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Students feedback was supported by exam results the mean percentage of exam scores in the CBT group was significantly higher in comparison to the TDL group (81.2% vs. 79%, value 0.05). Further comparison within the CBT group revealed improved student performance in "case-based" as compared to "conventional" questions (82.75% vs. 80%, value 0.05). Students greatly appreciated CBT, as it stimulated logical thinking and active participation in the class, resulting in improved performance in exams. Students greatly appreciated CBT

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