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# คำถาม คำตอบ ถูก / ผิด สาเหตุ/ขยายความ ทฤษฎีหลักคิด/อ้างอิงในการตอบ คะแนนเต็ม ให้คะแนน
1


An AI model for depression detection shows high accuracy in laboratory testing but performs poorly in community clinics. Based on the article, what is the most likely explanation?

2. The model was trained on non-representative datasets

AI model was trained on non representative datasets, leading to poor generalization in real world community clinics Statistical learning theory: AI models train on non representative data overfit and fail to generalize to real world settings 7

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2


Which scenario best illustrates the ethical risk of over-reliance on AI in mental health care?

3. AI making autonomous decisions without human oversight

Risk rises when AI make autonomous mental health decisions without human oversight making it unsafe Human in the loop: AI in mental health must support not replace human judgement 7

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3


If an AI mental health tool consistently underdiagnoses symptoms in minority populations, which corrective strategy aligns best with the article’s recommendations?

2. Retraining the model using more diverse datasets

To reduce bias and improve diagnostic equality Algorithmic fairness: correcting biased outcomes through diverse, representative training data to ensure good mental health care 7

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4


Why does the article argue that AI tools are more suitable for screening rather than standalone intervention in mental health?

3. Mental health conditions are dynamic and context-dependent

Mental health conditions are dynamic and context dependent, requiring human judgment for interpretation Biopsychosocial model: mental health is a context dependent making it require human clinical reasoning beyond AI 7

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5


Which AI feature would most increase clinician trust, according to the article?

3. Explainable decision pathways

Increase doctors trust by making AI outputs transparent and clinically interpretable XAI: transparent decision pathways increase clinician trusts by making AI outputs interpretable and useful 7

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6


What unintended consequence may arise if AI mental health apps are widely adopted without regulation?

2. Increased stigma due to data misuse

Without regulation, widespread AI mental health apps may increase stigma due to misuse or exposing personal data Data ethics: misuse of personal data can lead to harmful labeling, discrimination 7

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7


Which model of care best aligns with the authors’ proposed future of AI in mental health?

3. Human–AI collaborative decision-making

The author thinks that AI in mental health should be collaborative not replacing doctors decision making Augmented intelligence theory: AI functions as a clinical decision support tool 7

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8


Why might an AI system incorrectly label normal stress as a mental disorder?

3. Overfitting to training data patterns

Models apply learned pathological pay too broadly to everyday experiences Statistical learning theory: overfitting causes AI to misinterpret normal stress patterns as mental disorders because its limit construct validity 7

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9


Which research focus would most effectively improve clinical adoption of AI mental health tools?

2. Enhancing data privacy frameworks

It improves Clinical adoption by building trusts and ensuring ethical use of AI in mental healthcare Trust: holds that data privacy and governance are essential for doctors and patients adapting of AI mental tools 7

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10


From a public health perspective, what is the strongest justification for integrating AI into mental health systems?

3. Expanding access and early detection

Because it can scale screening to large populations, enable early identification to mental health risks, reach remote areas Public health prevention model: prioritizes expanding access and early detection to reduce mental health burden 7

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11


Why are mRNA vaccines particularly suited for rapidly mutating respiratory viruses?

3. Their sequences can be rapidly updated

mRNA sequence encoding the antigen can be quickly redesigned when new variants emerge which allows fast response to viral evolution and immune escape Platform technology: allows rapid updating of mRNA vaccines to keep pace with evolution 7

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12


What would most likely happen if lipid nanoparticles failed to protect mRNA during delivery?

3. Rapid degradation of mRNA

Without LNPs nanoparticle protection, mRNA will degrade, preventing antigen expression and vaccine effectiveness Drug delivery system: unstable molecules like mRNA require protective carriers to prevent degradation 7

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13


Which limitation most restricts global deployment of current mRNA vaccines?

2. Cold-chain storage requirements

mRNA vaccines require ultra cold and strict refrigeration, depending on on reliable cold chain infrastructure Health systems logistics theory: stringent cold chain requirements need equitable global distribution of mRNA vaccines 7

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14


Why does self-amplifying mRNA (saRNA) reduce required vaccine doses?

2. It replicates within host cells

saRNA replicates itself making it produce more copies of antigen encoding RNA which leads to higher antigen expression from a small dose Molecular amplification theory: RNA replication produces high antigen expression from minimal initial RNA input 7

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15


Which feature makes circular mRNA vaccines potentially transformative?

3. Enhanced stability without a cold chain

Their covalently closed structure lacks free ends which makes them more resistant to enzymatic degradation and may reduce or eliminate strict cold chain requirements RNA structural stability: eliminating free RNA ends enhances resistance to degradation and improves storage feasibility 7

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16


Why might respiratory-route vaccine administration improve protection against respiratory viruses?

2. It targets mucosal immunity at infection sites

Respiratory virus enters the body through the respiratory mucosa Stimulate local mucosal immunity, especially secretory IgA antibodies, provides first line defense mucosal immunity theory: targeting immune responses at respiratory entry sites enhances protection against respiratory viruses 7

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17


What is the primary advantage of combination mRNA vaccines?

3. Protection against multiple pathogens in one dose

mRNA vaccines are advantageous because they can Encode multiple antigens in a single formulation, Provide protection against several pathogens or multiple strains at once, Reduce the number of injections needed, Improve vaccination coverage and compliance 7

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18


Why is post-market surveillance especially important for mRNA vaccines?

2. Rare adverse events may emerge over time

Post market surveillance is especially important for mRNA vaccines because rare or delayed adverse events may only become apparent after widespread, long term use 7

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19


Which trend best reflects the future direction of mRNA vaccine research described in the article?

3. Multivalent and broadly protective vaccines

mRNA vaccine research as focusing on: • Multivalent vaccines that target multiple viral strains or viruses in a single formulation, Broadly protective designs to maintain effectiveness despite viral mutation and diversity, Leveraging the flexibility of the mRNA platform to respond to rapidly evolving respiratory viruses protective vaccine : multivalent and antigenic ally broad mRNA vaccines to counter viral diversity and evolution 7

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20


From a global health perspective, which improvement would most enhance equity in mRNA vaccine access?

3. Improved stability at room temperature

mRNA vaccines It’s limited by Logistical barriers which Reduce dependence on ultra-cold-chain infrastructure Enable distribution in low and middle income countries, Lower costs related to storage and transport, Improve reach to remote and underserved populations global health equity : removing infrastructure barriers such as cold chain dependence to ensure fair access to vaccines worldwide 7

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ผลคะแนน 135.1 เต็ม 140

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