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The majority (53%) of concerns might be answered properly only using recall or simple understanding (CG 1); 12% of MCQs needed issue resolving (CG 3). Not even half associated with concerns (43%) were structurally sound. General pupil performance for the 3 CGs differed notably (92% for CG 1 vs. 84% for CG 3; p = .03. Architectural integrity did not seem to influence functionality, with a median pass rate of 9