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Table 1 Examples of MCQs assessing knowledge and application of knowledge

From: Can automated item generation be used to develop high quality MCQs that assess application of knowledge?

MCQ assessing knowledge

A 46-year-old man is brought to the Emergency Department after sustaining third degree burns to 30% of his body. Which one of the following intravenous solutions should be initially initiated?

1. Normal saline at 500 cc/h

2. Half normal saline at 250 cc/h

3. Ringer Lactate at 150 cc/h

4. Pentaspan at 300 cc/h

5. 2/3 and 1/31 litre bolus

MCQ assessing application of knowledge

A 62-year-old woman with a history of confusion, back pain, and constipation presents for a follow-up visit. Laboratory investigations reveal a serum calcium of 2.9 mmol/L, a creatinine of 146 μmol/L, and a hemoglobin of 108 g/L. Which one of the following would help confirm the diagnosis?

1. Parathyroid hormone level

2. Bone marrow biopsy

3. 25-OH vitamin D level

4. Abdominal ultrasound

24-h urinary calcium