There was a statistically and highly significant difference in the overall item ( χ 2 = 190.54), structural ( χ 2 = 92.4), test wiseness ( χ 2 = 36), and irrelevant difficulty violations ( χ 2 = 237), respectively ( p ≤ 0.01; Table 4 ).
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Construction and Writing Flaws of the Multiple-Choice Questions in the Published Test Banks of Obstetrics and Gynecology: Adoption, Caution, or Mitigation?
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