Biostats question -- Type 2 Error

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usmleprep88

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If anyone could help me out with this one, i'd really appreciate it. Thanks!

Suppose that certain patients with breast cancer are found to have high serum concentrations of a particular compound that is at very low levels in normal individuals. A new blood test is developed for breast cancer screening based on this finding, and a study is performed to determine the correct upper limit of normal for the compound, with a test sensitivity of 80% (the test compared with mammography).
What can be done to reduce the probability of making a type II error in a similar study?
  • A.
    Decrease the disease prevalence in the population studied

  • B.
    Decrease the sensitivity of the test

  • C.
    Increase the size of the population studied

  • D.
    Increase the specificity of the test

  • E.
    Increase the upper limit of the normal concentration range
Answer: c

Why isn't the answer D?....

Answer explanation: Type II error (B) is when no effect or difference is found when one exists. Increasing sample size, sensitivity, or P value threshold decreases B.

Can someone please explain how sensitivty, specificity, & p value relate to B.....
 
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