Confounding — USMLE Step 3 MCQ
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Correct answer: D — Confounding by smoking
A confounder is associated with both exposure and outcome and can create or distort an observed association.
Reference: USMLE Step 3 biostatistics and population health content outline: https://www.usmle.org/exam-resources/step-3-materials/step-3-content-outline-and-specifications