SBA Question Review Form

Complete after reviewing the authored question. Submit to the Lead Examiner - matched by domain and author name.

Section 1 - Question identification

Original author name(Required)
As stated on Word template - used to match records.

Section 2 - Reviewer details

Reviewer name(Required)
Date reviewed(Required)

Section 3 - Review checklist

Select each item. Note any issues in Section 4.
1. Stem is clear, unambiguous, and provides sufficient context(Required)
2. Lead-in uses approved phrasing (MOST / BEST / NEXT appropriate)(Required)
3. Exactly one defensible correct answer exists(Required)
4. Options are homogeneous in length and format(Required)
5. Distractors are plausible and educationally meaningful(Required)
6. No linguistic or structural cueing present(Required)
7. Key answer is supported by a named evidence base or reference(Required)
8. Rationale is documented for all options including distractors(Required)
9. Blueprint domain and cognitive level are correctly assigned(Required)
10. Content is clinically and culturally appropriate(Required)

Section 4 - Reviewer comments

Section 5 - Review outcome

Review outcome decision(Required)
Select one decision:

Section 6 - Reviewer declaration

Signature(Required)
A copy of this form will be submitted to the Lead Examiner upon submission. It will be matched to the author submission for that question.
Consent(Required)