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Feedback, fairness, and validity: effects of disclosing and reusing multiple-choice questions in medical schools
- Class notes • 8 pages • 2024
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ABSTRACT 
Background: Disclosure of items used in multiple-choice-question (MCQ) exams may 
decrease student anxiety and improve transparency, feedback, and test-enhanced learning 
but potentially compromises the reliability and fairness of exams if items are eventually 
reused. Evidence regarding whether disclosure and reuse of test items change item psychometrics is scarce and inconclusive. 
Methods: We retrospectively analysed difficulty and discrimination coefficients of 10,148 
MCQ items us...
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