meu workshop mcq's objective type questions
Post on 23-Jan-2018
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Why MCQ ?
• Objective marking
• Reliability: key, time
• Easy to mark
• Used repeatedly
• Wider sampling of subject matter
• Variety in type of questions
Learning objective
• To identify components of multiple choice questions (MCQ)
• To describe merits and demerits of MCQs
• To frame MCQs
• To evaluate a MCQ
Components - Item
The drug of choice for treatment of
congestive cardiac failure is
a. Isoptin
b. Digitalis
c. Propranolol
d. Aminophylline
Stem
Key
Distractors
Formats
• Single best response
• Completion type
• Relationship analysis
• True-False completion type
• Matching type
Single best response
• The most effective prophylactic agent for
prevention of rheumatic fever is:
a. ACTH
b. Cortisone
c. Acetyl salicylic acid
d. Para aminobenzoic acid
e. None of the above
Case history analysis
• A 7 yr old presents with cough, fever and
an abnormal chest x ray with bilateral
infiltrates and mantoux test had a 15mm
induration. The most likely diagnosis is
(a) Pneumococcal pneumonia
(b) Pulmonary tuberculosis
(c) Mycoplasma pneumonia
(d) Viral pneumonia
Comments
• Most common format
• Tests recall of facts
• Find possible alternatives/ distractors
• Use of “All of the above”
• Use of “None of the above”
• Errors: grammatical clues, length of
correct response
Comments
• Which are the
following are
diuretics?
• (a) Frusemide
• (b) Thiazide
• (c) Mannitol
• (d) All of the above
• Following contrast
media is used for IVP
except
• (a) Conray
• (b) Urograffin
• (c) Dianosil
• (d) None of the above
Comments
• Most common format
• Tests recall of facts
• Find possible alternatives/ distractors
• Use of “All of the above”
• Use of “None of the above”
• Errors: grammatical clues, length of
correct response
Comments
• Imipramine is an
• (a) Anti depressant
• (b) Bronchodilator
• (c) Sedative
• (d) Stimulant
• Protein content of
100ml of breast
milk is:
• (a) 1gm
• (b) 2gm
• (c) 3gm
• (d) 4.3gm
Multiple completion type
• Live virus is used in immunization against
• (1) Influenza
• (2) Common cold
• (3) Cholera
• (4) Small pox
(a) responses 1,2 and 3 are correct
(b) 1 and 3 are correct
(c) 2 and 4 are correct
(d) Only 4 is correct
(e) All four are correct
Comments
• Tests higher levels of cognition
• Can be used with only four distractors
• Reduces the bias with length of the
alternatives
Relationship Analysis
Cow’s milk is preferable to breast milk for infant
feeding because
Cow’s milk has higher content of calcium
(a) Both statements are true and causally related
(b) Both statements are true but not causally
related
(c) First statement is true and second false
(d) First is false and second is true
(e) Both statements are false
Multiple true false completion
• Nutritional rickets is associated with
(a) Prominent costochondral junctions
(b) Hemorrhagic tendency
(c) Raise alkaline phosphatase
(d) Nephrocalcinosis
(e) Hypertrophy of gums
Comments
• Most common in UK exams
• Avoid superlative situations: ‘The best
reason for” “ The most acceptable cause”
• No restriction on true or false responses.
• Items may test only recall
• Stem may be too short and implicit
Matching type
• Match the following sites of absorption on
the gut with the nutrients absorbed at each
site;
(a) Jejunum A. Calcium
(b) Terminal ileum B. Water,electrolytes
(c) Colon C. Vit B12
D. Polysaccharides
E. Glycerol
Tricks of the trade
• Each item should
test an important learning outcome.
be complete
be independent
be written in a standard format
Item based on a single theme
• In case of sunstroke,the victim:
(a) Should have head lowered
(b) Has a weak pulse
(c) Should be given a stimulant
(d) Should have a cold sponging
Item based on single theme
• The commonest feature of sunstroke is:
(a) Weak pulse
(b) Pale face
(c) High temperature
(d) Excessive sweating
Stem -clear and qualified
• The mandibular nerve:
(a) Is sensory
(b) Supplies buccinator
(c) Is a branch of vagus
(d) Is motor
• The infant mortality rate is:
(a) 40
(b) 80
(c) 100
(d) 120
Stem-avoid negatives
• Clubbing of nails is not associated with:
• The following are not loop diuretics
except:
Options-parallel in content
• Hemolytic anemia is
suggested by:
(a) High alkaline
phosphatase
(b) Reticulocyte count
is high
(c) Platelet is low
(d) Clay stools
• How would you reframe
this item?
Key- the best choice
• The treatment of bronchogenic carcinoma
is
(a) Radiotherapy
(b) Chemotherapy
(c) Surgery
(d) Immunotherapy
Distractor-that distracts nobody!
• Integrated child development program
provides service till the age of:
• (a) I year
• (b) 3 years
• (c) 5 years
• (d) Life long
Options-avoid duplication,
inclusive or exclusive
• Children at what
age are covered
under universal
immunization
program?
• (a) under 5 years
• (b) 0-3years
• (c) 0-5 years
• (d) 1-2years
• What percentage of
Indian children are
malnourished?
• (a) less than 20%
• (b) less than 40%
• (c) more than 40%
• (d) more than 60%
Avoid clues
• In which of the following conditions does
hemolysis pay an important role:
• (a) Albers Schonberg disease
• (b) Megaloblastic anemia
• (c) Henoch Scholein purpura
• (d) Hemolytic uremic syndrome
Reduce guessing
• Avoid subconscious preference to a
particular option….
1.b 2.a 3.d 4.b 5.a 6.d………..
• Avoid reducing distractors
four options are considered satisfactory
Will you like this sequence?
• The average duration of human pregnancy
is:
• (a) 258days
• (b) 280days
• (c) 266days
• (d) 290days
Group Activity
• Please comment on the MCQs given to
you (10mins)
• Please frame 2 MCQs per group with
respect to the subject of your choice (15
mins)
Analysis
• NUMBER OF ITEMS:
60-100 items for 60-90mins
25-30 items inadequate!
• TIME:
One best response :40secs
Multiple true/false: 50secs
Relationship analysis: 50sec
Case history: 90secs
• NEGATIVE MARKING:
Should not equal marks for correct answers
• PASS LEVEL:
Good for ranking rather than deciding pass or fail.
Appearances to the mind……
• Things either are what they appear to be
• They neither are, nor appear to be
• They are and do not appear to be
• They are not, yet appear to be
To aim the right way is the wise man’s task!!
Epictetus,1st century A.D
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