The Journal of Community Health Management

Item analysis and validation of MCQs in Paediatrics for final MBBS examinations

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Author Details: Nimain C. Mohanty, Nitin N. Kadam, Vijay Kamale, Ipseeta Ray Mohanty

Volume : 1

Issue : 1

Online ISSN : 2394-2738

Print ISSN : 2394-272X

Article First Page : 12

Article End Page : 16


Objectives: The study was designed to validate the MCQs used in Graduate examinations in Paediatrics using item analysis.

Material and Methods: MCQs and their answers responded by 100 students in each batch appearing for their final MBBS examinations in paediatrics were analysed for 3 consecutive years from 2012 to 2014. Item analysis of each question were undertaken for difficulty index, discriminative index and discrimination effectiveness.

Result: Wide variation in difficulty and discriminative indices were noted, often outside prescribed range, making many of these unsuitable for inclusion in the question bank.

Conclusion: The teaching faculty, question setters and moderators need to be sensitized about its implication


Key words: MCQ (Multiple Choice Question), DOPS (Directly Observed Procedural Skills) Question validation, Item analysis, Difficulty index, Discrimination index, Distracter ineffectiveness, Question bank.