The Exam Question Generator

Write exam questions on [TOPIC].

Format: [SINGLE BEST ANSWER / EMQ / SHORT ANSWER / VIVA]
Level: [UNDERGRADUATE / POSTGRADUATE / SPECIALTY FELLOWSHIP]
Number: [NUMBER]
Blueprint area: [WHAT THE QUESTIONS MUST ASSESS]

For each question produce:
1. A clinical stem that requires reasoning, not recall
2. Answer options where the distractors are plausible and each
   represents a specific misconception
3. The correct answer with a full explanation
4. An explanation for why each distractor is wrong
5. The specific knowledge or reasoning step being tested
6. Estimated difficulty

Rules:
- No question answerable by recognising a buzzword
- No "all of the above" or "none of the above"
- Stems should read like real clinical situations
- Mark all clinical content as [VERIFY AGAINST CURRENT GUIDELINE]