The Levels Of Difficulty And Discrimination Indices In Type A Multiple Choice Questions Of Pre-clinical Semester 1 Multidisciplinary Summative Tests
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Item analysis is the process of collecting, summarizing and using information from students' responses to assess the quality of test items.Difficulty index (P) and Discrimination index (D) are two parameters which help evaluate the standard of MCQ questions used in an examination, with abnormal values indicating poor quality.In this study, 120 test items of 12 Type A MCQ tests of Foundation 1 multi-disciplinary summative assessment from M2 / 2003 to M2 / 2006 cohorts of International Medical University were selected and their P-scores in percent and D-scores were estimated using Microsoft Office Excel.The relationship between the item difficulty index and discrimination index for each test item was determined by Pearson correlation analysis using SPSS 11.5.Mean difficulty index scores of the individual summative tests were in the range of 64% to 89%.One-third of total test items crossed the difficulty index of 80% indicating that those items were easy for the students.Sixty seven percent of the test items showed acceptable (> 0.2) discrimination index.Forty five out of 120 test items showed excellent discrimination index.Discrimination index correlated poorly with difficulty index (r = -0.325).In conclusion, a consistent level of test difficulty and discrimination indices was maintained from 2003 to 2006 in all the twelve summative type A MCQ tests.
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Such findings were reported in anatomy exam [48], community Medicine [49], and multidisciplinary summative exams [50, 51] that were constructed traditionally.
“Such findings were reported in anatomy exam [48], community Medicine [49], and multidisciplinary summative exams [50, 51] that were constructed traditionally.”
From AI in medical education: uses of AI in construction type A MCQs (2024) · cites this paper as [50]
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Cites
Introduction to Classical and Modern Test Theory
Crocker, L. M., & Algina, J. J. (1986) · Cited by 5,090 · see citing works
Fundamental Considerations in Language Testing
Spolsky, B., & Bachman, L. F. (1991) · Modern Language Journal · doi:10.2307/329499 · Cited by 4,387 · see citing works
Practical Assessment, Research & Evaluation, 2000-2001.
Rudner, L. M., & Schafer, W. D. (2001) · Practical assessment, research & evaluation · Cited by 3,899 · see citing works
The selection of upper and lower groups for the validation of test items.
Kelley, T. L. (1939) · Journal of Educational Psychology · doi:10.1037/h0057123 · Cited by 777 · see citing works
Essentials of educational measurement
Hanson, R. A. (1973) · Journal of School Psychology · doi:10.1016/0022-4405(73)90057-5 · Cited by 532 · see citing works
Considine, J., Botti, M. A., & Thomas, S. A. (2005) · Collegian Journal of the Royal College of Nursing Australia · doi:10.1016/s1322-7696(08)60478-3 · Cited by 239 · see citing works
Principles of language testing
Davies, A. (1990) · Medical Entomology and Zoology · Cited by 196 · see citing works
Sim, S.-M., & Rasiah, R. I. (2006) · Annals of the Academy of Medicine, Singapore · doi:10.47102/annals-acadmedsg.v35n2p67 · Cited by 196 · see citing works
Basic Item Analysis for Multiple-Choice Tests
Kehoe, J. F. (2020) · ScholarWorks@UMassAmherst (University of Massachusetts Amherst) · doi:10.7275/07zg-h235 · Cited by 182 · see citing works
Bauer, D., Kopp, V., & Fischer, M. R. (2007) · BMC Medical Education · doi:10.1186/1472-6920-7-28 · Cited by 32 · see citing works
Vague and Ambiguous Questions on Multiple‐choice Exercises: The Case for
Mackenzie, J. (1994) · Educational Philosophy and Theory · doi:10.1111/j.1469-5812.1994.tb00198.x · Cited by 29 · see citing works
An analysis of teacher-made tests: Item types, cognitive demands, and item construction errors
Marso, R. N., & Pigge, F. L. (1991) · Contemporary Educational Psychology · doi:10.1016/0361-476x(91)90027-i · Cited by 27 · see citing works
Peitzman, S. J., Nieman, L. Z., & Gracely, E. J. (1990) · Academic Medicine · doi:10.1097/00001888-199009000-00044 · Cited by 26 · see citing works
A preliminary investigation of three types of multiple choice questions
Skakun, E. N., Nanson, E. M., KLING, S., & Taylor, W. C. (1979) · Medical Education · doi:10.1111/j.1365-2923.1979.tb00928.x · Cited by 24 · see citing works
Multivariate analysis of factors Influencing reliability of teacher made tests
Meshkani, Z. S., & Abadie, F. H. (2009) · DOAJ (DOAJ: Directory of Open Access Journals) · doi:10.22037/jme.v6i2.765 · Cited by 9 · see citing works
Multiple response questions – allowing for chance in authentic assessments
McAlpine, M., & Hesketh, I. (2003) · Loughborough University Research Repository (Loughborough University) · Cited by 6 · see citing works
Key Findings from recent literature on Computer-aided Assessment
Warburton, B., & Conole, G. C. (2003) · Cited by 6 · see citing works
An investigation of three types of multiple choice questions.
En, S., Nanson, E. M., Wc, T., & Kling, S. (1977) · PubMed · Cited by 6 · see citing works
Standards Medical Students Set for Themselves when Preparing for the Final MBBS Examination
Senanayake, M., & Mettananda, D. (2005) · Annals of the Academy of Medicine Singapore · doi:10.47102/annals-acadmedsg.v34n8p483 · Cited by 5 · see citing works
Multiple-Choice Examinations in Medicine: A Guide for Examiner and Examinee
Weech, A. A. (1961) · PEDIATRICS · doi:10.1542/peds.28.1.106 · Cited by 2 · see citing works
Can paediatric medical students devise a satisfactory standard of examination for their colleagues?
Cunningham, S. (1999) · Archives of Disease in Childhood · doi:10.1136/adc.80.6.573 · Cited by 2 · see citing works
Key Findings from recent literature on Computer-aided Assessment
Warburton, W. I., & Conole, G. C. (2003) · ePrints Soton (University of Southampton) · Cited by 2 · see citing works
Preparing for the Multiple Choice Paper.
Irish, B. (2005) · PubMed · Cited by 1 · see citing works
Flagged first, then by citations
Research works printed but not linked: 6
- Cunnigham S. Can pediatric medical students devise a standard for their colleagues? Arch Dis Child 1999; 80: 573-575.
- Zubairi AM, Kassim NLA. Classical and Rasch analysis of dichotomously scored reading comprehension test items. Malaysian J of ELT Res 2006; 2: 1-20.
- Lin LC, Tseng HM, Shiao-Chi WU. Item analysis of the registered nurse licensure exam taken by nursing candidates from vocational nursing high school in Taiwan. Proc Natl Sci Counc 1999; 9: 24-31.
- Original Article -Mitra N K, Nagaraja H S, Ponnudurai G, Judson J P IeJSME 2009: 3 (1): 2-7
- Marso RN, Pigge FL. An analysis of teacher made tests and item construction errors. J Contemp Edu Psych 1991; 16: 279-286.
- Original Article -Mitra N K, Nagaraja H S, Ponnudurai G, Judson J P IeJSME 2009: 3 (1): 2-7
Cited by
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An Exploration of Three-Dimensional Integrated Assessment for Computational Thinking
Zhong, B., Wang, Q., Chen, J., & Li, Y. (2015) · Journal of Educational Computing Research · doi:10.1177/0735633115608444 · Cited by 193 · see citing works
Item analysis of multiple choice questions: Assessing an assessment tool in medical students
Rao, C., Kishan Prasad, H., Sajitha, K., Permi, H., & Shetty, J. (2016) · International Journal of Educational and Psychological Researches · doi:10.4103/2395-2296.189670 · Cited by 96 · see citing works
Kheyami, D., Jaradat, A., Al-Shibani, T., & Ali, F. A. (2018) · Sultan Qaboos University medical journal · doi:10.18295/squmj.2018.18.01.011 · Cited by 87 · see citing works
Climbing Bloom's taxonomy pyramid: Lessons from a graduate histology course
Zaidi, N. L. B., Hwang, C. D., Scott, S., Stallard, S., Purkiss, J. A., & Hortsch, M. (2017) · Anatomical Sciences Education · doi:10.1002/ase.1685 · Cited by 75 · see citing works
Correlation between difficulty & discrimination indices of MCQs in formative exam in Physiology
Pande, S., Pande, S. R., Parate, V., Nikam, A. P., & Sh, A. (2013) · South-East Asian Journal of Medical Education · doi:10.4038/seajme.v7i1.149 · Cited by 61 · see citing works
Rezigalla, A. A., Eleragi, A. M. S., Elhussein, A. B., Alfaifi, J. A., Alghamdi, M. A. A., Ameer, A., Yahia, A. I. O., Mohammed, O. A., & Adam, M. I. E. (2024) · BMC Medical Education · doi:10.1186/s12909-024-05433-y · Cited by 52 · see citing works
Sabri, S., & Idris, S. (2013) · Cited by 50 · see citing works
Yamaç, A., Öztürk, E., & Mutlu, N. (2020) · Computers & Education · doi:10.1016/j.compedu.2020.103981 · Cited by 48 · see citing works
Karelia, B. (2013) · International e-Journal of Science Medicine & Education · doi:10.56026/imu.7.2.41 · Cited by 47 · see citing works
Suruchi, S., & Rana, S. S. (2012) · PARIPEX-INDIAN JOURNAL OF RESEARCH · doi:10.15373/22501991/june2014/18 · Cited by 42 · see citing works
Vrabec, M., & Prokša, M. (2016) · Journal of Chemical Education · doi:10.1021/acs.jchemed.5b00953 · Cited by 39 · see citing works
AI in medical education: uses of AI in construction type A MCQs
Rezigalla, A. A. (2024) · BMC Medical Education · doi:10.1186/s12909-024-05250-3 · Cited by 36 · see citing works
Ntumi, S., Agbenyo, S., & Bulala, T. (2023) · Shanlax International Journal of Education · doi:10.34293/education.v11i3.6081 · Cited by 34 · see citing works
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Sowtali, S. N., Yusoff, D. M., Harith, S., & Mohamed, M. (2015) · Journal of Arrhythmia · doi:10.1016/j.joa.2015.10.003 · Cited by 34 · see citing works
Item analysis and optimizing multiple-choice questions for a viable question bank in ophthalmology
Bhat, S. K., & Prasad, K. H. (2021) · Indian Journal of Ophthalmology · doi:10.4103/ijo.ijo_1610_20 · Cited by 32 · see citing works
Liampa, V., Malandrakis, G., Παπαδοπούλου, Π., & Pnevmatikos, D. (2017) · Research in Science Education · doi:10.1007/s11165-017-9643-1 · Cited by 41 · see citing works
Čipková, E., Karolčík, Š., & Scholzová, L. (2019) · Research in Science & Technological Education · doi:10.1080/02635143.2019.1599846 · Cited by 31 · see citing works
Hijji, B. M. (2017) · Journal of Nursing Education · doi:10.3928/01484834-20170712-08 · Cited by 26 · see citing works
Adeleke, A. A., & Joshua, E. (2015) · Journals & Books Hosting (International Knowledge Sharing Platform) · Cited by 25 · see citing works
Putica, K. B. (2022) · Research in Science Education · doi:10.1007/s11165-022-10075-5 · Cited by 22 · see citing works
Different facets of compulsive buying among Chinese students
Li, S., Unger, A., & Bi, C. (2014) · Journal of Behavioral Addictions · doi:10.1556/jba.3.2014.4.5 · Cited by 19 · see citing works
A Systematic Review of Data-Driven Approaches to Item Difficulty Prediction
AlKhuzaey, S., Grasso, F., Payne, T. R., & Tamma, V. A. M. (2021) · Lecture notes in computer science · doi:10.1007/978-3-030-78292-4_3 · Cited by 18 · see citing works
Assessing Item Difficulty and Discrimination Indices of Teacher-Developed Multiple-Choice Tests
Khairani, A. Z., & Shamsuddin, H. (2016) · Springer eBooks · doi:10.1007/978-981-10-0908-2_35 · Cited by 18 · see citing works
Assessment of the Assessment Tool: Analysis of Items in a Non-MCQ Mathematics Exam
Khoshaim, H. B., & Rashid, S. (2016) · International Journal of Instruction · doi:10.12973/iji.2016.9110a · Cited by 17 · see citing works
Jansen, D. R. M., Keijsers, C. J. P. W., Kornelissen, M. O., Rikkert, M. G. M. O., & Kramers, C. (2019) · European Journal of Clinical Pharmacology · doi:10.1007/s00228-019-02686-1 · Cited by 17 · see citing works
Liu, Y., Lin, G.-L., Chao, K., Jih, H. J., Yang, B., & Chiang, Y. (2020) · Nurse Education in Practice · doi:10.1016/j.nepr.2020.102707 · Cited by 18 · see citing works
Bhattacherjee, S., Mukherjee, A., Bhandari, K., & Rout, A. J. (2022) · Indian Journal of Community Medicine · doi:10.4103/ijcm.ijcm_1156_21 · Cited by 16 · see citing works
Quiwa, L., & Jimeno, C. (2014) · Journal of the ASEAN Federation of Endocrine Societies · doi:10.15605/jafes.029.02.07 · Cited by 14 · see citing works
Item Analysis to Identify Quality Multiple Choice Questions
Menon, A. B., & Kannambra, P. N. (2017) · National Journal of Laboratory Medicine · doi:10.7860/njlm/2017/25690:2215 · Cited by 14 · see citing works
Ülen, S., Čagran, B., Slavinec, M., & Gerlič, I. (2014) · Journal of Science Education and Technology · doi:10.1007/s10956-014-9492-x · Cited by 13 · see citing works
Kahraman, S. (2021) · Canadian Journal of Science Mathematics and Technology Education · doi:10.1007/s42330-021-00137-7 · Cited by 11 · see citing works
Karkal, Y. R., & Kundapur, G. (2016) · Journal of Dr. YSR University of Health Sciences. · doi:10.4103/2277-8632.191842 · Cited by 12 · see citing works
Construction of Multiple Choice Questions Before and After An Educational Intervention
Tenzin, K., Dorji, T., & Tenzin, T. (2017) · Journal of Nepal Medical Association · doi:10.31729/jnma.2976 · Cited by 12 · see citing works
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Drummer, J., Hakimov, G., Joldoshov, M., Köhler, T., & Udartseva, S. (2018) · Technical and vocational education and training · doi:10.1007/978-3-319-73093-6 · Cited by 12 · see citing works
Kao, S., Hsu, L., Hsieh, S., & Huang, T. (2012) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2012.06062.x · Cited by 11 · see citing works
Čipková, E., Karolčík, Š., Sládková, K., & Ušáková, K. (2017) · International Research in Geographical and Environmental Education · doi:10.1080/10382046.2017.1389044 · Cited by 11 · see citing works
Durkin, M. A., Gurbutt, R., & Carson, J. F. (2020) · Nurse Education in Practice · doi:10.1016/j.nepr.2020.102822 · Cited by 11 · see citing works
Measuring teachers’ knowledge of student assessment: Development and validation of an MCQ test
Iqbal, Z., Saleem, K., & Arshad, H. M. (2020) · Educational Studies · doi:10.1080/03055698.2020.1835615 · Cited by 10 · see citing works
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Mansour, S., Vakili, Z., Alavi, N. M., Bigdeli, M., Soleymani, A., Assarian, M., & Azarbad, Z. (2012) · Nursing and Midwifery Studies · doi:10.5812/nms.8738 · Cited by 10 · see citing works
Vourletsis, I., & Politis, P. (2025) · Education and Information Technologies · doi:10.1007/s10639-024-12887-6 · Cited by 12 · see citing works
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Khafagy, G. M., Ahmed, M., & Saad, N. E. S. (2016) · Education for Primary Care · doi:10.1080/14739879.2016.1194363 · Cited by 9 · see citing works
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Sari, F., & Atmanegara, Y. (2018) · Advances in Language and Literary Studies · doi:10.7575/aiac.alls.v.9n.5p.1 · Cited by 9 · see citing works
Özer, N. E., Balci, Y., Bölükbaşı, G., İlhan, B., & Güneri, P. (2025) · European Journal Of Dental Education · doi:10.1111/eje.70034 · Cited by 8 · see citing works
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Yahia, A. I. O. (2022) · The National Medical Journal of India · doi:10.25259/nmji_414_20 · Cited by 8 · see citing works
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Wang, H., Liao, X., Zhang, M., Pang, C. P., & Chen, H. (2021) · Eye · doi:10.1038/s41433-021-01730-8 · Cited by 8 · see citing works
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AlMuhaissen, S. A., Ratka, A., Akour, A. A., & AlKhatib, H. S. (2018) · Currents in Pharmacy Teaching and Learning · doi:10.1016/j.cptl.2018.12.006 · Cited by 7 · see citing works
Ray, S., & Sikdar, D. P. (2023) · Asian Journal of Education and Social Studies · doi:10.9734/ajess/2023/v48i31077 · Cited by 6 · see citing works
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Azzopardi, M., & Azzopardi, C. (2019) · Education and new developments · doi:10.36315/2019v2end001 · Cited by 6 · see citing works
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Hijji, B. M. (2025) · Nursing Reports · doi:10.3390/nursrep15050150 · Cited by 5 · see citing works
Vegada, B., Karelia, B., & Ajita, V. P. (2014) · Cited by 5 · see citing works
Fauzie, M., Pada, A. U. T., & Supriatno, S. (2021) · Jurnal Penelitian dan Evaluasi Pendidikan · doi:10.21831/pep.v25i2.42603 · Cited by 5 · see citing works
Ramzan, M., Imran, S. S., Bibi, S., Khan, K. W., & Maqsood, I. (2020) · Life and Science · doi:10.37185/lns.1.1.53 · Cited by 5 · see citing works
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Smith, E. B., Lewis, P. J., Benefield, T., Catanzano, T. M., Khan, M. J., Nyberg, E. M., & Jordan, S. G. (2020) · Academic Radiology · doi:10.1016/j.acra.2020.05.037 · Cited by 5 · see citing works
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Mohammed, O. E. A. H., Srinivasamurthy, S. K., Bhat, R., Alhassan, Y., Elshamy, H. A. H., Mohammed, F., & Hamad, B. (2025) · Advances in Medical Education and Practice · doi:10.2147/amep.s525828 · Cited by 4 · see citing works
Fostier, M., Patel, S., Clarke, S., & Prokop, A. (2015) · G3 Genes Genomes Genetics · doi:10.1534/g3.115.017509 · Cited by 4 · see citing works
Mabed, M., & Köhler, T. (2018) · Technical and vocational education and training · doi:10.1007/978-3-319-73093-6_16 · Cited by 4 · see citing works
Rezigalla, A. A., Eleragi, A. M. S., Adam, M. I. E., & Mohammed, A. (2020) · Sudan Journal of Medical Sciences · doi:10.18502/sjms.v15i2.5503 · Cited by 4 · see citing works
Al-Hummayani, F. M. (2020) · Egyptian Orthodontic Journal · doi:10.21608/eos.2020.31532.1000 · Cited by 4 · see citing works
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Coronado, S., Bravo, S. S., Arellano, P. L. C., & Mata, A. T. (2018) · Mediterranean Journal of Social Sciences · doi:10.2478/mjss-2018-0130 · Cited by 4 · see citing works
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Ali, I., Haral, M. N., Tahira, F., Ali, M., & Imran, A. (2020) · Education and Urban Society · doi:10.1177/0013124519896831 · Cited by 4 · see citing works
Setiawati, F. A., Amelia, R., Sumintono, B., & Purwanta, E. (2023) · European Journal of Educational Research · doi:10.12973/eu-jer.12.2.1097 · Cited by 4 · see citing works
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Hu, B., Na-Nan, K., & Kittichotsatsawat, Y. (2024) · Environmental Challenges · doi:10.1016/j.envc.2024.101067 · Cited by 3 · see citing works
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Aldawoud, A. A. (2025) · Acta Psychologica · doi:10.1016/j.actpsy.2025.105950 · Cited by 3 · see citing works
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Hijji, B. M. (2021) · Journal of Nursing Measurement · doi:10.1891/jnm-d-20-00112 · Cited by 3 · see citing works
Ganji, K. K., Ananthakrishnan, N., Manivasakan, S., Alruwaili, M. K., Alonazi, M. A., & Algarni, H. A. (2025) · BMC Medical Education · doi:10.1186/s12909-025-07871-8 · Cited by 3 · see citing works
Mabed, M., & Köhler, T. (2016) · Advances in intelligent systems and computing · doi:10.1007/978-3-319-27478-2_45 · Cited by 3 · see citing works
Ülen, S., Gerlič, I., Slavinec, M., & Repnik, R. (2016) · Journal of Science Education and Technology · doi:10.1007/s10956-016-9661-1 · Cited by 3 · see citing works
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Mohamad, S. K., Tasir, Z., & Yusof, I. J. (2023) · Journal of Information Technology Education Research · doi:10.28945/5209 · Cited by 3 · see citing works
Yıldırım, T., & Kahraman, S. (2024) · International Journal of Science Education · doi:10.1080/09500693.2024.2365460 · Cited by 3 · see citing works
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Bertoni, F., Smales, L. A., Trent, B., & de Venter, G. V. (2018) · SSRN Electronic Journal · doi:10.2139/ssrn.3177765 · Cited by 3 · see citing works
Prabhunath, S. V., Nemade, S. T., & Ghuge, G. D. (2019) · International Journal of Medical and Biomedical Studies · doi:10.32553/ijmbs.v3i9.534 · Cited by 2 · see citing works
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Polat, H., & Emre, F. B. (2021) · Universal Journal of Educational Research · doi:10.13189/ujer.2021.090120 · Cited by 2 · see citing works
Alawgali, S. M. (2024) · Mağallaẗ al-ʿulūm wa-al-dirāsāt al-insāniyyaẗ. · doi:10.37376/jsh.vi80.6626 · Cited by 2 · see citing works
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Tadeusiewicz, R. (2014) · Studia Edukacyjne · doi:10.14746/se.2014.33.5 · Cited by 2 · see citing works
Ghate, J. R., Sinha, M., & Sinha, R. (2017) · International Journal of Research in Medical Sciences · doi:10.18203/2320-6012.ijrms20170062 · Cited by 2 · see citing works
Ferrari-Bridgers, F. (2020) · International Journal of Listening · doi:10.1080/10904018.2020.1730841 · Cited by 2 · see citing works
Wang, P.-Y., Chen, Y., & Lin, M. (2023) · Scientific Reports · doi:10.1038/s41598-023-44682-7 · Cited by 1 · see citing works
Iannucci, V., Bruscolini, A., Melchiorre, T., Lambìase, A., & Mannocci, A. (2024) · PeerJ · doi:10.7717/peerj.17906 · Cited by 1 · see citing works
Guglielmetti, M., Rosi, A., Dinu, M., Fiorini, S., Martini, D., & Ferraris, C. (2025) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2025.104264 · Cited by 1 · see citing works
Analyzing Students’ Academic Performance Based on Fuzzy Inference System
Ergin, H., & Nasibov, E. N. (2025) · Applied Sciences · doi:10.3390/app152312755 · Cited by 1 · see citing works
de Antioquia, U., Blanco, O. S., Vélez, C. M., de Antioquia, U., Tobón, J. J. Z., & de Antioquia, U. (2015) · IATREIA · doi:10.17533/udea.iatreia.v28n3a08 · Cited by 1 · see citing works
Are Faculty Members of Paramedics Able to Designed Accurate Multiple Choice Questions?
Kalhori, R. P., & Abbasi, M. F. (2016) · Global Journal of Health Science · doi:10.5539/gjhs.v9n1p211 · Cited by 1 · see citing works
Adam, S. K., Idris, F., Kassim, P. S. J., Zakaria, N. F., & Hod, R. (2021) · Journal of Medical Education · doi:10.5812/jme.116834 · Cited by 1 · see citing works
SEMI STANDARDIZATION OF A TEST OF SECONDARY SCHOOL MATHEMATICS
(2021) · Pakistan Journal of Humanities and Social Sciences Research · doi:10.37605/pjhssr.v4i2.61 · Cited by 1 · see citing works
Ventouris, A., & Spaliviero, C. (2023) · Italiano LinguaDue · doi:10.54103/2037-3597/20402 · Cited by 1 · see citing works
Measures for Quality Assurance of Electronic Examinations in a Veterinary Medical Curriculum
Richter, R., Tipold, A., & Schaper, E. (2023) · Journal of Veterinary Medical Education · doi:10.3138/jvme-2023-0061 · Cited by 1 · see citing works
Diki, D., & Eko Yuliastuti, E. S. (2017) · Springer eBooks · doi:10.1007/978-3-319-66227-5_17 · Cited by 1 · see citing works
Kahraman, S. (2019) · Erzincan Üniversitesi Eğitim Fakültesi Dergisi · doi:10.17556/erziefd.615183 · Cited by 1 · see citing works
Post exam item analysis: Implication for interventionPreprint
(2019) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/510081 · Cited by 1 · see citing works
- Authors
- N K, M.
- Venue
- International e-Journal of Science, Medicine & Education
- Publisher
- International Medical University
- Published
- 2009
- Volume
- 3
- Issue
- 1
- Pages
- 2-7
- ISSN
- 2231-8194 (ISSN-L)
- OpenAlex
- W2183096291
- Cited by
- 122
- References
- 23
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 13 · 2023: 9 · 2022: 6 · 2021: 12 · 2020: 15 · 2019: 8 · 2018: 8 · 2017: 8 · 2016: 10 · 2015: 5 · 2014: 5 · 2013: 4 · 2012: 3
- FWCI
- 1.01
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International e-Journal of Science Medicine & Education (publishedVersion)
- Funders
- International Medical University
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Social Sciences › Education › Educational Assessment and Pedagogy
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- item difficulty index, item discrimination index, item analysis, summative assessment, preclinical education, test item quality, medical students
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Statistics and arithmetic are recomputed, not judged.
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