DLM Examination: SBA Question Submission - Author Form

SBA Question Submission - Author Form

Complete and submit to the Lead Examiner. Question numbers are assigned on receipt.

Blueprint domain(Required)

Author name(Required)

First Last

Designation(Required)

Date written(Required)

Stem summary(Required)

1-2 sentences; full stem in Word template.

Lead-in(Required)

Option A text(Required)

QA: Evidence / rationale(Required)

Option B text(Required)

QB: Evidence / rationale(Required)

Option C text(Required)

QC: Evidence / rationale(Required)

Option D text(Required)

QD: Evidence / rationale(Required)

Option E text(Required)

QE: Evidence / rationale(Required)

Correct answer – select:


      [ A / B / C / D / E ]

1 mark

Correct answer(Required)

Cognitive Level(Required)

Difficulty level(Required)

Evidence base(Required)

e.g. MCA 2005 s.2; GMC Consent 2020.

Notes for reviewer(Required)

Points for reviewer's attention.

Conflict of interest(Required)

A copy of this form will be submitted to the Lead Examiner upon submission.

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