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Written / Electronic forms of assessment:
Extended Matching Items (EMIs)
Trevor Gibbs
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Multiple Choice Questions -- MCQs
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Extended Matching Items -- EMIs
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Multiple Choice Questions :
• are probably the most commonly used form of assessment
• are used by many organisations in many parts of the world
• despite their advantages, are probably the most wrongly used form of assessment
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Multiple Choice Questions :
• ask the student to choose the best possible answer from a series of answers
• take various forms, can confuse- what is it measuring?
• can be hard / labour-intensive to set fairly
• can be limited in their scope of questions ( knowledge domain)
• are easy to mark ( computers), hard by hand
• subject to test item analysis
• validity & reliability debate
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Extended Matching Items – EMIs. R type questions
Extended matching items/questions (EMI or EMQ) are Extended matching items/questions (EMI or EMQ) are
a written / electronic examination format similar to a written / electronic examination format similar to
multiple choice questions but with one key difference; questions but with one key difference;
they attempt to move the assessment up the hierarchy of they attempt to move the assessment up the hierarchy of
learning learning
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Acute intermittent porphyria is a result of a defect in the biosynthetic pathway for:
A. collagen B. corticosteroid C. fatty acid D. glucose E. haemF. thyroxine
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Acute intermittent porphyria is a result of a defect in the biosynthetic pathway for:
A. collagen B. corticosteroid C. fatty acid D. glucose E. haem * F. thyroxine
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An otherwise healthy 33-year-old man has mild weakness and occasional episodes of steady, severe abdominal pain, but no diarrhoea. One aunt and a cousin have had similar episodes. During an episode his abdomen is distended, and bowel sounds are decreased. Neurological examination shows a mild weakness in the upper arms. These finding suggest a defect in the biosynthetic pathway for:
A. collagen B. corticosteroid C. fatty acid D. glucose E. haem* F. thyroxine
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Name an encapsulated Gram-positive organism that usually grows in pairs
or short chains.
Streptococcus pneumoniae
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A 7-year-old girl has a high fever and a sore throat. There is pharyngeal redness, and swollen right tonsil with creamy exudate, and painful right submandibular lymphadenopathy. Throat culture on blood agar yields numerous small β-haemolytic colonies that are inhibited by bacitracin. What organism is the likely cause of the illness?
Streptococcus pyogenes
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Extended Matching Items type questions can measure both the depth and breadth of knowledge and increase contextual learning
They make you think !!
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5 components:
Theme, Focus, Options, Lead-in, Stem
• Theme
Pneumonia - appropriate to learning
• Focus
Causation - common, likely to see
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• Options
List - at least 8 choices of answer
• Lead in
“ For each of following clinical scenarios.. - specific, understandable
• Stems
Clinical scenario - common & clear
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Theme: Chest pain
Focus: Causes of chest pain
Options: List 8-10 causes of Chest pain ( myocardial, respiratory, muscular, infective etc
Lead in: “ For each of the clinical cases, described below, select the most likely cause / diagnosis ”
Stems: a) A 55 years old man with sudden onset crushing…
b) A 25 years old student…whilst playing basketball
c) A 45 years old lady…
d) …
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Theme: Pneumonia
Focus: Causes of pneumonia
Options: List 8-10 causes of pneumonia ( bacteria , virus, opportunistic, tumour, obstruction etc)
5 things that do not cause pneumonia
Lead in: “ For each of the clinical cases, described below, select the most likely causative agent ”
Stems: a) A 65 year old smoker presented with …
b) A 5 year old previously healthy child with …
c) A 55 years old lady receiving radiotherapy for carcinoma of the breast
d) A 23 years old male homosexual with Kaposi’s sarcoma..
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