Providing two or more versions of multiple-choice exams has long been a popular strategy for reducing the opportunity for students to engage in academic dishonesty. While the results of studies comparing exam scores under different question-order conditions have been inconclusive, the potential importance of contextual cues to aid student recall…

This study confirmed the practical benefits of three-choice items. (Author)

Coded, as opposed to free response items, in a multiple choice physiology test had a cueing effect which raised students' scores, especially for lower achievers. Reliability of coded items was also lower. Item format and scoring method had an effect on test results. (GDC)

Results of a study involving pathology students suggest that there is significant cluing in multiple-true-false test questions that use secondary responses to represent combinations of the primary response (e.g., "Mark B if only 1 and 3 are correct"). Thus test scores are artificially inflated and test reliability is lowered. (JMD)