title: Identification of technical item flaws leads to improvement of the quality of single best Multiple Choice Questions.
abstract: OBJECTIVE
  The purpose of the study was to identify technical item flaws in the multiple choice questions submitted for the final exams for the years 2009, 2010 and 2011.
  
  
  METHODS
  This descriptive analytical study was carried out in Islamic International Medical College (IIMC). The Data was collected from the MCQ's submitted by the faculty for the final exams for the year 2009, 2010 and 2011. The data was compiled and evaluated by a three member assessment committee. The data was analyzed for frequency and percentages the categorical data was analyzed by chi-square test.
  
  
  RESULTS
  Overall percentage of flawed item was 67% for the year 2009 of which 21% were for testwiseness and 40% were for irrelevant difficulty. In year 2010 the total item flaws were 36% and 11% testwiseness and 22% were for irrelevant difficulty. The year 2011 data showed decreased overall flaws of 21%. The flaws of testwisness were 7%, irrelevant difficulty were 11%.
  
  
  CONCLUSIONS
  Technical item flaws are frequently encountered during MCQ construction, and the identification of flaws leads to improved quality of the single best MCQ's.
authors.affiliation: Dr. Humaira Fayyaz Khan, MBBS, FCPS, Assistant Professor Physiology, Islamic International Medical College, Rawalpindi, Pakistan.
authors.forename: Humaira
authors.initials: H
authors.lastname: Fayyaz Khan
authors.affiliation: Dr. Khalid Farooq Danish, MBBS, FCPS, Professor and Head of Surgery, Islamic International Medical College, Rawalpindi, Pakistan.
authors.forename: Khalid
authors.initials: K
authors.lastname: Farooq Danish
authors.affiliation: Dr. Azra Saeed Awan, MBBS, FCPS, Professor of Gynaecology and Obstetrics, Islamic International Medical College, Rawalpindi, Pakistan.
authors.forename: Azra
authors.initials: A
authors.lastname: Saeed Awan
authors.affiliation: Maj. Gen.(R) Masood Anwar, MBBS, FCPS, Principal, Islamic International Medical College, Rawalpindi, Pakistan.
authors.forename: Masood
authors.initials: M
authors.lastname: Anwar
keywords: Frequency; Item writing flaws; Testwiseness