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Table 6 Question difficulty and discrimination with four and three distractors

From: Analysis of MCQ and distractor use in a large first year Health Faculty Foundation Program: assessing the effects of changing from five to four options

Course

First offering four distractors

Second offering three distractors

Average Differenceâ‹„

(p-value)

DFb

DIb

DFb

DIb

DF

DI

Chem A

(n = 15)a

.78 ± .14

.41 ± .16

.77 ± .14

.41 ± .18

−.012

(.06)

.01

(.67)

Chem B

(n = 27)a

.66 ± .17

.49 ± .17

.65 ± .16

.49 ± .14

−.012

(.45)

−.00

(.88)

A&P A

(n = 20)a

.70 ± .17

.46 ± .19

.72 ± .17

.42 ± .16

.025

(.01)

−.04

(.07)

A&P B

(n = 21)aa

.67 ± .18

.43 ± .15

.65 ± .17

.41 ± .13

−.016

(.27)

−.01

(.53)

All courses

(n = 83)

.69 ± .17

.45 ± .17

.69 ± .17

.44 ± .15

−.004

(.56)

−.01

(.24)

  1. an denotes the number of questions used in first and second offerings, where the least effective distractor was removed at second offering
  2. bMean ± 1 SD
  3. â‹„Average difference: the difference in DF and DI between offerings was calculated for each question (second offering minus first offering), and the average change calculated for each course; p-value shown in parentheses