Evaluation of knowledge with multiple-choice tests: three of four options? Experience with admission examinations to medical and surgical postgraduate studies at University of Antioquia (Medellín, Colombia)

Authors

  • Olga Francisca Salazar Blanco University of Antioquia
  • Claudia Marcela Vélez University of Antioquia
  • John Jairo Zuleta Tobón University of Antioquia

DOI:

https://doi.org/10.17533/udea.iatreia.v28n3a08

Keywords:

educational measurement, item analysis, multiple choice questions

Abstract

Introduction: The aim of this study was to evaluate the effect of reducing the number of response options per question on the psychometric indicators of an exam for admission to postgraduate medical studies, at University of Antioquia, in Medellín, Colombia.

Methodology: Application of psychometric assessment indexes from the perspective or two theories: the classical of measurement and the item response, to a test of 70 questions, applied in 2014 to 2.539 candidates. The least frequently chosen distractor was eliminated and randomly replaced by one of the three remaining ones.

Results: Only 52.9% of the questions had three functional distractors. No difference was found in the difficulty, discrimination, standard error of measurement, Cronbach's alpha and the coefficient of biserial correlation (classical measurement theory). Also, there was no difference in the extent of item difficulty or ability of people (item response theory). The test with three options retained a good fit.

Conclusion: Multiple choice tests with three response options performed as well as their four options counterparts.

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Author Biographies

Olga Francisca Salazar Blanco, University of Antioquia

Professor, Department of Pediatrics and Childcare. Academic Coordinator, EDUSALUD Research Group, Faculty of Medicine, University of Antioquia, Medellín, Colombia.

Claudia Marcela Vélez, University of Antioquia

Physician, specialist in Public Health, Master's degree student in Clinical Sciences, Academic Group of Clinical Epidemiology (GRAEPIC). Professor at the Faculty of Medicine, Universidad de Antioquia, Medellín, Colombia.

John Jairo Zuleta Tobón, University of Antioquia

Professor of Gynecology and Obstetrics, Master in Clinical Epidemiology. University of Antioquia, Medellín, Colombia.

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Published

2015-07-03

How to Cite

1.
Salazar Blanco OF, Vélez CM, Zuleta Tobón JJ. Evaluation of knowledge with multiple-choice tests: three of four options? Experience with admission examinations to medical and surgical postgraduate studies at University of Antioquia (Medellín, Colombia). Iatreia [Internet]. 2015 Jul. 3 [cited 2025 Mar. 31];28(3):300-11. Available from: https://revistas.udea.edu.co/index.php/iatreia/article/view/21789

Issue

Section

Medical education

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