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 56-year-old male presents for routine wellness examination. He self-identifies as African American. He has no complaints. Past medical history is remarkable for hypertension. Current medications are hydrochlorothiazide and Lisinopril. He drinks two, 12-oz beers weekly and does not use any other substances. Vital signs are within normal limits. BMI is 41 kg/m2 Physical examination discloses no abnormalities. Results of laboratory studies are shown:



Total Cholesterol: 225 mg/dL

LDL: 110 mg/dL

HDL: 35 mg/dL

Triglycerides: 400 mg/dL

Potassium: 4 mEq/L

Creatinine: 1.2 mg/dL

Hemoglobin A1c: 6.5%



All of the following options are true are this patient except:

  1.  This patient is drinking an acceptable amount of alcohol.
  2.  This patient is at increased risk for developing Type 2 Diabetes mellitus.
  3.  This patient should be counseled on healthy diet and exercise.
  4.  This patient should not be placed on an HMG-CoA reductase inhibitor.
  5.  This patient should not have his dose of lisinopril changed.





Item (from the NBME Item-Writing Guide: Constructing Written Test Questions for the Health Sciences, February 2021)




________________________________

To unsubscribe from the SOM-OFFICEOFMEDICALED-LIST list, click the following link:
http://listserv.umc.edu/scripts/wa.exe?TICKET=NzM4MTA2IGxidWNrbGV5QFVNQy5FRFUgU09NLU9GRklDRU9GTUVESUNBTEVELUxJU1QgIF2hvRgmPrxo&c=SIGNOFF

########################################################################

To unsubscribe from the SOM-OFFICEOFMEDICALED-LIST list, click the following link:
http://listserv.umc.edu/scripts/wa.exe?SUBED1=SOM-OFFICEOFMEDICALED-LIST