Anatomy Quiz Master

❌ Do NOT use when:

• Primary learning resource for anatomy → Use textbooks/atlas first
• Substitute for cadaver lab attendance → Use for supplemental practice only
• Pathology or physiology questions → Use specialized skills for those topics
• Board exam registration or scheduling → Use official NBME resources

Integration:

• Upstream: usmle-case-generator (clinical context), anki-card-creator (flashcard export)
• Downstream: study-limitations-drafter (weakness analysis), performance-tracker (progress monitoring)

Core Capabilities

1. Regional Anatomy Quizzes

Generate focused quizzes by body region:

from scripts.quiz_generator import QuizGenerator

generator = QuizGenerator()

# Generate thorax quiz
quiz = generator.generate_quiz(
    region="thorax",
    topics=["heart", "lungs", "mediastinum", "thoracic_wall"],
    difficulty="intermediate",
    n_questions=20
)

# Export for LMS
quiz.export(format="json", filename="thorax_quiz.json")

Supported Regions:

2. Neuroanatomy Pathway Tracing

Specialized quizzes for neural pathways:

# Neuroanatomy quiz
neuro_quiz = generator.generate_neuro_quiz(
    pathway_type="motor",  # or "sensory", "cranial_nerves", "reflexes"
    include_lesions=True,
    clinical_correlations=True
)

Pathway Types:

• Motor Pathways: Corticospinal, corticobulbar, basal ganglia circuits
• Sensory Pathways: Dorsal column, spinothalamic, trigeminal
• Cranial Nerves: All 12 nerves with nuclei and clinical tests
• Reflex Arcs: Deep tendon, superficial, visceral
• Vascular: Arterial supply, venous drainage, stroke syndromes

3. Clinical Correlation Questions

Integrate anatomy with clinical scenarios:

clinical_quiz = generator.generate_clinical_quiz(
    region="abdomen",
    scenario_types=["surgery", "radiology", "physical_exam"],
    difficulty="advanced"
)

Question Formats:

Clinical Scenario:
"A 45-year-old male presents with epigastric pain radiating to the back. 
CT shows a mass in the lesser sac."

Question: "Which artery runs immediately posterior to the body of the 
pancreas and would be at risk during resection?"

A) Splenic artery
B) Superior mesenteric artery
C) Common hepatic artery
D) Left gastric artery

Correct: B) Superior mesenteric artery

Explanation: The SMA emerges from the aorta at L1 and passes posterior 
to the neck of the pancreas and anterior to the uncinate process...

4. Adaptive Learning System

Adjust difficulty based on performance:

from scripts.adaptive import AdaptiveEngine

engine = AdaptiveEngine()

# Track student performance
student_progress = engine.track_performance(
    student_id="student_001",
    quiz_results=results,
    time_per_question=True
)

# Generate personalized quiz targeting weak areas
personalized = engine.generate_adaptive_quiz(
    student_progress=student_progress,
    focus_areas=["thorax_vessels", "cranial_nerves"],
    mastery_threshold=0.80
)

Adaptive Features:

• Spaced Repetition: Re-test incorrect topics at optimal intervals
• Difficulty Scaling: Increase level after 3 consecutive correct answers
• Time Pressure: Gradually reduce time limits for speed practice
• Weakness Identification: Track performance by anatomical structure

Common Patterns

Pattern 1: Pre-Exam Comprehensive Review

Scenario: Student preparing for anatomy practical exam in 2 weeks.

# Generate full-body comprehensive quiz
python scripts/main.py \
  --mode comprehensive \
  --regions all \
  --difficulty intermediate \
  --n-questions 100 \
  --timed \
  --output pre_practice_exam.json

# Focus on weak areas identified
python scripts/main.py \
  --mode adaptive \
  --focus abdomen,pelvis \
  --difficulty advanced \
  --n-questions 30 \
  --output weak_areas_review.json

Study Schedule:

• Week 1: Comprehensive quizzes (all regions)
• Week 2: Focus on <80% score regions
• 3 days before: Timed practice exam
• Day before: Light review of marked difficult questions

Pattern 2: Lab Session Preparation

Scenario: Student preparing for cadaver lab on upper limb.

# Pre-lab identification quiz
pre_lab = generator.generate_image_quiz(
    region="upper_limb",
    structure_types=["muscles", "vessels", "nerves"],
    label_type="pins",  # Pin identification format
    n_questions=15
)

# Clinical correlation for post-lab
post_lab_clinical = generator.generate_clinical_quiz(
    region="upper_limb",
    clinical_types=["fractures", "nerve_injuries", "vascular"]
)

Lab Integration:

• Pre-lab: 15-minute identification quiz
• During lab: Reference key landmarks
• Post-lab: Clinical correlation quiz linking anatomy to disease

Pattern 3: USMLE Step 1 Preparation

Scenario: Medical student preparing for USMLE Step 1.

# USMLE-style clinical anatomy
python scripts/main.py \
  --mode usmle \
  --clinical-focus \
  --mix-basic-advanced 70:30 \
  --n-questions 40 \
  --timed-per-question 60 \
  --output usmle_anatomy_practice.json

USMLE Features:

• Clinical vignette format
• Image-based questions (radiology, pathology)
• Two-step reasoning (identify structure → clinical implication)
• Time pressure simulation (60-90 seconds per question)

Pattern 4: Teaching Assistant Lab Quiz

Scenario: TA needs to generate weekly lab quizzes.

# Weekly lab quiz
ta_quiz = generator.generate_ta_quiz(
    week_number=5,
    region="thorax",
    practical_stations=8,
    time_per_station=3,  # minutes
    include_prosection_images=True
)

# Auto-generate answer key
answer_key = ta_quiz.generate_answer_key(
    include_acceptable_variations=True,
    grading_rubric="partial_credit"
)

TA Tools:

• Station-based practical exam format
• Answer keys with acceptable variations
• Grading rubrics
• Performance statistics by question

Complete Workflow Example

Comprehensive anatomy study session:

# Step 1: Diagnostic quiz to identify weak areas
python scripts/main.py \
  --mode diagnostic \
  --regions all \
  --n-questions 50 \
  --output diagnostic_results.json

# Step 2: Generate focused study plan
python scripts/main.py \
  --analyze-results diagnostic_results.json \
  --generate-study-plan \
  --days 14 \
  --output study_plan.md

# Step 3: Daily quizzes following plan
python scripts/main.py \
  --mode daily \
  --study-plan study_plan.md \
  --day 1 \
  --output day1_quiz.json

# Step 4: Spaced repetition review
python scripts/main.py \
  --mode spaced-repetition \
  --incorrect-questions diagnostic_results.json \
  --interval 3_days \
  --output review_quiz.json

# Step 5: Final practice exam
python scripts/main.py \
  --mode exam \
  --regions all \
  --n-questions 100 \
  --timed 120_minutes \
  --output final_practice_exam.json

Python API:

from scripts.quiz_generator import QuizGenerator
from scripts.progress_tracker import ProgressTracker
from reports.performance_report import PerformanceReport

# Initialize
generator = QuizGenerator()
tracker = ProgressTracker()

# Generate adaptive quiz
quiz = generator.generate_adaptive_quiz(
    student_id="med_student_001",
    target_regions=["abdomen", "pelvis"],
    difficulty_start="intermediate"
)

# Student takes quiz
results = quiz.administer()

# Track progress
tracker.record_results(
    student_id="med_student_001",
    quiz_id=quiz.id,
    results=results
)

# Generate progress report
report = PerformanceReport(
    student_id="med_student_001",
    time_range="last_30_days"
)
report.generate_pdf("anatomy_progress.pdf")

# Identify weak areas for next study session
weak_areas = tracker.identify_weak_areas(
    student_id="med_student_001",
    threshold=0.70
)
print(f"Focus next session on: {weak_areas}")

Quality Checklist

Question Quality:

• Anatomical accuracy verified against standard atlases (Netter, Gray's)
• Clinical correlations reviewed by licensed physicians
• Multiple difficulty levels appropriately calibrated
• Distractors (wrong answers) are plausible and educational
• Explications explain why correct answer is right
• Image quality sufficient for identification (resolution, labeling)

Educational Value:

• Questions test high-yield anatomy (clinically relevant)
• Progressive difficulty builds knowledge systematically
• Clinical scenarios reflect real patient presentations
• Explanations include anatomical reasoning

Technical Quality:

• Randomization prevents pattern recognition
• No duplicate questions in quiz banks
• Image files properly licensed or original
• Accessibility compliance (alt text for images)

Before Use:

• CRITICAL: Faculty review for anatomical accuracy
• Pilot test with target student population
• Time limits appropriate for difficulty
• Answer key double-checked for errors

Common Pitfalls

Content Issues:

• ❌ Outdated anatomical knowledge → Teaching old terminology

  • ✅ Use current Terminologia Anatomica standards

• ❌ Nit-picky details → Testing obscure structures rarely clinically relevant

  • ✅ Focus on high-yield anatomy that appears in clinical practice

• ❌ Unclear images → Poor resolution or confusing labels

  • ✅ Use high-quality images; test label legibility at screen resolution

Educational Issues:

• ❌ Questions too easy → No learning benefit

  • ✅ Calibrate to student level; aim for 60-80% success rate

• ❌ No clinical context → Pure memorization without application

  • ✅ Include clinical correlation questions

• ❌ Punitive difficulty → Discouraging rather than challenging

  • ✅ Provide encouraging feedback; focus on improvement

Technical Issues:

• ❌ Predictable patterns → Students game the system

  • ✅ Randomize question order and distractor placement

• ❌ No progress tracking → Can't identify weak areas

  • ✅ Implement analytics to guide focused study

References

Available in references/ directory:

• netter_atlas_correlation.md - Question-to-atlas page mapping
• terminologia_anatomica.md - Standard anatomical terminology
• usmle_content_outline.md - NBME anatomy topic frequencies
• clinical_correlations.md - High-yield clinical anatomy scenarios
• image_sources.md - Licensed anatomical image repositories
• difficulty_calibration.md - Bloom's taxonomy level alignment

Scripts

Located in scripts/ directory:

• main.py - CLI for quiz generation
• quiz_generator.py - Core question generation engine
• neuro_quiz.py - Specialized neuroanatomy questions
• clinical_correlator.py - Clinical scenario integration
• adaptive_engine.py - Personalized difficulty adjustment
• image_quiz.py - Label identification with images
• progress_tracker.py - Performance analytics
• report_generator.py - Progress reports and statistics

Limitations

• Cadaver Images: Cannot replace hands-on dissection experience
• 3D Spatial Relations: 2D images may not convey depth relationships
• Variability: Normal anatomical variation not fully captured
• Updates: Anatomical knowledge evolves; requires periodic review
• Cultural Sensitivity: Some anatomical terms may vary by region
• Disability Accommodation: Image-based questions need alternatives for visually impaired students

Parameters

Usage

Basic Usage

# Generate single question
python scripts/main.py --region upper_limb

# Generate 10-question quiz
python scripts/main.py --region neuroanatomy --difficulty advanced --count 10 --output quiz.json

# List available regions
python scripts/main.py --list-regions

# Text format output
python scripts/main.py --region thorax --format text

Risk Assessment

Security Checklist

• No hardcoded credentials or API keys
• No unauthorized file system access (../)
• Output does not expose sensitive information
• Prompt injection protections in place
• Input validation for all parameters
• Output directory restricted to workspace
• Script execution in sandboxed environment
• Error messages sanitized

Prerequisites

# Python 3.7+
# No additional packages required (uses standard library)

Evaluation Criteria

Success Metrics

• Successfully generates quiz questions
• Supports multiple anatomical regions
• Provides correct answers with explanations
• Handles edge cases (invalid regions, etc.)

Test Cases

1. Basic Functionality: Generate single question → Returns valid question with options
2. Edge Case: Invalid region → Graceful error message
3. Multiple Questions: Generate 10 questions → Returns array of questions

Lifecycle Status

• Current Stage: Draft
• Next Review Date: 2026-03-06
• Known Issues: None
• Planned Improvements:
  • Add image support for visual identification
  • Expand question bank
  • Add performance analytics

🧠 Learning Tip: Anatomy is best learned through repeated exposure in multiple contexts. Use these quizzes to reinforce cadaver lab learning, not replace it. Focus on understanding relationships and clinical significance, not just memorization.