The total probability of the test returning positive is 0.9(0.02) + 0.25(0.98), of which only the first term is applicable if patient has the disease. So the probability is 0.9(0.02)/ [0.9(0.02) + 0.025(0.98)] = 0.018/(0.018+0.0245).
By inspection, this is slightly less than 50%, so the only possible answer among the ones given (and, in fact, the actual answer) is 42.4%, which is answer C.
Marc N.
09/26/19
John B.
09/23/19