Creating exams requires careful and understanding of student needs. Revisions and testing of exams is necessary to make certain they are optimal for a given student population. Research done on the importance of increasing students' “motivation for comprehensive learning using automatically added contextual questions in electronic examinations” and the usefulness of carefully preparing examination data (Baumann & Perlitz, 2011, p. 351). Reference Baumann, M, & Perlitz, V. (2011). Can contextual online exams in practical biomedical education increase comprehension and motivation?: a pilot project. Biomed Tech 56(6):351-8. doi: 10.1515/BMT.2011.027.