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. 2015 Apr 1;5:9556. doi: 10.1038/srep09556

Table 2. Different factors associated with the item analysis.

    Respiratory Cardiovascular Renal All three courses  
    Pre* Post** Pre* Post** Pre* Post** Pre Post  
Factors Categories n(%) n(%) n(%) n(%) n(%) n(%) n(%) n(%) χ2(p)
Difficulty Index (P) Difficult (<20%) 1(1.3) 0(0) 0(0) 2(2.5) 1(1.3) 1(1.3) 2(0.8) 3(1.3) 11.61(0.003)
Moderated (20–70%) 55(68.8) 61(76.3) 59(73.8) 68(85.0) 36(45.0) 54(67.5) 150(62.5) 183(76.3)
Easy (>70%) 24(30.0) 19(23.8) 21(26.3) 10(12.5) 43(53.8) 25(31.3) 88(36.7) 54(22.5)
Total 80(100) 80(100) 80(100) 80(100) 80(100) 80(100) 240(100) 240(100)  
Discrimination Index (DI) Non-DI(≤0.15) 6(7.5) 3(3.80) 7(8.8) 4(5.0) 6(7.5) 4(5.0) 19(7.9) 11(4.6) 2.27 (0.13)
DI(>0.15) 74(92.5) 77(96.3) 73(91.3) 76(95.0) 74(92.5) 76(95.0) 221(92.1) 229(95.4)
Total 80(100) 80(100) 80(100) 80(100) 80(100) 80(100) 240(100) 240(100)  
Non-function distractors (NFD) NFD 4(5.0) 2(2.5) 8(10.0) 7(8.8) 16(20.0) 4(5.0) 28(11.7) 13(5.4) 6.00 (0.02)
FD*** 76(95.0) 78(97.5) 72(90.0) 73(91.3) 64(80.0) 76(95.0) 212(88.3) 227(94.6)
Total 80(100) 80(100) 80(100) 80(100) 80(100) 80(100) 240(100) 240(100)  
Bloom's taxonomy levels K1 45(56.3) 40(50.0) 54(67.5) 40(50.0) 57(71.3) 37(46.3) 156(65.0) 117(48.8) 12.91 (<0.0001)
K2 35(43.8) 40(50.0) 26(32.5) 40(50.0) 23(28.8) 43(53.8) 84(35.0) 123(51.3)
Total 80(100) 80(100) 80(100) 80(100) 80(100) 80(100) 240(100) 240(100)  
Items writing flaws (IWFs) IWF 22(27.5) 1(1.3) 15(18.8) 0(0.0) 10(12.5) 4(5.0) 47(19.6) 5(2.1) 38.04 (0.<0001)
Without-IWF 58(72.5) 79(98.8) 65(81.3) 80(100) 70(87.5) 76(95.0) 193(80.4) 235(97.9)
Total 80(100) 80(100) 80(100) 80(100) 80(100) 80(100) 240(100) 240(100)

*Pre-training, **Post-training, ***Functional distractor, K1 = Non-scenario bases, K2 = Scenario bases.