Demo Exam Analysis Report
This is a demo exam analysis report. The data shown here is for demonstration purposes only. Click here to view a PDF of the exam that was uploaded to generate this report.
Report generated by ExamEval.com on July 12, 2025
Demo Exam
Created April 21, 2025
| Filename | Report | Created At | Processing Time | Progress | Credits | Actions |
|---|---|---|---|---|---|---|
| Demo Exam | - | Apr 21, 2025, 12:00 AM | 0.0 sec | Complete | 980 |
Processing Tasks
| Task | Elapsed Time | Status | Errors |
|---|---|---|---|
| 1. Prepare exam for AI-based analysis | 18.2 sec | Complete (2 tasks) | - |
| 2. Analyze exam questions for item-writing flaws | 17.0 sec | Complete (4 tasks) | - |
| 3. Assess learning level of each exam question | 6.4 sec | Complete (4 tasks) | - |
| 4. Map exam questions to content areas | 10.3 sec | Complete (4 tasks) | - |
| 5. Check for duplicate questions | 0.9 sec | Complete (1 task) | - |
Exam Summary
Exam Quality Score
Needs Revision
Key Metrics
| Questions Analyzed | 20 |
| Questions with Potential Flaws | 10(50%) |
| Reading Grade Level | 14.9 Slightly High |
| Est. Reading Time | 6.1 minutes 0.3 min/question |
Learning Level
20%
Application of Knowledge
4 questions
80%
Recall of Fact
16 questions
Top Content Areas
- Hypertension15 questions (75%)
- Cardiovascular11 questions (55%)
- Pharmacotherapy8 questions (40%)
- Pharmacology6 questions (30%)
- Medicinal Chemistry3 questions (15%)
- (plus 8 other content areas)
Flawed Questions
Filter
| All of the above(1) |
| Heterogeneous answer choices(1) |
| Negative phrasing(2) |
| None of the above(1) |
| Other(1) |
| Single best answer(1) |
| Spelling, typos, grammar(2) |
| Unfocused, unclear, or open stem(1) |
Questions
Note: AI peer review is helpful but not perfect. Like a human, it may misinterpret context or classify questions incorrectly. Use your judgment when reviewing feedback.
Question #3
Which of the following is a common adverse effect of ACE inhibitors?
A. Cough
B. Hyperkalemia
C. Angioedema
D. Dizziness
E. All of the above ✓
Content mapping:
Pharmacotherapy
Hypertension
Cardiovascular
Potential Item Writing Flaws
- All of the above
Answer choice E is 'all of the above'. All of the above should be avoided as an answer choice.
Question #4
Which calcium channel blocker is a dihydropyridine selective for vascular smooth muscle?
A. Verapamil
B. Diltiazem
C. Amlodipine ✓
D. Propranolol
Content mapping:
Pharmacology
Hypertension
Cardiovascular
Potential Item Writing Flaws
- Heterogeneous answer choices
Propranolol is not a calcium channel blocker, while the other answer choices are; this makes choice D heterogeneous.
Question #5
A patient is prescribed clonidne for hypertension. Which receptor subtype does clonidine
primarily agonize?
primarily agonize?
A. α1-adrenergic receptor
B. α2-adrenergic receptor ✓
C. β2-adrenergic receptor
D. Imidazoline I1 receptor
Content mapping:
Pharmacology
Hypertension
Cardiovascular
Potential Item Writing Flaws
- Spelling, typos, grammar
The word 'clonidine' is misspelled in the question stem
Question #8
Which property of the tetrazole ring in angiotensin receptor blockers like losartan increases
their oral bioavailability compared to a carboxylate group?
their oral bioavailability compared to a carboxylate group?
A. Higher pKa
B. Reduced hydrogen bonding
C. Increased lipophilicity ✓
D. None of the above
Content mapping:
Medicinal Chemistry
Pharmaceutics/Biopharmaceutics
Potential Item Writing Flaws
- None of the above
Answer choice D is 'none of the above'. None of the above should generally be avoided as an answer choice.
Question #14
Which of the following is NOT a recommended first-line agent for uncomplicated essential
hypertension?
hypertension?
A. Hydrochlorothiazide
B. Amlodipine
C. Propranolol ✓
D. Lisinopril
Content mapping:
Hypertension
Pharmacotherapy
Cardiovascular
Potential Item Writing Flaws
- Negative phrasing
The question uses a negative stem lead-in with the word 'NOT'
Question #15
A patient with both hypertension and benign prostatic hyperplasia would benefit most from
which antihypertensive?
which antihypertensive?
A. Terazosin ✓
B. Doxazosin
C. Losartan
D. Verapamil
Content mapping:
Hypertension
Benign prostatic hyperplasia
Pharmacotherapy
Potential Item Writing Flaws
- Single best answer
Answer choices A and B are both alpha-1 blockers, so they both will treat BPH and hypertension. This makes both answers correct
Question #16
In a hypertensive emergency complicated by acute pulmonary edema from acute
decompensated heart failure, which intravenous agent is preferred?
decompensated heart failure, which intravenous agent is preferred?
A. Esmolol IV infusion
B. Nitroglyceirn IV infusion ✓
C. Enalaprilat IV push
D. Hydralazine IV push
Content mapping:
Hypertensive crisis
Heart failure
Pharmacotherapy
Potential Item Writing Flaws
- Spelling, typos, grammar
The word 'Nitroglyceirn' is misspelled
Question #17
The cardiovascular system operates under a variety of physical, fluid, and anatomical
parameters that collectively determine how much opposition blood encounters as it moves
through vessels
parameters that collectively determine how much opposition blood encounters as it moves
through vessels
A. Vessel diameter
B. Blood viscosity
C. Length of the vessel ✓
D. Cardiac output
Content mapping:
Human Physiology
Cardiovascular
Potential Item Writing Flaws
- Unfocused, unclear, or open stem
The question does not end with a question mark, making it an incomplete sentence.
Question #19
Which of the following dosing regimens is NOT recommended for initial monotherapy in
uncomplicated primary hypertension?
uncomplicated primary hypertension?
A. Lisinopril 10 mg once daily
B. Hydrochlorothiazide 12.5 mg once daily
C. Metoprolol tartrate 50 mg once daily ✓
D. Amlodipine 15 mg once daily
Content mapping:
Hypertension
Pharmacotherapy
Potential Item Writing Flaws
- Negative phrasing
The question uses a negative stem lead-in with the word 'NOT'
Question #20
A patient with resistant hypertension on an ACEi, CCB, and HCTZ still have BP >150/95 mmHg.
Which agent is recommended next?
Which agent is recommended next?
A. Hydralazine
B. Spironolactone ✓
C. Minoxidil
D. Propranolol
Content mapping:
Hypertension
Cardiovascular
Pharmacotherapy
Potential Item Writing Flaws
- Other
The question uses abbreviations ACEi, CCB, HCTZ, and BP without prior explanation.
All Questions
Filter
| Application(4) |
| Recall(16) |
Questions
Question #1
A 60-year-old patient with hypertension and type 2 diabetes is started on lisinopril. Which
pharmacodynamic effect contributes most to its antihypertensive action?
pharmacodynamic effect contributes most to its antihypertensive action?
A. Increased bradykinin degradation
B. Increased angiotensin II levels
C. Reduced aldosterone secretion ✓
D. Enhanced sympathetic tone
Content mapping:
Pharmacodynamics
Hypertension
Cardiovascular
Question #2
Which β-blocker exhibits ISA, making it less likely to cause bradycardia at rest?
A. Propranolol
B. Metoprolol
C. Pindolol ✓
D. Atenolol
Content mapping:
Pharmacology
Hypertension
Cardiovascular
Question #3
Which of the following is a common adverse effect of ACE inhibitors?
A. Cough
B. Hyperkalemia
C. Angioedema
D. Dizziness
E. All of the above ✓
Content mapping:
Pharmacotherapy
Hypertension
Cardiovascular
Potential Item Writing Flaws
- All of the above
Answer choice E is 'all of the above'. All of the above should be avoided as an answer choice.
Question #4
Which calcium channel blocker is a dihydropyridine selective for vascular smooth muscle?
A. Verapamil
B. Diltiazem
C. Amlodipine ✓
D. Propranolol
Content mapping:
Pharmacology
Hypertension
Cardiovascular
Potential Item Writing Flaws
- Heterogeneous answer choices
Propranolol is not a calcium channel blocker, while the other answer choices are; this makes choice D heterogeneous.
Question #5
A patient is prescribed clonidne for hypertension. Which receptor subtype does clonidine
primarily agonize?
primarily agonize?
A. α1-adrenergic receptor
B. α2-adrenergic receptor ✓
C. β2-adrenergic receptor
D. Imidazoline I1 receptor
Content mapping:
Pharmacology
Hypertension
Cardiovascular
Potential Item Writing Flaws
- Spelling, typos, grammar
The word 'clonidine' is misspelled in the question stem
Question #6
Which antihypertensive is contraindicated in pregnancy due to known teratogenicity?
A. Losartan ✓
B. Methyldopa
C. Hydralazine
D. Propranolol
Content mapping:
Hypertension
Pregnancy complications
Pharmacotherapy
Question #7
Which functional group in captopril is essential for chelating the zinc ion in angiotensin-
converting enzyme’s active site?
converting enzyme’s active site?
A. Carboxylate
B. Sulfhydryl ✓
C. Proline ring
D. Hydroxyl
Content mapping:
Medicinal Chemistry
Pharmacology
Question #8
Which property of the tetrazole ring in angiotensin receptor blockers like losartan increases
their oral bioavailability compared to a carboxylate group?
their oral bioavailability compared to a carboxylate group?
A. Higher pKa
B. Reduced hydrogen bonding
C. Increased lipophilicity ✓
D. None of the above
Content mapping:
Medicinal Chemistry
Pharmaceutics/Biopharmaceutics
Potential Item Writing Flaws
- None of the above
Answer choice D is 'none of the above'. None of the above should generally be avoided as an answer choice.
Question #9
Which structural feature of dihydropyridine calcium channel blockers, such as nifedipine, is
most critical for high-affinity binding to vascular L-type calcium channels?
most critical for high-affinity binding to vascular L-type calcium channels?
A. Nitro group on the phenyl ring
B. Ester moiety
C. Dihydropyridine ring ✓
D. Piperidine substituent
Content mapping:
Medicinal Chemistry
Pharmacology
Question #10
A patient with essential hypertension often has increased peripheral resistance due to vascular
remodeling. Which cellular change primarily contributes to this increase?
remodeling. Which cellular change primarily contributes to this increase?
A. Vascular smooth muscle hypertrophy ✓
B. Endothelial hyperplasia
C. Increased capillary density
D. Decreased extracellular matrix deposition
Content mapping:
Hypertension
Pathology/Pathophysiology
Question #11
A patient with renovascular hypertension has elevated angiotensin II levels. Which of the
following describes a direct vascular effect of angiotensin II?
following describes a direct vascular effect of angiotensin II?
A. Induction of endothelial nitric oxide synthase expression
B. Activation of Gi protein-coupled receptors on vascular smooth muscle cells
C. Increased release of atrial natriuretic peptide from cardiac atria
D. A potent, short-lived constriction of resistance arterioles mediated by binding to AT1
receptors, leading to increased intracellular calcium via IP₃/DAG signaling and activation
of myosin light-chain kinase ✓
receptors, leading to increased intracellular calcium via IP₃/DAG signaling and activation
of myosin light-chain kinase ✓
Content mapping:
Hypertension
Pharmacology
Cardiovascular
Question #12
In primary hypertension, baroreceptors undergo resetting. What change is observed in
baroreceptor function?
baroreceptor function?
A. Increased sensitivity to pressure changes
B. Resetting to operate at a higher baseline pressure ✓
C. Increased firing at normal pressures
D. Lower threshold for activation
Content mapping:
Hypertension
Human Physiology
Cardiovascular
Question #13
Long-standing hypertension is characterized by which vascular change?
A. Medial hypertrophy of small arteries and arterioles ✓
B. Endothelial proliferation
C. Increased capillary density
D. Reduced wall-to-lumen ratio
Content mapping:
Hypertension
Pathology/Pathophysiology
Cardiovascular
Question #14
Which of the following is NOT a recommended first-line agent for uncomplicated essential
hypertension?
hypertension?
A. Hydrochlorothiazide
B. Amlodipine
C. Propranolol ✓
D. Lisinopril
Content mapping:
Hypertension
Pharmacotherapy
Cardiovascular
Potential Item Writing Flaws
- Negative phrasing
The question uses a negative stem lead-in with the word 'NOT'
Question #15
A patient with both hypertension and benign prostatic hyperplasia would benefit most from
which antihypertensive?
which antihypertensive?
A. Terazosin ✓
B. Doxazosin
C. Losartan
D. Verapamil
Content mapping:
Hypertension
Benign prostatic hyperplasia
Pharmacotherapy
Potential Item Writing Flaws
- Single best answer
Answer choices A and B are both alpha-1 blockers, so they both will treat BPH and hypertension. This makes both answers correct
Question #16
In a hypertensive emergency complicated by acute pulmonary edema from acute
decompensated heart failure, which intravenous agent is preferred?
decompensated heart failure, which intravenous agent is preferred?
A. Esmolol IV infusion
B. Nitroglyceirn IV infusion ✓
C. Enalaprilat IV push
D. Hydralazine IV push
Content mapping:
Hypertensive crisis
Heart failure
Pharmacotherapy
Potential Item Writing Flaws
- Spelling, typos, grammar
The word 'Nitroglyceirn' is misspelled
Question #17
The cardiovascular system operates under a variety of physical, fluid, and anatomical
parameters that collectively determine how much opposition blood encounters as it moves
through vessels
parameters that collectively determine how much opposition blood encounters as it moves
through vessels
A. Vessel diameter
B. Blood viscosity
C. Length of the vessel ✓
D. Cardiac output
Content mapping:
Human Physiology
Cardiovascular
Potential Item Writing Flaws
- Unfocused, unclear, or open stem
The question does not end with a question mark, making it an incomplete sentence.
Question #18
Which diuretic has been shown to reduce mortality in patients with heart failure and
hypertension?
hypertension?
A. Hydrochlorothiazide
B. Chlorthalidone
C. Furosemide
D. Spironolactone ✓
Content mapping:
Heart failure
Hypertension
Pharmacotherapy
Question #19
Which of the following dosing regimens is NOT recommended for initial monotherapy in
uncomplicated primary hypertension?
uncomplicated primary hypertension?
A. Lisinopril 10 mg once daily
B. Hydrochlorothiazide 12.5 mg once daily
C. Metoprolol tartrate 50 mg once daily ✓
D. Amlodipine 15 mg once daily
Content mapping:
Hypertension
Pharmacotherapy
Potential Item Writing Flaws
- Negative phrasing
The question uses a negative stem lead-in with the word 'NOT'
Question #20
A patient with resistant hypertension on an ACEi, CCB, and HCTZ still have BP >150/95 mmHg.
Which agent is recommended next?
Which agent is recommended next?
A. Hydralazine
B. Spironolactone ✓
C. Minoxidil
D. Propranolol
Content mapping:
Hypertension
Cardiovascular
Pharmacotherapy
Potential Item Writing Flaws
- Other
The question uses abbreviations ACEi, CCB, HCTZ, and BP without prior explanation.