ABSTRACT
X type questions have been used for the national medical licensing examination since 1997. At Tsukuba University, X type questions have been used since 1996. We compared X typeand K type questions on the basis of the percentage of correct answers and discrimination power. The average percentage of correct answers was 68.2% for K type questions and 53.1% for X type questions. However, the average discrimination power was +0.227 for K type questions and +0.257 for X type questions. These results indicate that X type questions are more difficult and are suitable for achievement tests. The estimated knowledge quantity was 2.04 for K type questions and 2.32 for X type questions. This suggests that the person writing the questions decreased the essential difficulty of X type questions.
ABSTRACT
Integration of instruction and more well-rounded curriculum are needed owing to the increasing specialization of nursing education.<BR>In this study we evaluated the teaching of clinical neurology in nursing education from various viewpoints.<BR>1) The clinical neurology curriculum at the Tokyo Women's Medical College School of Nursing for the past 20 years and the results of examinations given at the school.<BR>2) The frequency of test questions on basic and clinical neurology in the past 15 years on the national nursing license examination.<BR>3) Questionnaires on the teaching of clinical neurology filled out by student nurses. Conclusions:<BR>Most nursing students consider the neuroanatomy and pathophysiology of neurologic disorders to be extremely important subjects, while others feel that clinical neurology is difficult to understand.<BR>In the future, the number of elderly persons will increase more rapidly, and highly specialized neurologic teaching will be required in nursing schools.
ABSTRACT
It is well known that even examinees with incomplete knowledge can figure out the correct answer on an objective test. The Examination Committee of the Ministry of Health concluded that objective tests using answer code (K type questions) can not adequately evaluate an examinee's knowledge. For this reason, the Committee recommended using X2 or X3 type questions on the national board examination instead of K type questions. The X2 type question is a multiple true-false method of testing with 2 true and 3 false items.<BR>I believe that the Committee has been mislead, since the X2 type question is really a test with ten answer codes, and an examinee with incomplete knowledge can still figure out the correct answer for it.
ABSTRACT
The X2 type question consists of a multiple true-false method of testing, with 2 true and 3 false items. Its standard score rate is 56.6%, and its accidental score rate is 10%. Since the standard score rate of the present national board examination is almost 71%, the number of unsuccessful examinees will increase when the X2 type question is used while maintaining the same passing mark. Quantitative analysis shows that the score rate of X2 type questions is determined mostly by correct thinking on the most difficult true item and the most difficult false item. These results are important to the development of future examinations using X2 type questions.