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Fig 1.

Flowchart illustrating the study design.

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Table 1.

Example of generated questions and their respective responses by ChatGPT-4o.

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Table 2.

Scoring scheme for evaluating the five Bloom’s cognitive levels using a 5-point Likert scale.

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Table 3.

The median and interquartile range (IQR) of the score of each LLM across different Bloom’s cognitive levels.

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Fig 2.

Heatmap of mean ± standard deviation (SD) Likert scores for Bloom’s cognitive levels across five LLMs.

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Fig 3.

Distribution of Likert scores across Bloom’s cognitive levels.

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Fig 4.

Distribution of Likert scores across Bloom’s cognitive levels for each LLM.

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Table 4.

Comparative Performance of Paid and Free Large Language Models (LLMs) in Generating MCQs Aligned with Bloom’s Taxonomy.

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