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so many at times in the usmle step one um and step two um we have this uh diabolical diagram whereby they put disease population business population here and then the healthy population and they want us to know what happens if the cutoff is shifted from a to b or from b to c or what happens so um i want to put this in a very good perspective whereby and ill summarize everything and also make it very simple to understand so please um just lets go to the board um so what i do is that um i draw this line like this and i draw this so you just learn how to draw this by yourself so after drawing this i will put the cut off over here in the middle just as we have in the in the book now um i will go ahead and label and label it so here um ill put the healthy patients here healthy and hell be the disease patients disease patients so healthy means that the disease is absent and here means the disease is um is present so now the next thing is to label and we know that from this line if i bri