It means that the value of the observation is in the highest ten percent. Whether that is good or bad depends on the context.
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90th percentile is simple another way of saying that 9% scored above and 90% scored below (the other 1% being the number 90). For example, if you take a type of standardized test in high school, if you do well, you are at the 90th percentile, meaning 90% of students scored lower than you and 9% scored better. You can not be in the 100% percentile, because you cannot score better than yourself.
368.
The basic formula we need is the Standard Normal Distribution formula (see related link) which is Z = (x - mean)/std dev. Solve for x, and we get: x = mean + z*std dev. From the Z table (see related link), area = 0.900 (your 90% in decimal form) we get the closest z value of 1.28 (from area = 0.8997). We can now solve for x, the value at the 90th percentile. X = 191 + (1.28)*22.4 or 219.672. Cholesterol, to my knowledge, is always given in whole numbers, so the value is 220 (rounded up).
First, an IQ test of only ten questions is not going to be very accurate. One out of ten would be the 90th percentile. Which would be somewhere around 125.
It is the 31st percentile.