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Why not just ask ChatGPT for questions from my lecture?

A fair look at general chatbots and a question bank built for medical exams.

The short answer. ChatGPT, Claude, and Gemini can draft questions from your lecture in seconds, although published studies of chatbot-written medical MCQs found wrong answer keys, questions with two correct answers, and item-writing flaws. Recall Engine is a medical question bank. Library content follows its source lectures and is reviewed under clinician oversight. It also has an AI generator for your own lecture. Its answers point to the lecture pages they came from. Neither is error-free: use a chatbot to explain a concept and a source-linked tool to practise exam questions.

Last updated .

We make Recall Engine. Weigh this accordingly. Every study below links to the paper's own page. Every fact about Claude and Gemini comes from their own help or plans pages, checked on 28 October 2026 and linked in the sources.

When a chatbot is the right tool

  • You want a concept explained another way. Ask for a simpler version, an analogy, or a follow-up. Then confirm anything you will be examined on in your lecture.
  • You want a quick warm-up on a topic you already know. If you can spot a wrong answer key on sight, a few chatbot questions make a cheap warm-up.
  • Speed matters. Two of the studies credit chatbots with speed and then list the limits. One found that "ChatGPT-4o demonstrates the potential for efficiently generating MCQs but lacks the depth needed for complex assessments." Another wrote: "While ChatGPT can efficiently generate MCQs for ophthalmology residents, it has notable limitations".
  • Your budget is zero today. Claude's plans page (checked on 28 Oct 2026) lists a Free plan at $0 and says "Free covers everyday questions." Gemini's plans page (checked on 28 Oct 2026) lists a no-cost tier with a Google account.
  • You want to attach a file. Claude's help page (checked on 28 Oct 2026) lists PDF among the documents it accepts. It allows "Up to 20 files per chat" and "500MB per file". It says Claude "analyzes both text and visual elements" in PDFs of 100 pages or fewer. Gemini's help page (checked on 28 Oct 2026) says "Gemini Apps support most file types" with a 100 MB limit for files other than video.

A chatbot hands you a question and an answer key. Nobody has checked either one.

What the studies found

Five studies in medical journals had experts or faculty review MCQs written by ChatGPT, Claude, Gemini, and Bing. Here is what each one reported in the authors' own figures.

ChatGPT 3.5, immunology (Ngo and colleagues, Academic Pathology, 2023)

The authors pasted the text of their own immunology study guides into ChatGPT and asked for questions: 60 in total. "ChatGPT only generated correct questions and answers with explanations in 32 % of the questions (19 out of 60)." They rated 25% (15 of 60) as completely wrong. The lesson: giving a chatbot your source text did not stop it from writing wrong answers.

Claude Sonnet 3.7, thoracic surgery (Dal, Journal of Health Sciences and Medicine, 2025)

Claude was given the core topics of a fifth-year thoracic surgery internship and asked for a 20-question exam with an answer key. "Among AI-generated questions, 8 (40%) contained major errors, while 1 (5%) had a minor error." Three questions had two correct answers. Three had the wrong answer marked in the key. Two contained medically inaccurate information and left the correct answer out of the options. The specialist-written exam had no errors.

ChatGPT-4o, emergency medicine (Law and colleagues, BMC Medical Education, 2025)

The study compared 100 AI-written questions with 100 human-written questions from a high-stakes emergency medicine exam. Expert reviewers found "more factual inaccuracies (6% vs. 4%), irrelevance (6% vs. 0%), and inappropriate difficulty levels (14% vs. 1%) in AI MCQs." Eleven AI questions had multiple correct answers or no correct answer against one in the human set. To be fair to the AI: the human-written set had 24 grammatical or spelling errors and the AI set had none. The reviewers also knew which questions the AI wrote. The authors concluded: "Human review remains essential to ensure quality."

ChatGPT 4, ophthalmology (Feizi and colleagues, British Journal of Ophthalmology, 2026)

The study compared 100 ChatGPT questions with 100 written by faculty. "Item-writing flaws were more frequent in ChatGPT-generated MCQs (56%) compared with human-authored MCQs (27%, p<0.001)." The ChatGPT questions were also weaker at separating strong candidates from weak ones.

ChatGPT-3.5, ChatGPT-4, Gemini, and Bing (Abouzeid and colleagues, JMIR Medical Education, 2025)

Researchers gave four chatbots the same prompt to write SBA questions for undergraduate medical students. One finding is worth knowing before you drill a chatbot's questions: "Gemini consistently demonstrated a preference for the correct answer to be listed as option B." The authors concluded that all four chatbots "require expert evaluation to ensure their suitability for use."

Read these fairly. Each study tested specific model versions at one point in time on a small sample. Newer versions may do better. The studies used different subjects and methods. They cannot rank one chatbot above another. What they share is the conclusion: chatbot questions need expert review before anyone learns from them.

What is different about Recall Engine

Recall Engine has two parts. Each one handles the review problem differently.

The prepared question bank. It held 31,840 questions on 28 Oct 2026. Library content follows its source lectures and is reviewed under clinician oversight. AI models help draft library questions. 100% of bank questions have five options. You can report a problem from any question in the app. A correction is published as a new version. A withdrawn item leaves the bank. Every figure is defined and dated on our facts page.

The generator for your own lecture. Upload a lecture PDF or PowerPoint up to 100 MB and pick the pages. SBAs have five options from A to E. Every option is explained. Every answer points to the lecture pages it came from. AI models write these questions on demand from your pages. A second AI model then checks them. That check can fail or miss the errors the studies describe. No clinician sees them before you do. The page reference is there to make your check fast.

What we do not claim. Recall Engine can still get a question wrong. The difference is where your checking starts. Library content follows its source lectures and is reviewed under clinician oversight. A generated question points you to the pages to check.

Privacy. To make a set, the lecture's pages are sent to our AI providers for processing. Only you can see your lectures and study sets.

Side by side

General chatbots and Recall Engine compared
ComparedGeneral chatbot (ChatGPT, Claude, and Gemini)Recall Engine
Where questions come fromWhat you paste, upload, or name as a topicBank: written from source lectures. Generator: your own uploaded lecture
Review before you see a questionNone. You are the reviewerBank: reviewed under clinician oversight. Your lecture's questions: you check them against their source pages
Written by AIYesYour lecture's questions: yes. AI models write them and a second AI model checks them
Points you to the source pageDepends on your promptEvery lecture answer points to its source pages
SBA formatWhatever your prompt asks forFive options from A to E. Each option is explained
Explaining a concept on requestA real strengthExplanations come with each question
Cost to startClaude and Gemini list free tiers. Check ChatGPT's plans page for its current offer.7 days of the library free plus 50 credits.
ErrorsDocumented in the studies abovePossible. Report any bank question in the app

What to check in any AI-written question

These checks come from the errors the studies found. They apply to every tool. That includes Recall Engine. For a worked example, read how to check AI-generated medical questions.

  1. Find the answer in your source. A wrong answer key was one of the major errors in the Claude study. Do not trust the marked answer until your lecture supports it.
  2. Make sure exactly one option is defensible. Two correct answers appeared in 3 of 20 questions in the Claude study. In the ChatGPT-4o study 11 of 100 questions had more than one correct answer or none.
  3. Make sure the correct answer is actually there. Some questions in the Claude study left it out of the options.
  4. Cover the options and answer from the stem. The JMIR study calls this the "cover test". A good question can be answered from the vignette and lead-in alone.
  5. Watch the answer letters. If the key keeps landing on the same letter, you may be learning a pattern instead of the content.
  6. Read the explanation for every wrong option. It should say what rules that option out. A vague line teaches nothing.
  7. Look for invented detail. An age, a lab value, or a qualifier your lecture never gave can change the answer.
  8. Ask when you are stuck. If the source does not settle it, ask your educator. Never use a practice question for a patient-care decision.

FAQs

Is it safe to use ChatGPT to make MCQs for medical school?

It is safe as a draft and risky as a final answer. In the studies above, experts found wrong keys, flawed items, and factual errors in chatbot questions. Check each question against your lecture before you learn from it.

Is Recall Engine free?

7 days of the library free plus 50 credits.

Does Recall Engine ever get a question wrong?

Yes, it can. Library content follows its source lectures and is reviewed under clinician oversight. Questions from your own lecture point to their source pages so you can check them. Report any bank question from the app.

If I give ChatGPT my lecture text, will its questions be accurate?

Not reliably. In the Academic Pathology study the authors pasted their own study guide text into ChatGPT 3.5. They still rated 25% of its 60 questions as completely wrong. Newer models may do better. Check every answer key.

Which chatbot writes the most accurate medical MCQs?

The studies cannot tell you. They tested different models on different subjects with different methods. Each one recommends expert review whichever model you use.

Sources

Every Recall Engine figure on this page is read live and defined on our facts page.

Sources and the day we checked them
SourceWhat it supportsChecked on
Ngo and colleagues, Academic Pathology, 2023ChatGPT 3.5 immunology questions from pasted study guide text: 32% fully correct and 25% completely wrong.
Dal, Journal of Health Sciences and Medicine, 2025 (PDF)Claude Sonnet 3.7 thoracic surgery exam: 40% major errors and the error breakdown.
Law and colleagues, BMC Medical Education, 2025ChatGPT-4o emergency medicine questions: flaw rates, questions with several or no correct answers, grammar, blinding, and the conclusion.
Feizi and colleagues, British Journal of Ophthalmology, 2026ChatGPT 4 ophthalmology questions: item-writing flaws, discrimination, and the conclusion.
Abouzeid and colleagues, JMIR Medical Education, 2025Four chatbots compared, the option B finding, the cover test, and the conclusion.
Claude plansThe Free plan at $0.
Claude help: documents you can uploadPDF uploads, file count, file size, and visual analysis of PDFs.
Gemini plansThe no-cost tier with a Google account.
Gemini help: upload filesSupported file types and the 100 MB limit.

Your question bank is ready.

7 days of the library free plus 50 credits.