Journal of Family and Community Medicine (Jan 2010)

A practical discussion to avoid common pitfalls when constructing multiple choice questions items

  • Eiad A Al-Faris,
  • Ibrahim A Alorainy,
  • Ahmad A Abdel-Hameed,
  • Mohammed O Al-Rukban

DOI
https://doi.org/10.4103/1319-1683.71992
Journal volume & issue
Vol. 17, no. 2
pp. 96 – 102

Abstract

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This paper is an attempt to produce a guide for improving the quality of Multiple Choice Questions (MCQs) used in undergraduate and postgraduate assessment. Multiple Choice Questions type is the most frequently used type of assessment worldwide. Well constructed, context rich MCQs have a high reliability per hour of testing. Avoidance of technical items flaws is essential to improve the validity evidence of MCQs. Technical item flaws are essentially of two types (i) related to testwiseness, (ii) related to irrelevant difficulty. A list of such flaws is presented together with discussion of each flaw and examples to facilitate learning of this paper and to make it learner friendly. This paper was designed to be interactive with self-assessment exercises followed by the key answer with explanations.

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