Certification Board of Infection Control and Epidemiology (CBIC) Practice Exam 2025 - Free CBIC Practice Questions and Study Guide

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What type of relationship is described by the term 'biological gradient' in Hill's Criteria?

A relationship where more exposure correlates with an increased risk

The term 'biological gradient,' as outlined in Hill's Criteria, refers to the concept that an increase in exposure is associated with a corresponding increase in risk for a certain outcome or disease. This implies that there is a dose-response relationship where, as the level of exposure (for example, to a pathogen, toxin, or risk factor) increases, the likelihood or severity of the effect also increases.

This gradient is an important factor in establishing causality between exposure and health outcomes, as it suggests a systematic link rather than a random association. The concept helps to strengthen the argument for a causal relationship, making it not just correlation but supporting a more direct connection between the variables in question.

The other options do not accurately represent the definition of 'biological gradient.' A relationship only evident in one population would relate more to specificity rather than a gradient. Random occurrences without identifiable connections do not imply a dose-response relationship at all. A non-linear association does not reflect the direct positive correlation that is implied in a biological gradient, as it would suggest that the relationship between exposure and effect is not straightforward or consistent.

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A relationship that is only evident in one population

A random occurrence without identifiable connections

A non-linear association

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