Template for SAQs

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Template for OSCE Stations

Subject: Topic:

Examination: Year:

Station no:

Station objective:

Assessment Objective:

Rubric/checklist:

Department of Science of Dental Materials


Baqai Dental College -2022 -3 Module task

Instructions: Fill the form according to type of assessment and follow the numbers needs to
follow already mentioned in the t faculty task.
MCQ Development & Review Form

MCQ Development & Review Form Year 20____


Disci Prog U P
pline ram G G
Year of Module The Subtheme
study me
1 3
s 2nd r 4th
t d

Objectiv
e

Stem
Insert patient’s age gender … site of care … chief complaint/presenting
symptoms (please include
nature of onset) … duration of symptoms (please include changing nature of
symptoms) … pertinent history (personal/family) … examination findings …
pertinent labs

Lead-in
Chronolo Mutu Equal
Options Homogen K
gical ally Length
ous Order Exclu of all ey
sive Options
a
b
c
d

Reference

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