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UNION EUROPÉENNE DES MÉDEC INS SPÉC IAL I STES
EUROPEAN UNION OF MEDI CAL SPEC IAL I STS
Association internationale sans but lucratif – International non-profit organisation
A
VENUE DE LA
C
OURONNE
, 20 19
T +32 2 649 51 64
BE- 1050 BRUSSELS
F +32 2 640 37 30
www.uems.net info@uems.netC)
Oxygen
D)
Plavix
E)
Thrombolysis
The correct answer is “B”.
This is a poorly structured question. There are several abbreviations which may not be universally
understood (A/E, O/E and STEMI). Observations have no units. The question is negatively worded.
The correct answer is much longer than the others. It also contains 4 drugs whereas other answers
contain 2 drugs or 1 drug only. Trade names have been used for some of the drugs which may not be
universally understood. Answer “A” is contained within “B” and therefore is clearly not the correct
answer to the question.
4. Which of the following is true in severe AS?
A)
It is always associated with a bicuspid aortic valve
B)
TAVI is never a treatment
C)
The incidence in Smith et al (1997) is 1.36%
D)
May present as angina
E)
All of the above
The correct answer is “D”.
This is a poorly structured question. There is no clinical stem and again abbreviations have been
used. The question is not testing a single idea or learning objective about aortic stenosis. The way the
question is presented it is more a “multiple true/false” type question, than a MCQ because different
answers ask about pathology, epidemiology, symptoms and treatments. Answer “E” can be excluded
by any candidate who can work out that any 2 of the other choices “A”, “B” and “C” are incorrect.
One answer refers to a single paper and reference to individual studies should not be included in the
distractors.