MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January...
-
Upload
geoffrey-hodge -
Category
Documents
-
view
225 -
download
2
Transcript of MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January...
![Page 1: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/1.jpg)
MCQ TESTING
Benha Faculty of Medicine
Dermatology & Andrology Department
Undergraduate Exam
January 2007 Time allowed 45 min
![Page 2: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/2.jpg)
Why MCQs?
![Page 3: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/3.jpg)
• Test a wide range of issues
• Not affected by a student's ability to write
• Fair marking
![Page 4: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/4.jpg)
• Quickly marked by computer
• Computer gives analysis
of questions
![Page 5: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/5.jpg)
• A bank of questions can be built up
• Can be used for quick revision
![Page 6: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/6.jpg)
Weaknesses
of MCQ tests
![Page 7: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/7.jpg)
• They do not test synthesis
• Time-consuming
• Student's must select from your alternatives
![Page 8: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/8.jpg)
• Guessing may result in 20-25% right answers
• Attention to security
• Questions need to be pre-tested
![Page 9: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/9.jpg)
Anatomy
of an MCQ
![Page 10: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/10.jpg)
Impetigo is caused by:
1-Fungi
2-Parasites
3-Viruses
4-Bacteria
OPTIONSDISTRA-CTORS
ANSWER
STEM
![Page 11: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/11.jpg)
Before writing
![Page 12: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/12.jpg)
1- Find who's your audience
• Tailor the topics and difficulty of questions to the goals of the course
• Be sensitive to cultural and gender issues
![Page 13: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/13.jpg)
2-Test for significant learning outcomes
![Page 14: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/14.jpg)
• Knowledge Recalling information
The outermost layer of the epidermis is the: 1-Malpighian layer 2-Basal layer 3-Horny layer 4-Granular layer
![Page 15: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/15.jpg)
• Comprehension
Understanding the meaning of information
Syphilis in pregnancy can be treated by the following drugs EXCEPT:
1-Penicillin 2-Tetracyclins 3-Macrolides 4-Cephalosprins
![Page 16: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/16.jpg)
• Application Solving a problem or making a decision
A diabetic patient with pemphigus
vulgaris should be given:
1-10-20 mg prednisolone/day
2-20 mg triamcinolone/day
3-Cyclophosphamide100-200mg/day
4-Acitratin 25 mg/day
![Page 17: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/17.jpg)
3-Ask questions on
important aspects of
the topic
![Page 18: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/18.jpg)
4-Focus on common student mistakes
e.g. griseofulvin in tinea versicolor
![Page 19: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/19.jpg)
5-Do not give away answers to a previous question with a later question
![Page 20: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/20.jpg)
6-Inform the examinees about the source of your questions
![Page 21: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/21.jpg)
Writing The Stem
![Page 22: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/22.jpg)
1-Determine the point to be tested
![Page 23: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/23.jpg)
2- Avoid dealing with more than one problem
• In tinea capitis the best systemic treatment is:
• In eczematized tinea capitis the best systemic treatment is:
![Page 24: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/24.jpg)
3-Avoid including words that do not contribute to the basis for choosing between options
Acne is a troublesome disease. Some drugs used in its treatment are dangerous during pregnancy e.g.:
Which of the following drugs is contraindicated in pregnant women with acne:
![Page 25: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/25.jpg)
4-Include as much information in the stem and as little in the options as possible
A condition in which a man is unable to have an erection firm enough for intromission and copulatory movements till ejaculation is called:
ED is defined as:
![Page 26: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/26.jpg)
5-Avoid negative questions
e.g. which one is NOT an antifungal?
• If this cannot be avoided, negative words should be: highlighted or in bold or in capitals
Which of the following drugs is NOT used in the treatment of ….
![Page 27: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/27.jpg)
Writing The Options
![Page 28: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/28.jpg)
1- Restrict the use of terms such as "always" or "never" in options (they are very rarely true)
![Page 29: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/29.jpg)
2-Three or four well constructed options are enough. Generally, the minimal improvement to the exam due to adding a fifth option is not worth the effort to construct it
![Page 30: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/30.jpg)
3- Avoid "All of the above"
(one recognized distractor eliminates it )
These drugs are antiscabitic :
1-Ectomethrine
2-Penicillin
3-Digitalis
4-All of the above
![Page 31: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/31.jpg)
4- “None of the above" is acceptable if the question is factual
The pudedal artery is a branch from:
![Page 32: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/32.jpg)
It is probably desirable if computation yields the answer
The dose of isotretinoin in a 60 kgm acne patient is :
![Page 33: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/33.jpg)
5- Vary the location of the answer on as random a basis as possible. Students know that for some examiners the first option is rarely the answer
![Page 34: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/34.jpg)
6-List the options in a logical order, e.g. if there are numbers the options should be arranged in ascending or descending order
![Page 35: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/35.jpg)
7-Avoid grammatical cues i.e. one or more distractors don’t follow grammatically from the stem
A patient with itching that increases by night, a positive family history and penile itchy papule:
1-Have scabies 2-Has lichen planus
3-Is atopic
![Page 36: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/36.jpg)
8-Options should be homogeneous
Crusts can be found in:
1-Ecthyma
2-Psoriasis
3-Lichen planus
4-ED
![Page 37: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/37.jpg)
9-Distractors should be equally plausible to a weak candidate
![Page 38: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/38.jpg)
10-Do not repeat information in all the options needlessly
Rifampicin in leprosy treatment :
1-Should be given as a 300mg dose once monthly
2-Should be given as a 600mg dose once monthly
3-Should be given as a 900mg dose once monthly
![Page 39: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/39.jpg)
11-Have a colleague with expertise in the contents of the exam review the items
![Page 40: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/40.jpg)
Marking
![Page 41: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/41.jpg)
The Optical Mark Reading Scanner
![Page 42: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/42.jpg)
• Students record their answers on a machine readable answer sheet
• These sheets are fed through an Optical Mark Reading Scanner that turns pencil marks into useable computer information
![Page 43: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/43.jpg)
• If two or more circles are filled in on the answer sheet, the question will be marked 'wrong‘
• Specially written software controls the test scoring and analysis
![Page 44: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/44.jpg)
Negative(formula)
marking:
To use or not to use?
![Page 45: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/45.jpg)
Marks are subtracted every time an incorrect option has been selected
![Page 46: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/46.jpg)
Theoretically, negative marking is intended to discourage guessing
![Page 47: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/47.jpg)
The largest systematic study comparing right scoring and negative marking showed that using right scoring produced slightly higher scores than formula scoring
![Page 48: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/48.jpg)
Disadvantages of negative scoring
• It takes examinees longer
• The directions are more complicated
![Page 49: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/49.jpg)
• It might discourage answering based on good partial knowledge
• May actually penalise the better students who might be less likely to give educated guesses
![Page 50: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/50.jpg)
Questions Evaluation
![Page 51: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/51.jpg)
Does a question discriminate well
between examinees?
![Page 52: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/52.jpg)
1-Questions answered correctly by nearly all examinees are useless for discriminating among students
![Page 53: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/53.jpg)
2-Questions answered correctly by more than 85%of students have markedly reduced power to discriminate
![Page 54: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/54.jpg)
3- Distractors that are not chosen by any examinees should be replaced
![Page 55: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/55.jpg)
Measuring Discremination Index
ordering the test scores from lowest to highest ordering the test scores from lowest to highest
![Page 56: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/56.jpg)
1-Arrange test scores from lowest to highest
12131415161718192021222324252627
![Page 57: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/57.jpg)
2-Separate these scores into four equal parts
12131415161718192021222324252627
}
}
Lower quartile
Upperer quartile
![Page 58: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/58.jpg)
3-Determine Ch and Cl
• Ch : No. of students who answered this question correctly in the high performing group
• Cl : No. of students who answered this question correctly in the low performing group
![Page 59: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/59.jpg)
4-Calculate Discrimination Index for each group
Discrimination Index= (Ch - Cl)
Nh or Nl
Nh=No.of students in the high
performing group
Nl=No. of students in the low
performing group
![Page 60: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/60.jpg)
The bigger the discrimination index for a question, the better its ability to dicriminate among students:
• Excellent: > 0.35
• Good: 0.35 - 0.25
• Acceptable: 0.25 - 0.15
• Deleted: < 0.1
![Page 61: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/61.jpg)
Estimation of a Question Difficulty
![Page 62: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/62.jpg)
• Easiness= Total No. of correct answers No. of students who took the test
• Difficulty = 1 – easiness
Too difficult <0.3 Too easy >0.7
![Page 63: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/63.jpg)
Estimation of test difficulty is useful because:
• It can help determining passing score
• It gives experience in writing exams in the future
![Page 64: MCQ TESTING Benha Faculty of Medicine Dermatology & Andrology Department Undergraduate Exam January 2007 Time allowed 45 min.](https://reader036.fdocuments.us/reader036/viewer/2022062308/56649ef65503460f94c09c89/html5/thumbnails/64.jpg)