModeratePreventive Medicine, Epidemiology, BiostatisticsReliability and validityUSMLE Step 3

A test is repeated in the same sample and produces similar results each time, but later comparison with a gold standard shows that many results are wrong. Which of the following is the most likely explanation for this patient's findings?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: AHigh reliability with low validity

Reliability is reproducibility; validity is accuracy compared with the truth. A test can be reproducible yet inaccurate.

Reference: USMLE Step 3 biostatistics content; evidence-based medicine reference