What are K-Type questions?, and a word about vignettes

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There was a blog question asking what are K-Type questions, which is encouraging to me as it appears that these have sufficiently become a thing of the past.  K type questions have multiple combination choices of answers.  You are given the typical multiple choices A, B, C, D, and then you pick from the following combination options   1) A only; 2) both A and C; 3) both B and D; 4) A, B and C, 5) All of the Above.  If your question book has these type of questions, obviously you can still review off of it, but just know that you will not encounter these types of questions on the exam.  For some reason these were always at the end of an exam, at the moment when you have the least patience and powers of concentration.  Good riddance.

The vignette type question, however, requires patience and concentration in a different way.  It presents multiple bits of information in a format that you obviously have to carefully read through.  This is also tiring, but doesn’t involve mental gymnastics in trying to determine combinations of answers, as in the K type.  The vignette type of question is meant to test your knowledge in a case based presentation, better approximating, in theory, the way clinical questions present to a physician.  I am a little bit of an impatient test taker myself, and all the reading involved does get tiring (especially if there is only 1 question tied to the vignette).  However, as I mentioned in the webinar, I think that these types of questions will increase, and perhaps involve video components, as the Part II oral portion of the exam is phased out in 2 years.

10 Responses to “What are K-Type questions?, and a word about vignettes”

  1. Shanthi Trettin Says:

    You mentioned, “as I mentioned in the webinar, I think that these types of questions will increase, and perhaps involve video components, as the Part II oral portion of the exam is phased out in 2 years”? Is the webinar just these comments/blog, or is there something else (because I had not seen the above comment before)? I want to make sure I am taking full advantage of current available aspects of the Oakstone course that I will be attanding at the end of this month. Thanks.

  2. John Koutras Says:

    The free webinar was held about 1 1/2 weeks ago. Don’t worry, I review the material again in the course, and in further detail. We are planning another webinar soon, so keep checking your e-mail, as you should be receiving an announcement. The upcoming webinar is going to be an introduction to the course, and, again, is not mandatory, but gives the opportunity for us to communicate as a group about expectations for the course. Thanks for your enthusiasm about this course.

  3. Dr.Assuma Beevi.T.M Says:

    very clear

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  7. Roy D Clark Jr MD Says:

    As a now retired physician after more than 40 years of post-training (at one of the most world renowned medical clinics) practice whose skill was sufficient to have more than 15% of my practice purely of doctorate level physicians, scientists and their families, never subject to a malpractice claim, involved in empirical demographic, Phase III, and IV clinical trials, Board certified in 2 separate specialties (elected to Fellowship by peers in both when that was required) and, and 2 sub-specialty areas, 11 years as a board examiner, service as a field and data examiner for 2 national medical organization studies, a fitness for duty examiner for multiple US government alphabet agencies including some you have never heard of, clinical associate professor at the local medical school where after leaving board examiner status my major contribution was live volunteer patient mock oral exams for senior residents, acceptance as a forensic medical expert witness up to US Federal District Court Level, and with an increasing concern of decreasing general setting training experience over the years, I opine that clinical practice is more Type-K style than clinical vignettes whether written or visual. Vignettes cannot assess the necessary clinical skills of seeking additional history to narrow an appropriate focus by more accurately ruling in or ruling out possible single or multiple etiologies on which to focus your clinical exam again based on both positive and negative findings.
    Not bragging, just my opinion and the basis for it.

    • Dr. Z Says:

      Roy,
      The obnoxious recitation of your bona fides makes you appear pompous, and contributes little to your point. I think there’s some validity to your point, but I’m not at all impressed by your CV.

  8. ann-marie Says:

    ann-marie

    What are K-Type questions?, and a word about vignettes | Oakstone Institute Psychiatry Board Review 2009

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