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Automatic question answering for medical MCQs: Can it go further than information retrieval?We present a novel approach to automatic question answering that does not depend on the performance of an information retrieval (IR) system and does not require training data. We evaluate the system performance on a challenging set of university-level medical science multiple-choice questions. Best performance is achieved when combining a neural approach with an IR approach, both of which work independently. Unlike previous approaches, the system achieves statistically significant improvement over the random guess baseline even for questions that are labeled as challenging based on the performance of baseline solvers.