The discussion of whether multiple-choice questions can replace the traditional exam with essays and constructed questions in introductory courses has just started in Norway. There is not an easy answer. The findings depend on the pattern of the questions. Therefore, one must be careful in drawing conclusions. In this research, one will explore a selected business course where 30 percent of the test is comprised of multiple-choice items. There obviously are some similarities between the two test methods. Students who perform well on writing essays tend also to achieve good results when answering multiple- choice questions. The result reveals a gender gap where multiple-choice based exam seems to favor the male students. There are some challenges in how to measure the different dimensions of knowledge. This study confirms this. Hence, it is too early to conclude that a multiple-choice score is a good predictor of the outcome of an essay exam. This paper will provide a beneficial contribution to the debate in Norway, but it needs to be followed up with more research.