Results of 96 theoretical/empirical studies were reviewed to see if they support a taxonomy of 43 rules for writing multiple-choice test items. The taxonomy is the result of an analysis of 46 textbooks dealing with multiple-choice item writing. For nearly half of the rules, no research was found. (SLD)

A taxonomy of 43 rules for writing multiple-choice test items is presented, based on a consensus of 46 textbooks. These guidelines are presented as complete and authoritative, with solid consensus apparent for 33 of the rules. Four rules lack consensus, and 5 rules were cited fewer than 10 times. (SLD)

Research on true-false (TF), multiple-choice, and alternate-choice (AC) tests is reviewed, discussing strengths, weaknesses, and the usefulness in classroom and large-scale testing of each. Recommendations are made for improving use of AC items to overcome some of the problems associated with TF items. (SLD)

The purpose of this research was to study the effects of violations of standard multiple-choice item writing principles on test characteristics, student scores, and pass-fail outcomes. Four basic science examinations, administered to year-one and year-two medical students, were randomly selected for study. Test items were classified as either…

The proposition that the optimal number of options in a multiple choice test item is three was examined. The concept of functional distractor, a plausible wrong answer that is negatively discriminating when total test performance is the criterion, is discussed. Three distinct groups of achievers (high, middle, and low) on a national standardized…