Workshop
Developing one Best
MCQ
Facilitators:
• Dr. ASHAR AHMAD KHAN • Dr. SHAGUFTA TABBUSUM
MBBS, FCPS, MRCS, ATLS Course Director MBBS, FCPS
Associate Professor, Surgery Associate Professor, Obs/ Gyne
MM & DC, Multan Nishtar Medical University, Multan
Learning Outcomes:
• A t the end of this workshop, you will be able to;
• know the structure of one best MCQ
• develop one best MCQ
A Simple Model of Competence
Performance
Professional authenticity
Does or hands on
assessment
Shows how
Written,
Knows how Oral or
Computer
Knows based
assessment
Miller GE. The assessment of clinical skills/competence/performance.
Academic Medicine (Supplement) 1990; 65: S63-S7. 5
MCQ
• Assess Knowledge
• Level of knowledge - Know/ Know how
• Reliability: high
• Cover wide range of subject
Activity
According to your previous
understanding
Write down One MCQ
One Best Type of MCQ - Structure
• Item: Whole MCQ
• Discipline: Surgery, Medicine
• Topic/ Subject: Contents/ Subject in SLO
• Theme: Presenting complaints eg pain,
nausea, vomiting, hematuria
• Subtheme: Focused output: Etiology,
Diagnosis, Investigations, Treatment,
prognosis
• Question Stem: Main part of item
• Lead in:
• What is the most appropriate?
• What is highest?
• What is the most reliable?
• Option List: 5 options
• Distracters
• Key: Option No. Reference
• Difficulty Level
• Importance:
• Essential/ Important / Supplementary
Steps to develop one best MCQ
Select a Topic
Select a Theme
Select a Subtheme
List of possible causes/ option
Select one Option to write Question
While developing MCQ:
Do Don’t
• Reduce the options to 5 • Avoid double negative
• Option list should be • Avoid all above
homologous • Avoid none above
• Arrange the options in • Grammatical clues
logical order • Ridiculous options
• Alphabetic or numeric
Activity
• Divide in to groups
• Develop One best MCQ
Q&A
Thank You