How questions are made, checked, reviewed and corrected

How we use AI

We draft questions with AI assistance. A language model produces first drafts from the guideline sources and blueprint we give it. Each draft then goes through a separate accuracy review against the named guideline, a duplicate check across the whole bank and automated format checks. We call a question clinician reviewed only after a clinician has approved it; every question carries the guideline source it was checked against. The AI tutor, which explains questions on request, is also AI-generated and is built to cite the guideline it relied on. We say this once, here, so you know how the material is made.

What we publish and what we do not

• Questions written for MedPass Exams against a published exam blueprint.
• Explanations that name the guideline or standard behind the answer.
• No recalls, no reconstructed past papers and no material taken from exam sittings.
• No copying from other question banks, textbooks or regulators' sample questions.
• No claim of approval or endorsement by any regulator, college or exam board.

Blueprint matching

Each exam has a content map taken from the exam body's published outline: domains, weightings and item style. We commission questions to fill that map in proportion, and we check the live bank against it. Where an exam publishes no blueprint, we say so on the exam page and describe how we built the map instead.

Guideline checking

An answer is accepted only if it matches the current national guidance relevant to the exam's country. For UK exams that usually means NICE, the BNF, and the regulator's professional standards. For US exams it means the relevant US clinical and nursing standards. For exams in other countries we use the national guideline, ministry or professional body document. The source and its date are recorded against the question, and where national guidance conflicts with international guidance, the national version wins because the exam tests the national one.

Clinician review

Reviewers are registered or recently registered clinicians in the profession the question serves. A reviewer checks the clinical accuracy, whether there is exactly one best answer, whether the distractors are plausible, and whether the question fits the exam's level. Each question shows one of these statuses:

• Guideline-based: written to the exam blueprint and checked against the named national guideline, which is shown with the explanation.
• Clinician reviewed: additionally approved by a clinician in the profession, with the date.
• Under correction: a reported problem is being resolved.

Error reports

1. Report. Use the report button on any question and say what you think is wrong, ideally with a source.
2. Triage. A person reads the report. Reports about patient safety, drug doses or a wrong answer key come first.
3. Check. The question is rechecked against the current guideline and, if needed, sent back to a clinician.
4. Correct. If the question is wrong, we change it, record the change and tell the person who reported it.
5. Log. Material corrections are logged with the date so past answers can be understood in context.

Update cycle

Banks are rechecked when the source guidance changes, and at least once a year against the current blueprint. Exam pages show the date they were last reviewed. Fees, dates and eligibility rules change often; we link to the regulator for the current position and mark what is still to be confirmed.

Independence

MedPass Exams is independent. We do not take payment from exam bodies, and no one can pay to alter an explanation. Details of how we write questions are on the question-writing standards page. To report a problem, use the contact page.

Last reviewed October 2026