Barely Significant
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Analysis of MCQ and distractor use in a large first year Health Faculty Foundation Program: assessing the effects of changing from five to four options.

BMC Med Educ · 2018 · PMC6223017 · PMID 30404624

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difference was apparentno p-value reported
However, in one course (A&P A), a small difference was apparent in DF, with an average decrease in question difficulty by .025 (95% CI: .007 to .043).

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.