This article refer to functionality on the Ortrac Web system. This article describes how to write an Extended Matching question (EMQ)


1. Create a new Extended matching question

  1. Go to the menu My questions


  1. Click on Write Question 
  2. Select Extended matching


2. Write the question

The question body is a lead-in statement that should clearly instruct the candidate to match the answer alternatives with the provided items. An item will usually be a description or a statement. Each answer alternative can only be matched to one item.

Write the lead-in statement in the text editor. The editor supports rich text format (bold, italic, underline, etc...) and copy/paste operations.

If you wish to add an image to the question click on "upload" in the "Attachments" section or "browse" if you have an image already stored in your Ortrac image bank.  


Provide a number of answers that the candidate can select from to match with  

  • Write  the answer alternatives in the provided option slots. 
  • Click  "Add answer" to add more answer alternatives.
  • To remove an option, simply click on the trash bin icon next to the option you wish to remove.


  • Provide items that match the answer alternatives.
  • Make sure to indicate which answer alternative each item matches with.
  • Click "Add item" to add more items.


  • Enter the number of points that each correct alternative (item)  is worth.
  • Enter the number of penalty (negative) points that each incorrect alternative (item) is worth
  • "Allow negative marking" means that the aggregated points for the whole question can be negative.


Select Save Draft (if you want to come back and work a bit more) or Publish button (if the question is ready for the common database)

3. Sample question


Cardiovascular System

Instructions: Each group of extended matching questions consists of lettered options followed by a list of numbered problems/questions. For each numbered problem/question select the one lettered option that most closely answers the question. You can use the lettered options once, more than once, or not at all.

Topic: Cardiovascular symptoms and signs


  • Radiofemoral delay
  • Pan-systolic murmur
  • Systolic blood pressure of 220 mmHg
  • Tapping apex beat
  • Chest pain eased by glyceryl trinitrate in 5 minutes
  • Third heart sound
  • Splinter haemorrhages
  • Breathlessness eased by lying flat
  • Slow-rising carotid pulse
  • Bradycardia with pulse rate 20 per minute
  • Chest pain eased by glyceryl trinitrate after an hour.

The patients described below have come to see you. Which of these clinical features are they most likely to demonstrate?

  • Item 1: (answer: i) A 65 year old man is admitted after a collapse when running for the bus. On examination, he has a sustained heaving apex beat that is slightly displaced and an ejection systolic murmur. 
  • Item 2: (answer: c) An 80 year old woman is admitted with an excruciating pain between the shoulder-blades. You can palpate the right radial pulse but not the left.
  • Item 3: (answer: f) A 70 year old man had a myocardial infarction two years ago. He is now admitted with gradually increasing breathlessness worse on lying flat with crepitations in the lung bases.

  • Click on the Safe Draft button (drop down)
  • Select Save Draft (if you want to come back and work a bit more) or Publish button (if the question is ready for the common database)