“…The three domains to be evaluated for an undergraduate medical student are Cognitive Affective and Psychomotor. Cognitive domain can be evaluated at different levels including knowledge, comprehension, application, analysis, synthesis and evaluation 3 .There are many studies done to show that actively involving students in the learning process improves learning outcomes .Many teaching methods like Case based learning (CBL),Problem based learning (PBL) even horizontal and vertical teaching methods are being practiced to improve the students attention and interest 1 . Introduction of Multiple choice questions (MCQ) in didactic lectures can help to improve the retention of knowledge.Pre tests indicate to the students the important aspects to be concentrated on in the lecture.…”