To assemble a high-quality test, psychometricians rely on subject matter experts (SMEs) to write high-quality items. However, SMEs are not typically given the opportunity to provide input on which content standards are most suitable for multiple-choice questions (MCQs). In the present study, we explored the relationship between perceived MCQ…

A comprehensive review is given of evidence, with a bearing on the recommendation to avoid use of complex multiple choice (CMC) items. Avoiding Type K items (four primary responses and five secondary choices) seems warranted, but evidence against CMC in general is less clear. (SLD)

Literature related to the multiple true-false (MTF) item format is reviewed. Each answer cluster of a MTF item may have several true items and the correctness of each is judged independently. MTF tests appear efficient and reliable, although they are a bit harder than multiple choice items for examinees. (SLD)