Figure 3: Difficulty and discrimination of iMCQs (●) versus non-iMCQs (□) in anatomy course tests (a) and written parts of the M1 (b), stratified for MCQ formats. Here, MCQs in the (short) answer option format, positively (A) and negatively worded (B), and MCQs in the statement option format, positively (C) and negatively worded (D), are shown, with median and range. As a result, there were no significant differences between iMCQs and non-iMCQs.