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Primary two combined examination  questions for two terms, 1st term examination, 2nd term examination, 3rd term examination.

Primary 2 (BASIC 2 )

All Primary  Two(  2 ) Subjects

CLASS – Primary 2  (BASIC 2 )

SUBJECT – ALL Primary 2  SUBJECTS

ENGLISH STUDIES

  • 1st Term Examination – 1st Term Examination English Studies Primary 2 (BASIC 2)
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  • 1st Term Examination – 1st Term Examination Creative Art  Primary 2 (BASIC 2)
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  • 1st Term Examination – 1st Term Examination Verbal Reasoning Primary 2 (BASIC 2)
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MATHEMATICS

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  • 1st Term Examination – 1st Term Examination Computer Studies Primary 2 (BASIC 2)
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Physical and Health Education

  • 1st Term Examination – 1st Term Examination Physical and Health Education Primary 2 (BASIC 2)
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  • 3rd Term Examination – 3rd Term Examination Physical and Health Education Primary 2 (BASIC 2)

AGRICULTURAL SCIENCE

  • 1st Term Examination – 1st Term Examination Agriculture Primary 2 (BASIC 2)
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  • 3rd Term Examination – 3rd Term Examination Agriculture Primary 2 (BASIC 2)

HOME ECONOMICS

  • 1st Term Examination – 1st Term Examination Home Economics Primary 2 (BASIC 2)
  • 2nd Term examination – 2nd Term examination Home Economics Primary 2 (BASIC 2)
  • 3rd Term Examination – 3rd Term Examination Home Economics Primary 2 (BASIC 2)

CHRISTIAN RELIGIOUS STUDIES

  • 1st Term Examination – 1st Term Examination Christian Religious Studies Primary 2 (BASIC 2)
  • 2nd Term examination – 2nd Term examination Christian Religious Studies Primary 2 (BASIC 2)
  • 3rd Term Examination – 3rd Term Examination Christian Religious Studies Primary 2 (BASIC 2)

CIVIC EDUCATION

  • 1st Term Examination – 1st Term Examination Civic Education Primary 2 (BASIC 2)
  • 2nd Term examination – 2nd Term examination Civic Education Primary 2 (BASIC 2)
  • 3rd Term Examination – 3rd Term Examination Civic Education Primary 2 (BASIC 2)

SOCIAL STUDIES 

  • 1st Term Examination – 1st Term Examination Social Studies Primary 2 (BASIC 2)
  • 2nd Term examination – 2nd Term examination Social Studies Primary 2 (BASIC 2)
  • 3rd Term Examination – 3rd Term Examination Social Studies Primary 2 (BASIC 2)

Vocational Aptitude

  • 1st Term Examination   – 1st Term Examination Vocational Aptitude Primary 2 ( BASIC 2 ) 
  • 2nd   Term Examination  – 2nd  Term Examination Vocational Aptitude Primary 2 ( BASIC 2 ) 
  • 3rd  Term Examination  – 3rd  Term Examination Vocational Aptitude Primary 2 ( BASIC 2 ) 
  • 1st Term Examination – 1st Term Examination Yoruba Language Primary 2 (BASIC 2 )
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  • 3rd  Term Examination  – 3rd  Term Examination Yoruba Language Primary 2 ( BASIC 2 ) 

Quantitative Reasoning

  • 1st Term Examination – 1st Term Examination Quantitative Reasoning Primary 2 (BASIC 2 )
  • 2nd   Term Examination  – 2nd  Term Examination Quantitative Reasoning Primary 2 ( BASIC 2 ) 
  • 3rd  Term Examination  – 3rd  Term Examination Quantitative Reasoning Primary 2 ( BASIC 2 ) 

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health education exam questions for primary 2

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Download Free Physical and Health Education PHE Exam Questions (Objective & Theory) for Primary Schools in Nigeria Basic 1 - 6 all term

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Physical and Health Education Exam Questions for Primary Schools in Nigeria

Keywords: physical and health education for primary 5 second term, physical and health education objective questions, phe objective questions for primary 4, phe exam questions for primary 5.

2ND TERM EXAMINATION CLASS: PRIMARY 5 SUBJECT: PHYSICAL AND HEALTH EDUCATION SECTION A INSTRUCTION: Answer All Questions 1. What are ball games? (a) games played outdoors (b) games played with a ball (c) games allowed to be played by children 2. Which of these is not a ball game? (a) baseball (b) volleyball (c) chess 3. To contest possession in football involves _____ (a) pushing and kicking an opponent (b) heading the ball from the hands of the goalkeeper (c) tackling n opponent in possession 4. What are food nutrients? (a) the remaining part of food after we have taken our portion (b) the food we give our younger ones to eat (c) a substance we obtain from food that is used in the body to promote growth, maintain and repair of the body 5. Which of these foods is a vegetable? (a) okro (b) plantain (c) oil 6. What causes kwashiorkor? (a) eating food containing only carbohydrate without enough protein (b) lack of vitamins (c) lack of oil 7. Rickets is caused by lack of _____ (a) protein (b) vitamin D (c) vitamin A 8. Pellagra is caused by _____ (a) lack of vitamin B3 or macin (b) lack of carbohydrate (c) lack of vitamin E 9. Scurvy is a disease caused by ______ (a) lack of water (b) lack of vitamin C (c) lack of meat in diet 10. What does rickets cause in those suffering from it? (a) skin infection (b) bone softening leading to skeletal deformities (c) headache and cold 11. An advantage of playing indoor basketball is that it helps to burn calories. True/False 12. When playing indoor volleyball a pair of knee pads is needed to protect your knees when you hit the floor to makes a play. True/Not true 13. A person suffering from kwashiorkor will have a colour change in the skin and hair. True/False 14. The size of a family can affect the kind of nutrition a family gets. True/Not true 15. A small family with good income will have better nutrition. True/Not true SECTION B ANSWER ALL QUESTIONS 1. List FOUR equipment and facilities used in football. 2. Name FOUR facilities and equipment used in basket ball. 3 a. What is food nutrition? b. List the SIX sources of nutrition. 4. Give TWO examples each for THREE sources of nutrition. 5. Mention the diseases caused by lack of nutrition. Want more Objective and Theory Questions like this? Get the complete Physical and Health Education Exam Questions in PDF or Editable Ms-word format for any of the Primary/Basic 1 – 6 Classes. Continue reading to know how PHE Exam Question for Primary Schools To get the complete exam question papers for the subject and any of the classes concern, then continue reading How to Get Primary School PHE Exam Questions Step to get PHE Exam Questions for Primary (Basic 1 – 6) 1. MAKE A CALL. Call or Whatsapp us on 08051311885 for cost and account number to make payment and how to received your Ms-Word/PDF Copy 2. MODE OF PAYMENT. Mobile Transfer, POS or Direct Bank Deposit. 3. AFTER PAYMENT. Send us the following Depositor Name: Name of Product Paid for: Valid email address. 4. DELIVERY ASSURANCE. We will deliver the past question to you, 5 minutes after confirmation of payment to the email address you will send to us. Also available for download are other primary school subjects and exam questions 1. English Studies. 6. Pre-Vocational Studies. 2. One Major (Hausa, Igbo or Yoruba). Home Economics 3. Mathematics. Agricultural Science Physical and Health Education 4. Basic Science & Technology. Basic Science 7. Cultural & Creative Arts (CCA). Basic Technology 8. French Language Computer/ICT 9. Arabic Language (optional). 10. Verbal Reasoning 5. Religion and National Values. Christian Religious Studies Islamic Religious Studies Civic Education Security Education Social Studies ALSO AVAILABLE WAEC Past Questions NECO Past Questions NABTAB Past Questions Post-UTME Past Questions School of Nursing Past Questions Nigeria Navy Past Questions, POLAC PAST QUESTIONS TRCN Past Questions and Answers Download Free Past Questions Primary School Leaving Certificate Exam Past Questions NCEE Past Questions Recruitment Past Questions SEARCH TAG Physical and Health Education for primary 5 Second Term, Physical and Health Education objective Questions, PHE Objective Questions for Primary 4, PHE Exam Questions for Primary 5, Read/Learn more on https://stcharlesedu.com

Ultimate Health Education Exam: Quiz!

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Do you know what is involved in health education? Health education's primary focus includes environmental health, physical health, social health, emotional health, intellectual health, and even spiritual health. Sexual and reproductive health is also covered. The majority of the states in the US require schools to provide students with health education classes. As far as putting your health education to the test, this quiz is in a class all its own.

For whom are patient education programs very helpful?

Adults and families who can learn to avoid health problems

Adults and families, who will all be clients in the future

People who wish to learn how best to use the health care system

People with an identified health problem

Rate this question:

Toward which individuals and their families are health education programs primarily aimed?

Those who are acutely ill and need information to help them recover and avoid further problems.

Those who are healthy and can support each other in maintaining healthy lifestyles.

Those who must cope with an ongoing chronic disease.

Those who have defined health problems and who can support each other in maintaining healthy lifestyles.

Which of the following criteria must be met in order for an educational program to receive third-party reimbursement?

It must be provided to a geriatric population.

 It must be given by an advanced nurse practitioner.

It must occur in a rural, underserved area.

It must be prescribed by a physician for an ill client.

How can nurses best help expand the availability of health education programs?

Being entrepreneurs and asking patients to pay what they think the educational program was worth

Suggesting to their friends and neighbors that they lobby local health organizations to provide such health education programs

Teaching health education programs as unpaid volunteers in the community

Working politically to influence public policy regarding funding health education programs

What strategies will a nurse include when planning an educational program for adults that ensures student learning?

Individual one-on-one tutorials to ensure maximum understanding

Large group lectures with handouts of main points along with culturally appropriate pictures

Small peer group discussions on how to apply the new knowledge with prompt feedback

Use of multimedia technologies such as videotapes and PowerPoint presentations

In what way are the Predisposing, Reinforcing, Enabling, Causes in Educational Diagnosis, and Evaluation (PRECEDE) model helpful when health education programs are implemented?

It addresses the learning needs of ill individuals.

It begins with examining an aggregates general concerns and quality of life.

It emphasizes the learning needs of families who have an ill member.

It focuses primarily on environmental resources.

Which of the following factors most influences a client's ability to learn from a health education program?

Clients belief that the information will be useful or enjoyable

Handouts given to the client

Nurses ability to teach

Setting in which the educational program is given

A nurse is teaching a client how to perform her own insulin injections. Which of the following should the nurse assess first to determine the client's experiential readiness to learn?

Culture and ethnic background

Educational ability

Family structure

Home environment

Behavioral objectives should be:

Comprehensive and complete.

Observable, measurable, and clearly communicated.

Specific and detailed.

Written on the teaching plan.

The nurse distributed written materials with culturally appropriate pictures to the small groups in the audience and began to lecture on the important content before the planned discussion period. However, no one was listening. What should the nurse have done differently?

Created a more interesting and entertaining lecture

Withheld the written materials until after the lecture

Let the audience discuss the material as a whole, not in small groups

Skipped the lecture and went directly to the discussion period

Which of the following statements best demonstrates an appropriately written behavioral objective?

The learner will be able to verbally explain the need for political action.

The panel of experts will have discussed knowledge, assumptions, and cultural values.

The participant will understand the material presented.

The teacher will distribute and collect evaluation forms.

A community/public health nurse is planning an educational program about healthy choices to prevent heart disease. Which of the following variables will be the primary influence as the nurse selects content for the program?

Employing agencys preferences

Needs of the high-risk target group

Third-party payers probable coverage of the educational program

What the nurse feels most comfortable and skilled in teaching

A nurse began by asking the audience, What do you want me to discuss? All responses were written on the chalkboard and then, as specific points were discussed, the nurse erased the item. However, the nurse often added material that was not requested. Why would the nurse add more content?

Because the nurse believed the additional information was entertaining and lightened the mood

Because the nurse knew, on the basis of personal experience, other relevant information that the audience needed

Because the nurse knew so much about the subject and wanted to give all the details.

Because the nurse was sure that the audience meant to ask about it

When teaching an educational program to an adult audience, which of the following actions should a nurse take to best meet their educational needs?

Providing a specific, detailed explanation of each component of the program

Using various methods of instruction, including lecture, discussion, and visual aids

Providing an opportunity for participants to express their feelings about the program

Using a PowerPoint presentation so that the audience can visualize the material

A nurse educator wanted to be certain that the program participants not only learned the content but also had time to practice these new behaviors. Which of the following must the nurse be sure to include in the program?

Providing positive praise for participation

Allowing time for role-playing

Engaging the audience in stress-reduction exercises

Modeling the appropriate behaviors

Which comment to the nurse best demonstrates a successful health education program?

Im going to take a 30-minute walk each day.

 I certainly enjoyed the program, and thank you for the freebies.

You gave me so much new information; thank you so much.

Wow! I learned many things that I can use in my daily activities.

Which of the following would be the best question for a nurse to ask to determine whether an educational intervention had any effect?

Are you interested in any other topics for me to teach?

Did you find this program useful to you?

Do you understand the material I presented?

How are you going to apply these ideas at home?

Which audience comment best demonstrates self-efficacy?

 I believe I can learn to do this.

I think the nurse is a real expert in this stuff.

Those computer graphics really make it clear how people can do this.

Wow. The nurse really expects us to do this.

The nurse had a peer evaluation completed in order to improve her teaching expertise. Which of the following best describes this evaluation?

A summary of the evaluation that the audience completed at the end of the program

Another nurse observing and providing feedback on the presentation

Completion of an evaluation of their learning and satisfaction by participants

Videotaping of the presentation for further review by the nurse and others

In preparing to give a presentation on breast self-examination, a nurse went to the American Cancer Society and obtained a variety of handouts to use during the presentation. Which possibly erroneous assumption is the nurse make?

Handouts are the best technique for emphasizing important points.

Handouts will be easily read by people in the audience.

People will appreciate the brochures and freebies such as shower hook reminders.

People will use the reminders and put them in their bathrooms.

One of the adults at a health education program introduced a rather unorthodox suggestion, claiming, I saw it on the Internet. Which of the following criteria is most important for laypeople to use in deciding whether to accept information on the Internet?

The author of the information has written several books on the topic, all of which are for sale.

The content of the site is supported by an international pharmaceutical company.

The site is frequently referred to in magazine and TV advertisements.

The site is maintained and frequently updated by a federal health agency.

Which of the following activities would be important for the nurse to complete when planning an educational program?

Avoid rehearsing the content or it will sound too practiced.

Come early to set up the audiovisual materials.

Remind all possible participants that early registration is required.

Try to get as many free handouts and freebies as possible.

A nurse was asked to select an appropriate site for a nursing education program for adults in the community. Which of the following characteristics is most important in choosing the site?

Location in a building that does not charge rent for use of the space

Lots of room for participants to stand, walk around the room, and socialize with other participants

Accessibility to public transportation, location in a physically safe area, and accessibility for disabled participants

Location next to a police station, fire station, or other community resource

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ClassRoomNotes

Week 11 – start july 1st and end july 5th, 2024.

Third Term Lessons Notes   |  Third Term Exam Questions   |  How I spent my Last Holiday   | Approved Y2023 – Y2024 Harmonized Academic Calendar Lagos State Pdf Free Download   |  Join Us @ 080WhatsApp | 080TeleGram  and WhatsApp Channel

Second Term Examination Physical and Health Education Primary 2 (Basic 2)

PHYSICAL AND HEALTH EDUCATION 

SECOND TERM EXAMINATION 

CLASS – PRIMARY 2 (BASIC 2) 

INSTRUCTION – ANSWER ALL THE QUESTIONS IN SECTION A AND B 

For review or answers hint –  Physical and Health Education (Primary 2)

ANSWER ALL THE QUESTIONS IN THIS SECTION 

Choose the correct answer from the options.  1. ____________________ is the way of preparing food in clean way to prevent illness and diseases. [a] Food hygiene [b] Water [c] Health education   2. ____________________ teaches what we should do while eating. [a] table manner [b] table work [c] table hand   3. The body is made up of ____________________ parts. [a] small [b] different [c] blue   4. We can take care of our footwear except these ____________________. [a] dusting [b] sweeping [c] dusting   5. We must take care of our body by bathing ____________________ times. [a] two [b] three [c] five   6. Taking care of our body make us ____________________. [a] sick [b] healthy [c] dirty   7. Nose is used for ____________________ and ____________________. [a] eating and drinking [b] seeing and breathing [c] smelling and breathing
8. All these are materials found in first aid box except ____________________. [a] Plaster [b] Cotton wool [c] Biscuit   9. ____________________ are games that involves balls when playing. [a] Long jump [b] Ball games [c] Running   10. All these are ball games except ____________________. [a] foot ball [b] jumping [c] handball   11. Dirty clothes can cause ____________________. [a] rashes [b] toothache [c] bluntness   12. ____________________ is a kind of fruit. [a] water melon [b] orange [c] both   13. Food must be prepared in ____________________ area. [a] neat [b] dirty [c] smelly   14. Basket ball is played on a ____________________. [a] farm [b] road [c] court  

Attempt all the questions in this section. 

1. Define table manner. ____________________________________________________________________   2. List 4 ways to care for our footwear: I. _____________________________________ II. _____________________________________ III. _____________________________________ IV. _____________________________________   3. Mention 5 kinds of fruit:: I. _____________________________________ II. _____________________________________ III. _____________________________________ IV. _____________________________________   4. List things we must not do while eating: ____________________________________________________________________ ____________________________________________________________________
5. Gymnastics is __________________________________________________.

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health education exam questions for primary 2

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Examination Questions For Primary 2 First Term -All Subjects

Primary Two (2) Examination Questions First Term – Edudelight.com

SUBJECT: ENGLISH STUDIES               

CLASS: PRIMARY 2

SECTION A:  COMPREHENSION

                        HEALTHY FOODS

Fruit and vegetables protect our bodies against germs. They help us not to get sick. We need to drink lots of clean water everyday. Fish, meat, eggs, milk, beans and cheese help us to grow. They make our bones strong.

Bread, potatoes, rice, yams and cassava give us energy. They help us to be active and to do our work.  Sweet, Biscuits, cakes and sugary drinks are unhealthy. We must not have too many of them.

1)        Which food protects our bodies? ____________________________________________________________________

2)        What do you need to drink every day? ________________________________________________________________

3)        What do foods like bread, potatoes, rice and yams give us? _______________________________________________

4)        How do foods like fish, meat and beans help us to grow. ___________________________________________________

5)        Why must we not have too many unhealthy foods? _______________________________________________________

SECTION B (GRAMMAR)

6)        Which of the following is a plural noun? (a)box  (b)gas   (c)knives

7)        Which of the following is a feminine noun?  (a)ewe   (b)cock  (c)dog

8)        What part of speech is the underlined word?  A butterfly is a beautiful insect  (a)noun   (b)pronoun (c)adjective

9)        The comparative form of good is                       (a)bad  (b)better  (c)best

10)                              is used to talk  about a specific thing that has been mentioned earlier (a)A    (b)An  (c)The

Instruction: Underline the nouns in the sentences below

11)      He has an eraser, a book and a pencil

12)      Malaysia and Singapore are neighbours

13)      Asabe was wearing a watch when I saw her.

Instruction: Change the underlines nouns from the masculine to the feminine and vice versa.

14)      He is a King

            She is a                       

15)      The landlady is coming to collect the rent

            The                             is coming too

16)      The tigress is looking after the cubs

Exam Questions

            The                             is out looking for food

Instruction: Fill in the blanks in the sentences below with the correct pronouns

17)      This is my bag.  It is                                   

18)      We are hungry. Please give                     some food

19)      She has a nice dress. The dress is                      

Instruction: Fill in the blanks with the correct adjectives. Use the adjectives given in the box below.

                        Sweet            hot      red      long    pink

20)      Her mother bought her a                        dress

21)      I like to eat                           apples, but not the green apples

22)      He burnt his hand when he touched the                     iron rod

Instruction: Underline the correct articles

23)      She is ( a, the) girl who is waiting for you

24)      Mr. Idowu is (a, an) lawyer

25)      He dipped his pen in (a, an) ink bottle

Singular Nouns  and Plural Nouns

health education exam questions for primary 2

26)      Flower                                                          

27)                                          Glasses

28)      Fly                                                                    

29)      Knife                                                             

30)                                          Children

health education exam questions for primary 2

            Sing    wing   ring     king    sting

31)      Wear it on your finger                               

32)      Sometimes he wears a crown                             

33)      We                              songs

34)      Wasps and bees can                                 

35)      A bird has two of this                               

SECTION C   (COMPOSITION)

36)          My body has                        parts (two/many)

37)      I keep my body clean                     (every week /every day)

38)      My surname is                               

39)      I have                         grandparents altogether (10 / 4)

40)      My aunts are my father and mother’s                                      (brother /sisters)

41)      The                             of my father and mother are my uncles (brother / sisters)

42)      My                              are the children  of my uncles and aunts (nieces  / cousins)

43)      We eat                                   to sustain life (poison /food)

44)      Food gives us                        (energy / problem)

45)      There are                              classes of food (4 /6)

SECTION D (SPELLINGS)

Examination Questions For Primary 2 First Term

SUBJECT: BASIC SCIENCE AND TECHNOLOGY                           

SECTION A (OBJECTIVES)

1)            How many sense organs do we have?   (a) 3  (b)4  (c)5

2)        We see with our                              (a)ears  (b)eyes  (c)nose

3)        A frog                         (a)moos  (b)bleats (c)croaks

4)                                in our skin act as sensors  (a)feel  (b)Nerves (c)Touch

5)        Lemon is                               (a)sweet (b)bitter  (c)sour

6)        Things that have no smell are                              (a)odourless (b)colourless  (c)smelless

7)        Which of the following has an unpleasant smell? (a)Rose Flower  (b)Perfume  (c)Decaying animal

8)        A telephone                          (a)ticks  (b)rings (c)bounces

9)        Our                              can identify different colours (a)nose (b)ears  (c)eyes

10)                              is used for cooking (a)stove   (b)chair  (c)table

11)                              is hitting the ball hard with your leg to score a goal (a)Heading  (b)shooting  (c)legging

12)      When you hop, you move forward by                         (a)Jumping on one foot (b)Crawling  on one knee (c)Jumping on one knee

13)      A kettle                                   (a)ticks  (b)whistles  (c)drones

14)      A                     neighs  (a)Lion  (b)cow  (c)horse

15)      When heading a ball                     (a)make sure you injure other players  (b)disobey the rules of the game (c)guide yourself against injury.

16)                              is a spirit event in athletics (a)75 metres dash (b)800 metres race (c)1500 metres races

17)                              is a basic skill in long jump (a)flight  (b)flying  (c)flew

18)      Always                       before performing an exercise (a)warm-up  (b)warm-out   (c)warm – down

19)      Obeying safety rules                      (a)ensures injury (b)prevents injury (c)secures injury

20)      Safety rules help to promote                   (a)sickness (b)bad health (c)good health

SECTION B (OPEN QUESTIONS

1)        Eyes help us identify colours,                                         and                                         of common objects

2)                                            and                                          have unpleasant smell

3)        The things we taste can be bitter,                                             ,                                               salty or tasteless

4)        A cock                                                 (sound)

5)                                            has a bitter taste

6)        When walking, you move your body about using your                                                     

7)        When heading the ball, do not                                       your eyes

8)        A clock                                    (sound)

9)        Safety rules help save                                                        

10)                                          is a skill in athletics

SECTION C (THEORY)

1a)      List four of the five sense organs we have  (i) ____________________________(ii) ______________________________

iii. _____________________________________________    iv. ________________________________________________

b)        What sound do these animals make?  (i)Dog: _____________________________   (ii)Horse:- ______________________

2a)      Draw the following shapes  (i)Oval                                                              (ii)Triangle

b)        List two food items that are sweet  (i) ____________________________(ii) ______________________________

3a)      List two items that have a pleasant smell. (i) ____________________________(ii) ______________________________

b)        List four ways we can move our body (i) ____________________________(ii) ______________________________

      iii. ___________________________________________ iv. _______________________________________________

4a)      What are the three commands given at the start of a 75meters dash  ____________________________________

ii. _________________________________________  iii.____________________________________________________

b)        Is the 75 metres dash a sprint event in athletics ____________________________________________

5a)      List any three basic skills in long jump. ____________________________________

b)        State any safety rule in long Jump ______________________________________________________________________

SUBJECT:CIVIC AND NATIONAL VALUES                            CLASS: PRIMARY 2

1)            Social studies is the study of man and his                   environment (a)spiritual  (b)physical  (c)abstract

2)                                is the way of life of a people (a)Civic Education (b)Moral  (c)Culture

3)                                is an element of culture (a)Hairstyle  (b)Danger  (c)Insecurity

4)        A                     is a group of people related by blood, marriage or adoption (a)church  (b)school (c)family

5)        There are                              major ethnic groups in Nigeria (a)4   (b)2  (c)3

6)        Tuwo is an example of                              food (a)English  (b)Yoruba  (c)Hausa

7)        There are                               classes of food  (a)5   (b)6  (c)7

8)                                is an example of protein (a)Beans  (b)Yam  (c)Rice

9)                                gives us energy (a)Vitamins  (b)Carbohydrates (c)Minerals  

10)      Civic education studies how government                    (a)kills (b)works  (c)stops

11)      Civic education helps us to be                            citizens (a)responsible  (b)irresponsible  (c)illiterate

12)      Civic education helps us get social                      (a)sakes  (b)scales (c)skills

13)                              is a component of civic education (a) duties  (b)Numbers  (c)Dictation

14)      Which of the following is NOT a right of a citizen. (a)Right to life (b)Right to vote and be voted for (c)Right to kill

15)                              means to be truthful (a)Humility (b)Creativity  (c)Honesty

16)      Which of the following is an importance of telling the truth (a)It leads to death (b)It leads to promotion (c)It leads to madness

17)      We are to have                                manners (a)Poor  (b)bad  (c)good

18)                              is a place where people live as a group (a)community  (b)communion  (c)Civic

19)      Insecurity means being                             (a)safe  (b)unsafe  (c)sad

20)      Which of the following is NOT a source of insecurity? (a)Bombings  (b)Rape  (c)Peace

SECTION B (OPEN QUESTIONS)

1)                                                        and                                         are sources of insecurity

2)        Insecurity means being subject to                                                          

3)                                            is a subject related to social studies

4)                                            and                                         are elements of culture

5)                                            is an importance of culture in Nigeria

6)                                            and                                          are examples of Igbo foods

7)        Civic education helps us                                                    

8)                                                        is a duty of a citizen

9)                                                        is a right of a citizen

10)      We have                                           and                                         communication

1a)      What is insecurity? _________________________________________________________________________________

b)        List three sources of insecurity  (i) _____________________________ II. _____________________________________

iii. ____________________________________________________________

2a)      What is Courtesy?                                                  _________________________________________________

b)        State two importance of telling the truth (i) ________________________________________________________

ii. _______________________________________________________________

3a)      State two duties of citizens  (i) _______________________________(ii) __________________________________

b)        How many major ethnic groups are in Nigeria? Name them ___________________________________________

4a)      What are nutrients                                                                                                                                               

b)        List two sources of fats and oil ________________________________ii. ___________________________________

c)         List two sources of Vitamins ________________________________ii. ___________________________________

5a)      List four elements of Culture: ________________________________ii. ___________________________________

           iii________________________________iv. ___________________________________

b)        State the reasons why we should eat together as a family ________________________________________________

SUBJECT: HOME ECONOMICS                            CLASS: PRIMARY 2

1)            Exercise are                         activities (a)Moral  (b)Physical  (c)Spiritual

2)        Which of the following is NOT an example of exercise (a)sleeping  (b)Running  (c)Walking

3)        Which of the following is an example of MENTAL exercise (a)Jogging  (b)Skipping   (c)Reading

4)        Exercise can help us                                    (a)be obese  (b)have a normal weight  (c)be unhealthy

5)        Fatigue is when a person is very                        (a)Tired and weak  (b)Strong and healthy  (c)Strong and tired

6)        Sleep is                                  rest (a)deeper than (b)Same as  (c)Lighter than

7)        We should sleep on a/an             mattress or mat (a)Uncomfortable  (b)Comfortable  (c)Inconvenient

8)        Which of the following is a right time to rest or sleep (a)At work  (b)At school  (c)At night

9)        Rest helps us                        (a)regain lost energy  (b)Fall very ill  (c)think poorly

10)                              are energy giving foods (a)Vitamins  (b)Carbohydrates  (c)Minerals 

11)                              fight against germs and diseases (a)Fats and oil  (b)Minerals (c)Carbohydrate

12)      Okro is a                    (a)Fruit  (b)Vegetable (c)Carbohydate

13)      Butter is an example of food that contains                              (a)Fats and oil (b)Vitamins (c)Protein

14)      Eating good food makes us                                  (a)Unhealthy  (b)Sick  (c)healthy

15)                              are the foods we eat and the drinks we take. (a)Diet  (b)Debt  (c)Dear

16)                              diet contains all the classes of food in the right quantities (a)Balanced  (b)Inadequate  (c)Wrong

17)      Which of the following is NOT an example of a balanced diet?  (a)Sliced bread with stew and tea (b)Pounded Yam with Vegetable soup and water (c)Rice and Pap

18)      Balanced diet makes us                             (a)grow  (b)weak  (c)ill

19)      We are to eat                                  square meals a day (a)1  (b)2  (c)3

20)      The meal taken in the morning is called (a)Breakfast  (b)Lunch   (c)Dinner

1)        ____________________                      and                 _________________      are examples of exercise

2)        Solving puzzles is an example of                                    exercise

3)        Exercise strengthens our                                       and                           

4)                                            is a deeper form of rest

5)        When sleeping, we do not know                                    

6)        We are to sleep in                                      clothes.

7)                                            is an importance of rest and sleep

8)                                            and                                         are examples of carbohydrate

9)                                            and                                         are examples of Fruits

10)                                          and                                         are examples of proteins

1a)      What is exercise?                                                                                                                                                                                        

b)        Exercise that involve moving some or all parts of our body are called what? ________________________________

2a)      List four examples of exercise (i) ________________________________ (ii)________________________________

iii. _____________________________________________ (iv) ______________________________________________

b)        State two uses of exercise: i__________________________________ii. _________________________________

3a)      State two times that are right to rest and sleep (i) ______________________________ii ______________________

b)        State two importance of rest and sleep: (i) ______________________________ii ______________________

4a)      List the classes of food (i) ______________________________ii ______________________iii.___________________

iv._________________________(v) ____________________________(vi) ________________________________

b)        Which of the classes of food helps to build our body? (i) ______________________________ii __________________ iii.___________________iv._________________________(v) _______________________(vi) __________________________

5a)      What is balanced diet? ______________________________________________________________________________

b)        State two importance of eating balanced diet. (i) ______________________________ii _________________________

SUBJECT: CHRISTIAN RELIGIOUS STUDIES       

1)            Prayer is the act of                                     to God (a)shouting (b)talking  (c)fighting

2)        We are to pray in the name of                            (a)Jesus  (b)Satan  (c)Devil

3)        When we pray, we ask for help from                           (a)hell (b)church  (c)heaven

4)        God is the giver of all                                things (a)good   (b)bad   (c)evil

5)        God is our Heavenly                                  (a)father   (b)Brother  (c)Son

6)        Which of the following should we NOT pray for? (a)God’s protection (b)success  (c)Death of anyone who offends us.

7)        We are to pray without                (a)speaking  (b)ceasing  (c)sleeping 

8)                                            taught His disciples a kind of prayer (a)Moses (b)John  (c)Jesus

9)        An example of how children of God should pray is the                               (a)Son’s prayer (b)Lord’s prayer  (c)God’s prayer

10)      We are to pray                     (a)In faith   (b)In disbelief  (c)disrespectfully

11)      God is                         (a)unholy   (b)Impure  (c)holy

12)      When we disobey God, we are to                      (a)give excuses for disobeying him (b)Pray for forgiveness (c)Continue sinning

13)      Prayer of petition is a prayer of                                      (a)Thanks  (b)Praise  (c)request

14)      When we pray, we must not be                         (a)proud  (b)short (c)silent

15)      We are to pray for                                      health (a)bad  (b)ill   (c)good

16)      We are to                             those that offend us (a)Pray for  (b)fight against  (c)curse at

17)      Which of the following is a powerful tool to children of God use to request help from God? (a)Sin (b)Unforgiveness  (c)prayer

18)      Whose sacrifice got burnt when he prayed to God? (a)Elijah   (b)Paul  (c)Silas 

19)      The Bible is full of                           events that happened through prayers (a)sad  (b)great  (c)poor

20)                              prayed to God for a son (a)Esther  (b)Hannah  (c)Marian

1)        Prayer is                                             

2)        We can ask God for                                               and                                                      

3)        We are to pray in                                                   name

4)        We are to                                                      God for the good things he has given us

5)        Prayer of                                          is a prayer you pray on behalf of someone else

6)        Prayer is a                                        tool

7)        We are to pray for wisdom,                                            and understanding

8)        Jesus raised                                      from death through prayer

9)                                            is the mother of Samuel

10)                                          and                                         prayed when they were imprisoned.

1)        State four reasons why we should pray (i) _____________________________ii. _______________________________

iii. ____________________________________________iv. ___________________________________________

2a)      What does it mean to pray without ceasing____________________________________________________________

b)        State two ways we can pray (How to pray): (i) _______________________________ii. ___________________________

3a)      What is prayer of thanksgiving? _______________________________________________________________________

b)        What is prayer of petition? ___________________________________________________________________________

4)        State four things we can pray for (i) _____________________________ii. _______________________________

5a)      List four people who had their prayers answered in the Bible

(i) _________________________________________________ii. __________________________________________

b)        State two attitude who should have while prayer or waiting on the lord

i. _______________________________________________ii. ______________________________________________

SUBJECT: VERBAL REASONING          

Ascending:                          A       B       C       D       E        F        G       H       I         J

                             K       L        M      N       O       P       Q       R       S        T

                             U       V       W      X       Y        Z

Descending:                  Z        Y        X       W      V       U       T        S        R       Q

                             P       O       N       M      L        K       J        I         H       G

                             F        E        D       C       B       A

1)            F              is the 6 th letter ascending, while                        is the 6 th letter descending

2)        If the 2 nd , 5 th , 19 th and 20 th letters is spelt YVHG coming down, I would have                         going up.

3)        The 3 rd letter ascending and descending are                              and                                         

health education exam questions for primary 2

                        Apple             ball                 fan                  coat

4)        Nest                Door              Organ            pin

5)        Snail               Pencil             Quay              Radio

6)        Xmas              Yard               Axe                 Zip

Example: Write down two words each that begin with these letters

            a          –           arrow            axe

7)        f           =                                                                 8)            p          =                                             

9)        k          =                                             

Fill in “a” or “an” where necessary in each of the following sentences.

Example: My Mum gave me an apple not a pear

10)          John has                      exercise book and                          pen

11)      The farmer has                               dog and                     ewe

12)                              girl with                     dirty doll is standing over there

Complete the words below with the right letter

Example:   Farmer              Hyena

13)      Ne       hew

14)      T          ay

15)      S          ail

FAMILY RELATIONS

Example: My mother’s sister is my aunt

Pick from the list provided

            Mother          niece              cousin

            Grandfather            father

16)      A female parent is                           

17)      My mother’s father is my                                     

18)      My aunt’s daughter is my                       

Write out three names of fruit from the word maze below

            B          A         N         A         N         A         L          P

            E          O         C          O         W        L          I           I

            R          R          H         O         E          P          M        N

            R          A         E          A         T          L          E          E

            Y          N         R          A         N         E          S          A

            A         G         R          R          I           C          E          P

            M        E          Y          E          L          L          O         P

            M        A         N         G         O         E          S          L

            G         U         A         V         A         N         T          E

19)                                         

20)                                         

21)                                         

CODING AND DECODING

A         B          C          D         E          F          G

1          2          3          4          5          6          7

H         I           J           K          L          M        N

8          9          10       11       12       13       14

O         P          Q         R          S          T          U

15       16       17       18       19       20       21

V         W        X          Y          Z

22       23       24       25       26

Examples:     A         B          U         S          E

                        1          2          21       19       5

health education exam questions for primary 2

health education exam questions for primary 2

Example: KWARA  = Jebba           Ilorin              Pategi

25)      Imo     =          Owerri           Oguta            Aboh

26)      ONDO  =       Owo               Ondo             Akure

27)      DELTA =        Warri             Asaba             Patani

Examples:  Rearrange to form words.

                        Ot       =          to

                        Bkoo  =     book

28)      yob  =                         

29)      dirb  =                         

30)      nep =                        

Primary Two (2) Examination Questions First Term – Edudelight.co m

SUBJECT: LITERATURE                                                    CLASS: PRIMARY 2

1)            Abibat and Awele began their friendship when they were very                           (a)aged  (b)Young  (c)old

2)        Who was bitten by a snake? (a)Awele  (b)Abibat   (c)Baba Abibat

3)        Abibat and Awele were known as the                         twins (a)Congolese  (b)Indian  (c)Siamese

4)        Who had a masculine physique? (a)Abibat  (b)Awele  (c)Koripe

5)        What competition was held in Koripe village? (a)Dancing  (b)singing  (c)Drama

6)        How often was the competition going to be held? (a) Biannually   (b)Biennially   (c)Annually

7)        How many youths cornered Abibat and Awele on their way back from the competition? (a)4  (b)5  (c)6

8)        Who came to the rescue of Abibat and Awele (a)A farmer (b)A hunter  (c)A fisherman

9)        In what year of Awele’s marriage did she give birth (a)first year (b)second year  (c)third year

10)      Which village did Abibat and Awele move to (a)Koripe (b)Aje  (c)Ajela

11)      What is the name of Awele’s son? (a)Funsho  (b)Folorunso  (c)Folake

12)      Whose husband died first? (a)Awele’s (b)Abibat’s  (c)Folly’s

13)      What is the name of the university Awele’s son went to? (a)landlord university (b)Landslive university (c)Landmark university

14)      Folorunsho gained scholarship to go and study in                (a)England  (b)Russia  (c)Ukraine

15)      What did Folorunsho study overseas? (a)Mechanical Engineering (b)Aeronautical Engineering (c)Electrical Engineering

16)      How many times did Folorunsho travel to the village every month to check on his mothers? (a)Thrice (b)Twice (c)Once

17)      The villagers came to Awele and Abibat’s house to                          (a)Watch television (b)help them clean the house (c)participate in a dancing competition

18)      Who died after falling sick? (a)Awele  (b)Abibat  (c)Folorunsho

19)      What is the name of Folorunsho’s wife? (a)Abike (b)Dolly  (c)Titi

20)                              sacrificed her life for Folorunsho (a)Dolly  (b)Abibat  (c)Awele

SECTION B (OPEN QUESTIONS AND THEORY)

1)        What was Awele doing when she got bitten by a snake?

2)        Why did Abibat and Awele relocate?

3)        Dende                                    is ‘s husband, while Gbadebo is                                     ‘s husband

4)        Why did Folorunsho go to the city?

5)        What duration did Folorunsho study in Ukraine

6)        Why did Abibat and Awele refuse to go to Lagos

List the names of any three characters in the book

7)                                                       

8)                                                       

9)                                                       

10)      Who is the author of the book, “What Goes Around” ?

SUBJECT: MATHEMATICS                                                       

1. One  hundred  and nine  written  in figures  is  (a)  190  (b)  119   (c)  109

2.  187            156   (a) >   (b) <    (c)  =

3. What  is the  place value  of  6  in  169?  (a) unit   (b)  hundreds   (c) tens

4. Write  91  19,  71, 17  in order,  from  the  smallest (a)  71,19,91, 17   (b)  91,  71, 19, 17  (c)  17,19,71, 91

5. 169  written  in  words  is  (a)  one  hundred  and  ninety-six   (b)  one  hundred  and  sixty-nine    (c)  one  hundred  and sixty

6.  Which  of  the  following  is not  an  even  number?  (a)  7  (b) 8    (c)  4

7. Which  of the  following  is NOT  an  odd  number? (a)  14  (b) 17  (c)  11

8. 139  can be  written  as   (a)  10+30+90    (b)  100+30  + 9    (c)  100 +  300 +  900

9.  126  has  _________ units   (a) 1     (b)  6    (c) 2

health education exam questions for primary 2

What  fraction  of the  following  shapes  is  shaded

health education exam questions for primary 2

                                         (a)  ½      (b)  1      (c) 2/2

 width=

 width=

17. Half  of  12 is  ____(a)  6   (b)  24   (c)  4

What  comes  next? (18-20)

18.  99,  100,  101  _________  (a) 103    (b)  102    (c)  104

19.  2 ,  4, 6 _______  (a)  8   (b) 9   (c) 10

20. 1, 3, 5 _______  (a) 6   (b) 7   (c) 8

1. 74 =  7 ______+ 4 _________

2. 169 = ______hundred + ______tens + _____units

3. What comes next? 122, 123, 124 ___________      _______________

4. Half of 4 watermelons is ___________________________

5. ¼ of 20 berries is ______________________________

6. Tope has 5 mangoes, titi has 8 mangoes. How many mangoes do they have  together? _______________

7. Write the number  name 148: ____________________________________________________________________

Write true  or  false

8. 53 > 69 = ____________________________   (9)  67 < 36 = ________________________________

10. 48 < 84 = ____________________________

1a. Arrange  the  numbers  from the  smallest  to  the  biggest :  42,  89,  22,  93, 76.

b.  arrange  the  ordial  numbers  from the  smaller  to the  biggest:  eight, second, fifth, first, tenth, third.

2. show  the  calculations on  the number  line .  (a)  5 +  7      (b)  15 – 6

3. shade  the given  fractions  on the shapes  below

health education exam questions for primary 2

                   ½                                                                                    ¾

4a.   

SUBJECT: QUANTITATIVE APT.                                                       CLASS: PRIMARY 2

Arrange the numbers  below  (smallest number  first).

305     301       303     304      302

301     302      303     304      305

1.      160             159             158             162             161

          …………       ………..        …………       ………..        ………….

2.      212             210             213             209             211

          …………       …………       …………       …………       …………

3.      500             499             496             497             498

4.      201             205             203             202             204

15171921
16182022

Sample:        Odd 

health education exam questions for primary 2

21 25 
 24 28

5.      6.                                                      7.

health education exam questions for primary 2

health education exam questions for primary 2

                   5                 5

health education exam questions for primary 2

18.                                                                  19.                                                              20.

 width=

                                                                               21.                                                                       22.                                                                 

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SUBJECT: I.T      PRACTICAL     CLASS: PRIMARY 2

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AGRIC SCIENCE EXAM QUESTIONS FOR JSS1 THIRD TERM

Cultural and creative art second term examination questions 2019/2020 session – junior secondary school (jss 1, jss 2, jss 3), crs exam questions for jss2 first term, basic technology first term continous assessment test one questions 2019/2020 session – junior secondary school two (jss 2).

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Comparative accuracy of ChatGPT-4, Microsoft Copilot and Google Gemini in the Italian entrance test for healthcare sciences degrees: a cross-sectional study

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  • Federica Corradi 4 ,
  • Chad Cook   ORCID: orcid.org/0000-0001-8622-8361 5 , 6 , 7 ,
  • Paolo Pillastrini   ORCID: orcid.org/0000-0002-8396-2250 8 , 9 ,
  • Andrea Turolla   ORCID: orcid.org/0000-0002-1609-8060 8 , 9 ,
  • Greta Castellini   ORCID: orcid.org/0000-0002-3345-8187 10 ,
  • Stefania Chiappinotto   ORCID: orcid.org/0000-0003-4829-1831 11 ,
  • Silvia Gianola   ORCID: orcid.org/0000-0003-3770-0011 10   na1 &
  • Alvisa Palese   ORCID: orcid.org/0000-0002-3508-844X 11   na1  

BMC Medical Education volume  24 , Article number:  694 ( 2024 ) Cite this article

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Artificial intelligence (AI) chatbots are emerging educational tools for students in healthcare science. However, assessing their accuracy is essential prior to adoption in educational settings. This study aimed to assess the accuracy of predicting the correct answers from three AI chatbots (ChatGPT-4, Microsoft Copilot and Google Gemini) in the Italian entrance standardized examination test of healthcare science degrees (CINECA test). Secondarily, we assessed the narrative coherence of the AI chatbots’ responses (i.e., text output) based on three qualitative metrics: the logical rationale behind the chosen answer, the presence of information internal to the question, and presence of information external to the question.

An observational cross-sectional design was performed in September of 2023. Accuracy of the three chatbots was evaluated for the CINECA test, where questions were formatted using a multiple-choice structure with a single best answer. The outcome is binary (correct or incorrect). Chi-squared test and a post hoc analysis with Bonferroni correction assessed differences among chatbots performance in accuracy. A p -value of < 0.05 was considered statistically significant. A sensitivity analysis was performed, excluding answers that were not applicable (e.g., images). Narrative coherence was analyzed by absolute and relative frequencies of correct answers and errors.

Overall, of the 820 CINECA multiple-choice questions inputted into all chatbots, 20 questions were not imported in ChatGPT-4 ( n  = 808) and Google Gemini ( n  = 808) due to technical limitations. We found statistically significant differences in the ChatGPT-4 vs Google Gemini and Microsoft Copilot vs Google Gemini comparisons ( p -value < 0.001). The narrative coherence of AI chatbots revealed “Logical reasoning” as the prevalent correct answer ( n  = 622, 81.5%) and “Logical error” as the prevalent incorrect answer ( n  = 40, 88.9%).

Conclusions

Our main findings reveal that: (A) AI chatbots performed well; (B) ChatGPT-4 and Microsoft Copilot performed better than Google Gemini; and (C) their narrative coherence is primarily logical. Although AI chatbots showed promising accuracy in predicting the correct answer in the Italian entrance university standardized examination test, we encourage candidates to cautiously incorporate this new technology to supplement their learning rather than a primary resource.

Trial registration

Not required.

Peer Review reports

Being enrolled in a healthcare science degree in Italy requires a university examination, which is a highly competitive and selective process that demands intensive preparation worldwide [ 1 ]. Conventional preparation methods involve attending classes, studying textbooks, and completing practical exercises [ 2 ]. However, with the emergence of artificial intelligence (AI), digital tools like AI chatbots to assist in exam preparation are becoming more prevalent, presenting novel opportunities for candidates [ 2 ].

AI chatbots such as ChatGPT, Microsoft Bing, and Google Bard are advanced language models that can produce responses similar to humans through a user-friendly interface [ 3 ]. These chatbots are trained using vast amounts of data and deep learning algorithms, which enable them to generate coherent responses and predict text by identifying the relationships between words [ 3 ]. Since their introduction, AI chatbots have gained considerable attention and sparked discussions in medical and health science education and clinical practice [ 4 , 5 , 6 , 7 ]. AI chatbots can provide simulations with digital patients, personalized feedback, and help eliminate language barriers; they also present biases, ethical and legal concerns, and content quality issues [ 8 , 9 ]. As such, the scientific community recommends evaluating the AI chatbot’s accuracy of predicting the correct answer (e.g., passing examination tests) to inform students and academics of their value [ 10 , 11 ].

Several studies have assessed the accuracy of AI chatbots to pass medical education tests and exams. A recent meta-analysis found that ChatGPT-3.5 correctly answered most multiple-choice questions across various medical educational fields [ 12 ]. Further research has shown that newer versions of AI chatbots, such as ChatGPT-4, have surpassed their predecessors in passing Specialty Certificate Examinations in dermatology [ 13 , 14 ], neurology [ 15 ], ophthalmology [ 16 ], rheumatology [ 17 ], general medicine [ 18 , 19 , 20 , 21 ], and nursing [ 22 ]. Others have reported mixed results when comparing the accuracy of multiple AI chatbots (e.g., ChatGPT-4 vs Microsoft Bing, ChatGPT-4 vs Google Bard) in several medical examinations tests [ 23 , 24 , 25 , 26 , 27 , 28 , 29 ]. Recently, two studies observed the superiority of ChatGPT-3.5 over Microsoft Copilot and Google Bard in hematology [ 30 ] and physiology [ 31 ] case solving. Recent work has also observed that ChatGPT-4 outperformed other AI Chatbots in clinical dentistry-related questions [ 32 ], whereas another revealed that ChatGPT-4 and Microsoft Bing outperformed Google Bard and Claude in the Peruvian National Medical Licensing Examination [ 33 ].

These findings suggest a potential hierarchy in accuracy of AI chatbots, although continued study in medical education is certainly warranted [ 3 ]. Further, current studies are limited by predominantly investigating: (A) a single AI chatbot rather than multiple ones; (B) examination tests for students and professionals already in training rather than newcomers to the university; and (C) examination tests for medical specialities rather than for healthcare science (e.g., rehabilitation and nursing). Only two studies [ 34 , 35 ] have attempted to address these limitations, identifying ChatGPT-3.5 as a promising, supplementary tool to pass several standardised admission tests in universities in the UK [ 34 ] and in France [ 35 ]. To our knowledge, no study has been performed on admission tests for admissions to a healthcare science degree program. Healthcare Science is a profession that includes over 40 areas of applied science that support the diagnosis, rehabilitation and treatment of several clinical conditions [ 36 ]. Moreover, the only studies conducted in Italy concerned ChatGPT's accuracy in passing the Italian Residency Admission National Exam for medical graduates [ 37 , 38 ] offering opportunities for further research setting.

Accordingly, to overcome existing knowledge gaps, this study aimed to assess the comparative accuracy of predicting the correct answer of three updated AI chatbots (ChatGPT-4, Microsoft Copilot and Google Gemini) in the Italian entrance university standardized examination test of healthcare science. The secondary aim was to assess the narrative coherence of the text responses offered by the AI chatbots. Narrative coherence was defined as the internally consistency and sensibility of the internal or external explanation provided by the chatbot.

Study design and ethics

We conducted an observational cross-sectional study following the Strengthening of Reporting of Observational Studies in Epidemiology (STROBE) high-quality reporting standards [ 39 ]. Because no human subjects were included, ethical approval was not required [ 40 ].

This study was developed by an Italian multidisciplinary group of healthcare science educators. The group included professors, lecturers, and educators actively involved in university education in different healthcare disciplines (e.g., rehabilitation, physiotherapy, speech therapy, nursing).

In Italy, the university’s process of accessing the healthcare professions is regulated by the laws according to short- and long-term workforce needs [ 41 ]. Consequently, the placements available for each degree are established in advance; to be enrolled in an academic year, candidates should take a standardized examination test occurring on the same day for all universities. This process, in most Italian universities, is annually managed by the CINECA (Consorzio Interuniversitario per il Calcolo Automatico dell'Italia Nord Orientale), a governmental organization composed of 70 Italian universities, 45 national public research centers, the Italian Ministry of University and Research, and the Italian Ministry of Education [ 42 ]. CINECA prepares the standardized test common to all healthcare disciplines (e.g., nursing and midwifery, rehabilitation, diagnostics and technical, and prevention) for entrance to University [ 43 ]. The test assesses basic knowledge useful as a prerequisite for their future education [ 44 ], in line with the expected knowledge possessed by candidates that encompass students at the end of secondary school, including those from high schools, technical, and professional institutes [ 45 ].

For this study, we adopted the official CINECA Tests from the past 13 years (2011–2023) obtained from freely available public repositories [ 46 , 47 ]. The CINECA Test provided 60–80 range of independent questions per year for a total of 820 multiple-choice questions considered for the analysis. Every question presents five multiple-choice options, with only one being the correct answer and the remaining four being incorrect [ 44 ]. According to the law, over the years, the CINECA test consisted of multiple-choice questions covering four areas: (1) logical reasoning and general culture, (2) biology, (3) chemistry, and (4) physics and mathematics. The accuracy of each AI chatbot was evaluated as the sum of the proportion of correct answers provided among all possible responses for each area and for the total test. In Additional file 1, we reported all the standardized examination tests used in the Italian language and an example of the question stem that was exactly replicated.

Variable and measurements

We assessed the accuracy of three AI chatbots in providing accurate responses for the Italian entrance university standardized examination test for healthcare disciplines. We utilized the latest versions of ChatGPT-4 (OpenAI Incorporated, Mission District, San Francisco, United States) [ 48 ], Microsoft Copilot (Microsoft Corporation, WA, US) [ 49 ] and Google Gemini (Alphabet Inc., CA, US) [ 50 ] that were updated in September 2023. We considered the following variables: (A) the accuracy of predicting the correct answer of the three AI chatbots in the CINECA Test and (B) the narrative coherence and errors of the three AI chatbots responses.

The accuracy of three AI chatbots was assessed by comparing their responses to the correct answers from the CINECA Test. AI Chatbots’ answers were entered into an Excel sheet and categorized as correct or incorrect. Ambiguous or multiple responses were marked as incorrect [ 51 ]. Since none of the three chatbots has integrated multimodal input at this point, questions containing imaging data were evaluated based solely on the text portion of the question stem. However, technical limitations can be present, and a sensitivity analysis was performed, excluding answers that were not applicable (e.g., images).

The narrative coherence and errors [ 52 ] of AI chatbot answers for each question were assessed using a standardized system for categorization [ 53 ]. Correct answers were classified as [ 53 ]: (A) “Logical reasoning”, if they clearly demonstrated the logic presented in the response; (B) “Internal information”, if they included information from the question itself; and (C) “External information”, if they referenced information external to the question.

On the other side, incorrect answers were categorized as [ 53 ]: (A) “Logical error”, when they correctly identify the relevant information but fail to convert it into an appropriate answer; (B) “Information error”, if AI chatbots fail to recognize a key piece of information, whether present in the question stem or through external information; and (C) “Statistical error”, for arithmetic mistakes. An example of categorisation is displayed in Additional file 2. Two authors (L.R., F.C.) independently analyzed the narrative coherence, with a third (G.R.) resolving uncertainties. Inter-rater agreement was measured using Cohen’s Kappa, according to the scale offered by Landis and Koch: < 0.00 “poor”, 0–0.20 “slight”; 0.21–0.40 “fair”, 0.41–0.60 “moderate”, 0.61–0.80 “substantial”, 0.81–1.00 “almost perfect” [ 54 ].

We used each multiple-choice question of the CINECA Test, formatted for proper structure and readability. Because prompt engineering significantly affects generative output, we standardized the input formats of the questions following the Prompt-Engineering-Guide [ 55 , 56 ]. First, we manually entered each question in a Word file, left one line of space and then inserted the five answer options one below the other on different lines. If the questions presented text-based answers, they were directly inputted into the 3 AI chatbots. If the questions were presented as images containing tables or mathematical formulae, they were faithfully rewritten for AI chatbot processing [ 57 ]. If the answers had images with graphs or drawings, they were imported only into Microsoft Copilot because ChatGPT-4 and Google Gemini only accept textual input in their current form and could not process and interpret the meaning of complex images, as present in the CINECA Test, at the time of our study [ 58 ].

On 26th of September 2023, the research group copied and pasted each question onto each of the 3 AI chatbots in the same order in which it was presented in the CINECA Test [ 59 ] and without translating it from the original Italian language to English because the AIs are language-enabled [ 60 ]. To avoid learning bias and that the AI chatbots could learn or be influenced by conversations that existed before the start of the study, we: (A) created and used a new account [ 2 , 51 ], (B) always asked each question only once [ 61 , 62 ], (C) did not provide positive or negative feedback on the answer given [ 60 ], and (D) deleted conversations with the AI chatbots before entering each new question into a new chat (with no previous conversations). We presented an example of a question and answer in Additional file 3.

Statistical analyses

Categorical variables are presented as the absolute frequency with percent and continuous variables as mean with confidence interval (CI, 95%) or median with interquartile range (IQR). The answers were collected as binomial outcomes for each AI chatbot respect to the reference (CINECA Tests). A chi-square test was used to ascertain whether the CINECA Test percentage of correct answers differed among the three AI chatbots according to different taxonomic subcategories (logical reasoning and general culture, biology, chemistry, and physics and mathematics). A sensitivity analysis was performed, excluding answers that were not applicable (e.g., if the answers had images with graphs or drawings). A p -value of < 0.05 was considered significant. Since we are comparing three groups/chatbots, Bonferroni adjustment, Familywise adjustment for multiple measures, for multiple comparisons was applied. Regarding narrative coherence and errors, we calculated the overall correct answers as the relative proportion of correct answers provided among the overall test answers of each AI chatbot accuracy. A descriptive analysis of reasons for logical argumentation of correct answers and categorization of type error was reported by percentage in tables. Statistical analyses were performed with STATA/MP 16.1 software.

AI chatbots’ multiple-choice questions

From our original sample, we inputted all the multiple-choice questions in Microsoft Copilot ( n  = 820). Twelve multiple-choice questions were not imported in ChatGPT-4 ( n  = 808) and Google Gemini ( n  = 808) since they were images with graphs or drawings. The flowchart of the study is shown in Fig.  1 .

figure 1

The study flow chart

AI chatbots’ accuracy

Overall, we found a statistically significant difference in accuracy between the answers of the three chatbots ( p  < 0.001). The results of the Bonferroni adjustment, as a Familywise adjustment for multiple measures and tests between couples, are presented in Table  1 . We found a statistically significant difference in the ChatGPT-4 vs Google Gemini ( p  < 0.001) and Microsoft Copilot vs Google Gemini ( p  < 0.001) comparisons, which indicate a better ChatGPT-4 and Microsoft Copilot accuracy than Google Gemini (Table  1 ). A sensitivity analysis excluding answers that were not applicable (e.g., if the answers had images with graphs or drawings) showed similar results reported in Additional file 4.

AI chatbots’ narrative coherence: correct answers and errors

The Inter-rater agreement regarding AI chatbots’ narrative coherence was “almost perfect” ranging from 0.84–0.88 kappa for internal and logical answers (Additional file 5). The narrative coherence of AI chatbots is reported in Tables 2 and 3 . We excluded from these analyses all not applicable answers (ChatGPT-4: n  = 12, Microsoft Copilot: n  = 0, Google Gemini: n  = 12).

About the category of correct answer (Table  2 ), in ChatGPT-4 (tot = 763), the most frequent feature was “Logical reasoning” ( n  = 622, 81.5%) followed by “Internal information” ( n  = 141, 18.5%). In Microsoft Copilot (tot = 737), the main frequent feature was “Logical reasoning” ( n  = 405, 55%), followed by “External information” ( n  = 195, 26.4%) and “Internal information” ( n  = 137, 18.6%). In Google Gemini (tot = 574), the most frequent feature was “Logical reasoning” ( n  = 567, 98.8%), followed by a few cases of “Internal information” ( n  = 7, 1.2%).

With respect to category of errors (Table  3 ), in ChatGPT-4 (tot = 45), the main frequent reason was “Logical error” ( n  = 40, 88.9%), followed by a few cases of “Information error” ( n  = 4, 8.9%) and statistic ( n  = 1, 2.2%) errors. In Microsoft Copilot (tot = 83), the main frequent reason was “Logical error” ( n  = 66, 79.1%), followed by a few cases of “Information error” ( n  = 9, 11.1%) and “Statistical error” ( n  = 8, 9.8%) errors. In Google Gemini (tot = 234), the main frequent reason was “Logical error” ( n  = 233, 99.6%), followed by a few cases of “Information error” ( n  = 1, 0.4%).

Main findings

The main findings reveal that: (A) AI chatbots reported an overall high accuracy in predicting the correct answer; (B) ChatGPT-4 and Microsoft Copilot performed better than Google Gemini; and (C) considering the narrative coherence of AI chatbots, the most prevalent modality to present correct and incorrect answers were “Logical” (“Logical reasoning” and “Logical error”, respectively).

Comparing our study with existing literature poses a challenge due to the limited number of research that have examined the accuracy of multiple AI chatbots [ 30 , 31 , 32 , 33 ]. Our research shows that AI chatbots can accurately answer questions from the CINECA Test, regardless of the topics (logical reasoning and general culture, biology, chemistry, physics and mathematics). This differs from the fluctuating accuracy found in other studies [ 34 , 35 ]. Our findings support Torres-Zegarra et al.'s observations that the previous version of ChatGPT-4 and Microsoft Bing were superior to Google Bard [ 33 ], while other research groups did not confirm it [ 30 , 31 , 32 ]. This discrepancy may be due to differences in the tests used (e.g., medical specialties vs university entrance), the types of questions targeted at different stakeholders (e.g. professionals vs students), and the version of AI chatbots used (e.g., ChatGPT-3.5 vs 4).

The accuracy ranking of AI chatbots in our study might be due to differences in their neural network architecture. ChatGPT-4 and Microsoft Copilot AI use the GPT (Generative Pre-trained Transformer) architecture, while Google Gemini adopts LaMDA (Language Model for Dialogue Application) and later PaLM 2 (Pathways Language Model) in combination with web search [ 32 ]. The differences in the quality, variety, and quantity of data used for training, the optimization strategies adopted (e.g., fine-tuning), and the techniques applied to create the model could also account for the accuracy differences between AI chatbots [ 63 ]. Therefore, the variations mentioned above could lead to different responses to the same questions, affecting their overall accuracy.

In our study, the narrative coherence shows that AI chatbots mainly offer a broader perspective on the discussed topic using logical processes rather than just providing a simple answer [ 53 ]. This can be explained by the computational abilities of AI chatbots and their capacity to understand and analyze text by recognizing word connections and predicting future words in a sentence [ 63 ]. However, it is important to note that our findings are preliminary, and more research is needed to investigate how narrative coherence changes with advancements in AI chatbot technology and updates.

Implications and future perspective

Our study identifies two contrasting implications of using AI chatbots in education. The positive implication regards AI chatbots as a valuable resource, while the negative implication perceives them as a potential threat. First, our study sheds light on the potential role of AI chatbots as supportive tools to assist candidates in preparation for the Italian entrance university standardized examination test of healthcare science. They can complement the traditional learning methods such as textbooks or in-person courses [ 10 ]. AI chatbots can facilitate self-directed learning, provide explanations and insights on the topics studied, select and filter materials and can be personalized to meet the needs of individual students [ 10 ]. In addition to the knowledge components, these instruments contribute to developing competencies, as defined by the World Health Organization [ 64 ]. Virtual simulation scenarios could facilitate the development of targeted skills and attitudes where students have a virtual interlocutor with a dynamic and human-like approach driven by AI. However, we should highlight that they cannot replace the value of reflection and discussion with peers and teachers, which are crucial for developing meta-competencies of today's students and tomorrow's healthcare professionals [ 10 ]. Conversely, candidates must be protected from simply attempting to use these tools to answer questions while administering exams. Encouraging honesty by avoiding placing and using devices (e.g., mobile phones, tablets) in classrooms is important. Candidates must be encouraged to respond with their preparation and knowledge, given that they are mostly applying for professions where honesty and ethical principles are imperative.

Strengths and limitations

As a strength, we evaluated the comparative accuracy of three AI chatbots in the Italian health sciences university admissions test over the past 13 years on a large sample of questions, considering the narrative consistency of their responses. This enriches the international debate on this topic and provides valuable insights into the strengths and limitations of AI chatbots in the context of university education [ 2 , 3 , 8 , 9 , 11 ].

However, limitations exist and offer opportunities for future study. Firstly, we only used the CINECA Test, while other universities in Italy adopted different tests (e.g., CASPUR and SELECTA). Secondly, we studied three AI Chatbots without considering others presented in the market (e.g., Cloude, Perplexity) [ 31 ]. Thirdly, we adopted both paid (ChatGPT-4) and free (Microsoft Copilot and Google Gemini) versions of AI Chatbots. Although this choice may be a limitation, we aimed to use the most up-to-date and recent versions of the AI Chatbots available when the study was performed. Fourthly, although we inputted all queries into AI chatbots, we processed only some of them as only Microsoft Copilot was able to analyse complex images, as reported in the CINECA Tests, at the time of our study [ 65 , 66 , 67 ]. Fifthly, we inputted the test questions only once to simulate the test execution conditions in real educational contexts [ 32 ], although previous studies have prompted the test questions multiple times in AI chatbots to obtain better results [ 68 ]. However, an AI language model operates differently from regular, deterministic software. These models are probabilistic in nature, forming responses by estimating the probability of the next word according to statistical patterns in their training data [ 69 ]. Consequently, posing the same question twice may not always yield identical answers. Sixthly, we did not calculate the response time of the AI chatbots since this variable is affected by the speed of the internet connection and data traffic [ 51 ]. Seventhly, we assessed the accuracy of AI chatbots in a single country by prompting questions in Italian, which may limit the generalizability of our findings to other contexts and languages [ 70 , 71 ]. Finally, we did not compare the responses of AI chatbots with those of human students since there is no national ranking for admission in Italy, and each university draws up its ranking on its own.

AI chatbots have shown promising accuracy in quickly predicting correct answers, producing writing that is grammatically correct and coherent in a conversation for the Italian entrance university standardized examination test of healthcare science degrees. However, the study provides data regarding the overall performances of different AI Chatbots with regard to the standardized examinations provided in the last 13 years to all candidates willing to enter a healthcare science degree in Italy. Therefore, findings should be placed in the context of a research exercise and may support the current debate regarding the use of AI chatbots in the academic context. Further research is needed to explore the potential of AI chatbots in other educational contexts and to address their limitations as an innovative tool for education and test preparation.

Availability of data and materials

The datasets generated and/or analysed during the current study are available in the Open Science Framework (OSF) repository, https://osf.io/ue5wf/ .

Abbreviations

  • Artificial intelligence

Confidence interval

Consorzio Interuniversitario per il Calcolo Automatico dell'Italia Nord Orientale

Generative pre-trained transformer

Interquartile range

Language model for dialogue application

Pathways language model

Strengthening of Reporting of Observational Studies in Epidemiology

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Acknowledgements

The authors thanks Sanitätsbetrieb der Autonomen Provinz Bozen/Azienda Sanitaria della Provincia Autonoma di Bolzano for covering the open access publication costs.

The authors declare that they receive fundings from the Department of Innovation, Research, University and Museums of the Autonomous Province of Bozen/Bolzano for covering the open access publication costs of this study.

Author information

Silvia Gianola and Alvisa Palese both authors have contributed equally.

Authors and Affiliations

School of Physiotherapy, University of Verona, Verona, Italy

Giacomo Rossettini

Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670, Spain

Department of Rehabilitation, Hospital of Merano (SABES-ASDAA), Teaching Hospital of Paracelsus Medical University (PMU), Merano-Meran, Italy

Lia Rodeghiero

School of Speech Therapy, University of Verona, Verona, Italy

Federica Corradi

Department of Orthopaedics, Duke University, Durham, NC, USA

Duke Clinical Research Institute, Duke University, Durham, NC, USA

Department of Population Health Sciences, Duke University, Durham, NC, USA

Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater University of Bologna, Bologna, Italy

Paolo Pillastrini & Andrea Turolla

Unit of Occupational Medicine, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy

Unit of Clinical Epidemiology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

Greta Castellini & Silvia Gianola

Department of Medical Sciences, University of Udine, Udine, Italy

Stefania Chiappinotto & Alvisa Palese

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Contributions

GR, SG, AP conceived and designed the research and wrote the first draft. LR, FC, managed the acquisition of data. SG, GC, SC, CC, PP, AT managed the analysis and interpretation of data. GR, SG, AP wrote the first draft. All authors read, revised, wrote and approved the final version of manuscript.

Authors' information

A multidisciplinary group of healthcare science educators promoted and developed this study in Italy. The group consisted of professors, lecturers, and tutors actively involved in university education in different healthcare science disciplines (e.g., rehabilitation, physiotherapy, speech therapy, nursing).

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Correspondence to Giacomo Rossettini , Lia Rodeghiero , Stefania Chiappinotto , Silvia Gianola or Alvisa Palese .

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Rossettini, G., Rodeghiero, L., Corradi, F. et al. Comparative accuracy of ChatGPT-4, Microsoft Copilot and Google Gemini in the Italian entrance test for healthcare sciences degrees: a cross-sectional study. BMC Med Educ 24 , 694 (2024). https://doi.org/10.1186/s12909-024-05630-9

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Accepted : 04 June 2024

Published : 26 June 2024

DOI : https://doi.org/10.1186/s12909-024-05630-9

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