The objective of this study aimed to evaluate
the quality of Multiple Choice Questions (MCQs) in
Fixed Prosthodontic Department in Faculty of Dentistry
in university of Gezira. This evaluation study was
conducted over a period of four year exam, from 2014
to 2017 and evaluated four final semester assessment
examinations comprising of MCQs cognitive level using
Bloom Taxonomy and Item Writing Flaws (IWFs)
employing a validated check list based on the guidelines
of the NBME (National Board of Medical Examinations).
A total of 80 MCQs were analyzed. Items were classed
as flawed if they contained one or more than one flaw.
The result of study found about half of the MCQs - 45
(56.3%) were assessing the recall of information, while
17(21.3%) were assessing the application of knowledge, 9
(11.3%) were assessing comprehension, 5 (6.3%) and 4
(5%) were assessing interpretation of data. The total of
flawed items out of 80 items in four exams was 132 flaws.
Most common types of flaws were grammatical mistakes
and hand cover test pass 42% (32) and negatively
constructed items 29%. The study concludes that
cognitive level of assessment tools MCQs is low, and
IWFS are common in the MCQs. Therefore, educators
should be encouraged and trained to design problemsolving questions which are devoid of flaws.
Keywords : MCQs; IWFs; NBME; medical examinations; Bloom Taxonomy; dentistry