The Clinical Vignette Writing Circle meets monthly on the fourth Thursday at 1:30 p.m. in room 323 of the SOM Medical Education Building. These workshops allow basic science and clinical faculty to collaborate in writing test items similar to those utilized on national licensure examinations. You may email Dr. Lecretia A. Buckley ([log in to unmask]<mailto:[log in to unmask]>) items ahead of the session or bring draft items to the sessions,  although doing so is not a requirement.



The sessions will continue until June 23, 2022, and continuing education credit may be obtained.



Here is a flawed item. What's the flaw? How would you edit the item for an exam question? Let's discuss it in the next Clinical Vignette Writing Circle.


A 47-year-old male presents to the emergency department with complaints of severe pain in his left foot for the last 8 hours. The pain began last night and woke him from sleep. He reports that the pressure from his bed clothes were making the pain unbearable. He has a past medical history of well-controlled hypertension. Medication is hydrochlorothiazide. He drinks three, 8-oz glasses of red wine nightly. He is currently trying to lose weight and has been using the "paleo" diet. Vital signs are temperature 99.1F, pulse 100/min, respirations 16/min, and blood pressure 135/85. Physical examination reveals swelling and redness overlying the metatarsal-phalangeal joint of the left foot. Any motion or pressure on the joint cause the patient to jump and withdraw from the pain. Which of the following statements about gout is the most true?


A.     It is likely one of the most painful arthropathies.

B.     It is caused by the deposition of uric acid crystals.

C.      The differential might need to include calcium pyrophosphate deposition disease.

D.     There are better medications than hydrochlorothiazide.

E.      This patient's greatest risk factor is consumption of red wine.


Beth Wilson, MHA
Education Administrator
Office of Medical Education
University of Mississippi Medical Center
2500 N. State Street
Jackson, MS 39216
T: 601-815-7833 | F: 601-815-1861
[log in to unmask]<mailto:[log in to unmask]>
umc.edu<http://www.umc.edu/>

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