Multiple-choice questions (MCQs) are widely used in educational assessments and professional certification exams. Managing large repositories of MCQs, however, poses several challenges due to the high volume of questions and the need to maintain their quality and relevance over time. One of these challenges is the presence of questions that…

The purpose of this study was to determine whether item difficulty is significantly affected by language difficulty and response set convergence. Language difficulty was varied by increasing sentence (stem) length, increasing syntactic complexity, and substituting uncommon words for more familiar terms in the item stem. Item wording ranged from…