Written / Electronic forms of assessment: Extended Matching Items (EMIs) Trevor Gibbs

. Multiple Choice Questions -- MCQs & Extended Matching Items -- EMIs

. 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

. 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

. Extended Matching Items – EMIs. R type questions Extended matching items/questions (EMI or EMQ) are a written / electronic examination format similar to multiple choice questions but with one key difference; they attempt to move the assessment up the hierarchy of learning multiple choice multiple choice

. 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

. 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

. 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

. Name an encapsulated Gram-positive organism that usually grows in pairs or short chains. Streptococcus pneumoniae

. 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

. Extended Matching Items type questions can measure both the depth and breadth of knowledge and increase contextual learning They make you think !!

. 5 components: Theme, Focus, Options, Lead-in, Stem Theme Pneumonia- appropriate to learning Focus Causation- common, likely to see

. Options List - at least 8 choices of answer Lead in “ For each of following clinical scenarios.. - specific, understandable Stems Clinical scenario- common & clear

. 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) …

. 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..