Adapted from: Kiyak Y.S., Coskun, O, Budakoglu, I.I., Uluoglu, C., (in press). ChatGPT for generating multiple-choice questions:Evidence on the use of artificial intelligence in automatic item generation for a rational pharmacotherapy exam. European Journal of Clinical Pharmacology. https://doi.org/10.1007/s00228-024-03649-x

In the prompt below, please enter the appropriate information, then paste the entire prompt into the command window of ChatGPT. This should produce a question that meets the specifications contained in the prompt. It would be prudent to review the question to ensure it is accurate and at an appropriate level of difficulty before using the generated question.

You are developing a question bank for medical exams focusing on [insert diagnosing, treatment, management, etc.] of the topic of [insert objective or clinical problem]. Please generate a high-quality single best answer multiple-choice question. Follow the principles of constructing multiple-choice items in medical education. Generate the questions using the following framework:

• Case (write as a single narrative paragraph without providing each part separately):
• Patient details (gender/age)
• Presenting complaint
• Relevant clinical history
• Physical examination findings
• Diagnostic test results (optional)
• Question stem: [Insert relevant information from the above sections without compromising the answer]
• Acceptable question style: Ask for the BEST answer, NOT one that is TRUE/FALSE.
• Answer options:
  • [Insert plausible answer option]
  • [Insert plausible answer option]
  • [Insert plausible answer option]
  • [Insert plausible answer option]
  • [Insert plausible answer option]
• Explanation:
  • Identify and explain the correct answer.
  • Explain why this is the most appropriate answer based on evidence-based guidelines or expert consensus.
  • Briefly explain why the other answer options are less correct or incorrect.

Difficulty level: [INSERT A DIFFICULTY LEVEL (e.g., EASY, DIFFICULT)]