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Using MCQs effectively

Using MCQs effectively. Tutorial : guide tutor, stimulate discussion, tutor can give explanations Lectures : ‘break up’ lectures - keep concentration Short tests : diagnostic feedback, revision exercises All the above prepare students for summative assessment. Blooms Taxonomy.

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Using MCQs effectively

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  1. Using MCQs effectively • Tutorial: guide tutor, stimulate discussion, tutor can give explanations • Lectures: ‘break up’ lectures - keep concentration • Short tests: diagnostic feedback, revision exercises All the above prepare students for summative assessment

  2. Blooms Taxonomy Hierarchy of educational objectives: 1. Knowledge:remember previously learned material 2. Comprehension:to grasp the meaning of material 3. Application:use learned material in new and concrete situations

  3. Blooms Taxonomy 4. Analysis: break down material into its component parts to understand organisational structure 5. Synthesis: put parts together to form a new whole 6. Evaluation: judge value of material

  4. Application of Blooms Taxonomy to design of MCQs • Knowledge • Comprehension • Application • Analysis • Synthesis • Evaluation

  5. Assessment • Critical component of instruction • Communicates what is viewed as important • Powerful motivator- powerful influence on • student learning • Fills instructional gaps • Identifies areas of deficiency • Determines grades

  6. What should be tested? • Exam content should match course • objectives • Important topics weighted more heavily • Testing time should reflect relative • importance • Sample of items should be representative • of instructional goals

  7. True/False Which of the following is/are X-linked recessive conditions? 1. Haemophilia * 2. Cystic fibrosis 3. Duchenne muscular dystrophy* 4. Tay-Saches disease

  8. Which of the following statements about cystic fibrosis (CF) is/are true? 1. The incidence is 1:2000 2. Children with CF usually die in their teens 3. Males with CF are sterile 4. CF is an autosomal recessive disease

  9. True/False The way to a man’s heart is through his… 1. Aorta 2. Pulmonary arteries 3. Pulmonary veins 4. Stomach

  10. Numeric Data The likelihood of (something) occurring is: A) Less than 20% B) Between 20 and 30% C) Greater than 50% D) 90% E) 75%

  11. Arrange the parents of the following children with Down syndrome in order of highest to lowest risk of recurrence. Assume that the maternal age in all cases is 22 years and that a subsequent pregnancy occurs within 5 years. The karyotypes of the daughters are: I. 46, XX, -14, +T (14q21q) pat II. 46, XX, -14, +T (14q21q) de novo III. 46, XX, -14, +T (14q21q) mat IV. 46, XX, -21, +T (14q21q) pat V. 47, XX, -21, +T, (21q21q) (parents unknown) A. III, IV, I, V, II B. IV, III, V, I, II C. III, I, IV, V, II D. IV, III, I, V, II E. III, IV, I, II, V Which of the following is/are true of gout? 1. It commonly occurs in women 2. It is often associated with acute pain 3. It is usually hereditary 4. Serum Ca 2+ levels are frequently increased Who was the primary author of the Declaration of Independence? A. Abraham Lincoln B. Thomas Jefferson C. Franklin Roosevelt D. King George II E. Catherine the Great

  12. Application of knowledge Acute intermittent porphyria is the result of a defect in the biosynthetic pathway for: A. Collagen B. Corticosteroids C. Fatty acids D. Glucose E. Haem*

  13. An otherwise healthy 33-year-old man has mild weakness and occasional episodes of abdominal pain with some cramping but no diarrhoea. One aunt and a cousin have similar episodes. During an episode, his abdomen is distended and bowel sounds are decreased. Neurological examination shows mild weakness in the upper arms. These findings suggest a defect in the biosynthetic pathway for: A. Collagen B. Corticosteroids C. Fatty acids D. Glucose E. Haem*

  14. Extended Matching Sets (EMS) The List A. Adenovirus B. Aspergillus fumigatus C. Bacillus anthracis D. Candida albicans E. Chlamydia psittaci F. Coronavirus G. Coccoides immitis H. Corynebacterium diphtheriae I. Coxsackie virus J. Epstein-Barr virus K. Coxiella burnetii L. Haemophilus influenzae M. Histoplasma capsulatum N. Mycobacterium tuberculosis O. Mycoplasma pneumoniae P. Neisseria gonorrhoeae Q. Neisseria meningitidis R. Pneumocystis carinii S. Rhinovirus T. Streptococcus pneumoniae U. Streptococcus pyogenes A question that assesses the remembering of isolated facts: 1. Which of the following is an encapsulated Gram-positive organism that usually grows in pairs or short chains? (Ans.: T) A question that requires the application of knowledge: 2. A 7 year old girl has a high fever and a sore throat. There is pharyngeal redness, a swollen right tonsil with creamy exudate and a painful right submandibular lymphoadenopathy. Throat culture on blood agar yielded numerous small b-haemolytic colonies that were inhibited by bacitracin (Ans.: U)

  15. Extended Matching Sets-type questions Theme - Options - Lead-ins - Stems Theme: Fatigue Options: A. Acute leukaemia E. Epstein-Barr virus B. Anaemia F. Hypothyroidism C. Congestive heart failure G. Folate deficiency D. Depression Lead-in: for the following patients with fatigue, what is the most likely diagnosis? Stem: (1) A 15-year-old girl has a two-week history of fatigue and back pain. She has widespread bruising, pallor and tenderness over the vertebrae and both femurs. A complete blood count showed a haemoglobin concentration of 7.0 g/dL, a leukocyte count of 2000 per mm3, and a platelet count of 15,000 per mm3. Stem: (2) A 19-year-old woman reports fatigue, fever and a sore throat…..

  16. Remembering isolated facts or synthesising/using information? The list...A. Vitamin A I. Biotin B. Vitamin B1 J. Copper C. Vitamin B2 K. Folic acid D. Vitamin B6 L. Iodine E. Vitamin C M. Iron F. Vitamin D N. Magnesium G. Vitamin E O. Niacin H. Vitamin K P. Zinc A question that assesses the remembering of isolated facts….. 1. Which of the following is involved in clotting factor synthesis? A question that requires using the information given in the stem in order to get the answer….. 2. A 70-year-old man had ecchymoses, perifollicular petechiae, and swelling of the gingivae. His diet consisted mostly of Coca Cola and hot dogs. Which of the following was most likely to be deficient in his diet?

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