U r a professor of orthopedic surgery aiming to design mcqs for master degree students. Please, design multiple choice questions at the level of application according to the blooms... U r a professor of orthopedic surgery aiming to design mcqs for master degree students. Please, design multiple choice questions at the level of application according to the blooms taxonomy levels. Respect the format of the NBME. Give me the answers with justification.
Understand the Problem
The question is requesting the design of multiple-choice questions (MCQs) for master's degree students in orthopedic surgery, following a specific educational framework (Bloom's taxonomy) and a format similar to the NBME (National Board of Medical Examiners). It also seeks answers to these questions along with justifications for each.
Answer
Example MCQs are created at the application level to evaluate mastery in orthopedic protocols.
- Question: A 55-year-old male presents with acute shoulder pain after falling on an outstretched hand. X-ray reveals a humeral head dislocation. What is the initial management step?
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A. Immediate surgery
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B. Closed reduction
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C. Immobilization
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D. Physiotherapy
Answer: B. Closed reduction
Justification: According to orthopedic protocols, closed reduction is typically the initial management for a shoulder dislocation to realign the dislocated humeral head.
- Question: A patient with chronic knee pain and swelling undergoes an MRI which shows a meniscal tear. What is the most suitable treatment option?
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A. Corticosteroid injection
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B. Arthroscopic repair
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C. Total knee replacement
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D. Physiotherapy
Answer: B. Arthroscopic repair
Justification: Meniscal tears, particularly in younger, active patients, are often treated with arthroscopic repair to preserve the meniscus and restore joint functionality.
- Question: A runner experiences sudden heel pain and swelling after sprinting. The ultrasound indicates an Achilles tendon rupture. What is the best next step in management?
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A. RICE therapy
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B. Immobilization with a cast
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C. Immediate surgery
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D. Physical therapy
Answer: B. Immobilization with a cast
Justification: Selective criteria are used to determine surgical vs conservative treatment, but initial management usually includes immobilization, especially if surgery is planned later.
Answer for screen readers
- Question: A 55-year-old male presents with acute shoulder pain after falling on an outstretched hand. X-ray reveals a humeral head dislocation. What is the initial management step?
-
A. Immediate surgery
-
B. Closed reduction
-
C. Immobilization
-
D. Physiotherapy
Answer: B. Closed reduction
Justification: According to orthopedic protocols, closed reduction is typically the initial management for a shoulder dislocation to realign the dislocated humeral head.
- Question: A patient with chronic knee pain and swelling undergoes an MRI which shows a meniscal tear. What is the most suitable treatment option?
-
A. Corticosteroid injection
-
B. Arthroscopic repair
-
C. Total knee replacement
-
D. Physiotherapy
Answer: B. Arthroscopic repair
Justification: Meniscal tears, particularly in younger, active patients, are often treated with arthroscopic repair to preserve the meniscus and restore joint functionality.
- Question: A runner experiences sudden heel pain and swelling after sprinting. The ultrasound indicates an Achilles tendon rupture. What is the best next step in management?
-
A. RICE therapy
-
B. Immobilization with a cast
-
C. Immediate surgery
-
D. Physical therapy
Answer: B. Immobilization with a cast
Justification: Selective criteria are used to determine surgical vs conservative treatment, but initial management usually includes immobilization, especially if surgery is planned later.
More Information
Writing MCQs at the application level challenges students to apply their knowledge to practical scenarios, typical in medical and surgical education.
Tips
A common mistake is selecting options based purely on memorized information, rather than understanding and analyzing practical applications.
Sources
- Examining Bloom's Taxonomy in Multiple Choice Questions - NCBI - ncbi.nlm.nih.gov
- [PDF] Understanding the Components of Multiple-Choice Question Writing - medicine.ecu.edu
