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. 2010 Nov 24;10:85. doi: 10.1186/1472-6920-10-85

Table 3.

Parameter changes related to different numbers of distractors (expert recommendation)

Specialty Model % correct (P-value)* Discrimination* Reliability* Standard. Reliability**
Internal Medicine, Pharmacology
(55 items)*
4 distractors 78.93 0.19 0.74 0.84

A) 3 distractors,
random
79.49 0.19 0.73 0.83

B) 3 distractors, right answer 81.21 0.16 0.66 0.78

C) 2 distractors,
random
81.08 0.17 0.69 0.80

D) 2 distractors, right answer 85.07 0.11 0.53 0.67

* These indicators related to the sample of positive A-type questions only, thus they differ from the respective indicators relating to the complete examination including negative best answer and extended matching questions.

** Reliability standardised for 100 items