Table 1. Mean score of each domain.

	Mean (± SD)	Range
Appropriateness of the question	7.78 ± 0.74	5.40–9.80
Clarity and specificity	7.63 ± 0.69	5.60–9.20
Relevance	7.72 ± 0.77	5.60–9.20
Quality of the alternatives & discriminative power	7.31 ± 0.65	5.60–7.31
Suitability for graduate medical school exam	7.32 ± 0.84	5.00–9.20
Total score	37.76 ± 3.34	27.20–46.20