The Multiple Choice Question test (MCQ test) consists of up to 150 questions. The time frame for the MC test is 3-5 hours.
This time frame includes transfer of the individual answer codes to the evaluation form.
The MCQ-answers are selected by the committee from a catalogue respecting a numeric distribution following the "Blueprint GenSurg" categories .
4 types of questions are used for the MCQ-test :
About 70% of question are A type (Anegbelow 20%), about 15% are Kprim and about 5% are E type.
The type of the question is clear from the structure, the wording and the number and expression of items.
For each correct answer in A and E questions 2 points are given. Three correct answers in a Kprimquestion are given 1 point.
In the following examples for Apos, Aneg, Kprim and E are provided:
|Question1 (Type Apos)|
|In patients receiving massive blood transfusion for acute bloodloss, which of the following is correct?|
|A||Packed red blood cells and crystalloid solution should be infused to restore oxygen-carrying capacity and intravascular volume.|
|B||Two units of FFP should be given with every 5 units of packed red blood cells in most cases.|
|C||Six packs of platelet concentrate should be administered with every 10 units of packed red blood cells.|
|One to two ampules of 8.4% sodium bicarbonate should be administered with every 5 units of packed red blood cells to avoid acidosis.|
|One ampule of calcium chloride should be administered with every 5 units of packed red blood cells to avoid hypocalcemia.|
|Question 2 (Type Aneg)|
|Which of the following conditions is NOT caused by stenosis of the mitral valve?|
|A||Hypertrophy of the left atrium|
|B||Hypertrophy of the right chamber|
|C||Hypertrophy of the left chamber|
|D||Chronic blood congestion in the lungs|
|E||Hemosiderin pigmentation in the lung|
|Question3 (Type Kprim)|
|Which of the following statements are true of the multiple organ dysfunction syndrome (MODS)?|
|The two-hit model proposes that secondary MODS may be produced when even a relatively minor second insult reactivates, in amore amplified form, the systemic inflammatory response that was primed by an initial insult to the host.|
|Shock due to sepsis or Systemic Inflammatory Response Syndrome (SIRS) and MODS may be regarded as a continuum of illness severity.|
|Prolonged stimulation or activation of Kupffer cells in the liver is thought to be a critical factor in the sustained, uncontrolled release of inflammatory mediators.|
|The incidence of MODS in intensive care units has decreased owing to increased awareness, prevention, and treatment of the syndrome.|
|Question 4 (Type E)|
|A 35 year old female patient with a 1 cm large histologically verified ductal breast cancer is treated by an organ preserving tumorectomy, sentinel node biopsy and/or axillary lymphadenectomy followed by local radiation of the breast and possibly the axilla.|
|in this situation the organ preserving operative strategy achieves the same good long term results in respect to survival as compared to mastectomy and axillary lymphadenectomy.|
+ because +
|Question 5 (Type E)|
|Brain edema following blunt trauma may result in impaired consciousness|
|increase of intracranial pressure leads to an increase in the difference between mean arterial blood pressure and intracranial pressure (=cerebral perfusion pressure).|
+ because +
Question 1 (Type A+): Key A
Question 2 (Type A-): Key C
Question 3 (Type Kprim): Key + + + -
Question 4 (Type E): Key: + because +
Question 5 (Type E): Key: +/-