"clear: the stem should be clearly written, and unambiguous; do not try and trick the examinee"
"short: try and keep the stem as short as possible without, however, diminishing comprehension (e.g. avoid acronyms)"
"avoid double negatives: double negatives are never needed and should be avoided"
"avoid teaching: questions are questions, not didactic teaching. Therefore avoid including non-question specific facts within stems."
"in most instances, stems should be worded to achieve a positive/true answer, as this reinforces knowledge."
"avoid teaching: questions are questions, not didactic teaching. Therefore avoid including non-question specific facts within stems."
""The third branch from the arch of the aorta is...""
""All of the following are reasonable diagnoses EXCEPT...""
"It is essential that for the completion type lead-in, that the alternatives (see below) are phrased in such a way that they grammatically finish the lead-in appropriately – in other words, you should be able to read the lead-in followed by each alternative, and it should make sense."
"A 45-year-old man complains of back pain and haematuria. [stem]"
"What is the most likely cause? [lead-in]"
"What is the most common cause of haematuria? [combined stem and lead-in]"
"clear: the stem should be clearly written, and unambiguous; do not try and trick the examinee"
"short: try and keep the stem as short as possible without, however, diminishing comprehension (e.g. avoid acronyms)"
"avoid negatives"
"sometimes the learning goal is a negative answer and if this is the case the negative term should be in ALL CAPS and emboldened (e.g. "Which of the following is FALSE?") to avoid misreading"
"avoid double negatives: double negatives are never needed and should be avoided"
"use the present tensegenerally, the stem should be in the present tense (e.g. "A 50-year-old male presents with abdominal pain and a CT scan is performed")"
"avoid teaching: questions are questions, not didactic teaching. Therefore avoid including non-question specific facts within stems."
""Which of the following is FALSE?""
""All of the following are reasonable diagnoses EXCEPT...""
"if the lead-in is asking to pick the single wrong answer (negative question) the negative word should be in ALL CAPS and emboldened, to make it harder to misreade.g. "Which of the following is FALSE?""
"if the lead-in is asking to pick the single wrong answer (negative question) the negative word should be in ALL CAPS and emboldened, to make it harder to misreade.g. "Which of the following is FALSE?""
"clear: the stem should be clearly written, and unambiguous; do not try and trick the examinee"
"positive: "In what demographic is MS most common?""
"negative: "In what demographic is MS least common?""
"use the present tensegenerally, the stem should be in the present tense (e.g. "A 50-year-old male presents with abdominal pain and a CT scan is performed")"
"sometimes the learning goal is a negative answer and if this is the case the negative term should be in ALL CAPS and emboldened (e.g. "Which of the following is FALSE?") to avoid misreading"
"sometimes the learning goal is a negative answer and if this is the case the negative term should be in ALL CAPS and emboldened (e.g. "Which of the following is FALSE?") to avoid misreading"
""Which of the following is FALSE?""
""All of the following are reasonable diagnoses EXCEPT...""
"if the lead-in is asking to pick the single wrong answer (negative question) the negative word should be in ALL CAPS and emboldened, to make it harder to misreade.g. "Which of the following is FALSE?""
"if the lead-in is asking to pick the single wrong answer (negative question) the negative word should be in ALL CAPS and emboldened, to make it harder to misreade.g. "Which of the following is FALSE?""
""The third branch from the arch of the aorta is...""
""All of the following are reasonable diagnoses EXCEPT...""
"completion-type lead-ins should finish with an ellipsis ( ... )e.g. "The most common cause of a headache is... ""
"completion-type lead-ins should finish with an ellipsis ( ... )e.g. "The most common cause of a headache is... ""
Expected headings
"Examples"
"Example 1: separate stem and lead-in"
"Example 2: combined stem and lead in"
"Best practice"
"Stem"
"Content order"
"Lead-in"
"Style"
"clear: the stem should be clearly written, and unambiguous; do not try and trick the examinee"
"short: try and keep the stem as short as possible without, however, diminishing comprehension (e.g. avoid acronyms)"
"use the present tensegenerally, the stem should be in the present tense (e.g. "A 50-year-old male presents with abdominal pain and a CT scan is performed")"
"Both the stem and lead-in should have normal sentence capitalisation and punctuation. There are a few special notes specific to multiple choice questions:"