Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jan 24;7(1):e10836.
doi: 10.1002/aet2.10836. eCollection 2023 Feb.

Educator's blueprint: A how-to guide for developing high-quality multiple-choice questions

Affiliations

Educator's blueprint: A how-to guide for developing high-quality multiple-choice questions

Michael Gottlieb et al. AEM Educ Train. .

Abstract

Multiple-choice questions are commonly used for assessing learners' knowledge, as part of educational programs and scholarly endeavors. To ensure that questions accurately assess the learners and provide meaningful data, it is important to understand best practices in multiple-choice question design. This Educator's Blueprint paper provides 10 strategies for developing high-quality multiple-choice questions. These strategies include determining the purpose, objectives, and scope of the question; assembling a writing team; writing succinctly; asking questions that assess knowledge and comprehension rather than test-taking ability; ensuring consistent and independent answer choices; using plausible foils; avoiding grouped options; selecting the ideal response number and order; writing high-quality explanations; and gathering validity evidence before and evaluating the questions after use.

PubMed Disclaimer

Conflict of interest statement

The authors declare no potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Anatomy of a multiple‐choice question

References

    1. Pham H, Trigg M, Wu S, et al. Choosing medical assessments: does the multiple‐choice question make the grade? Educ Health (Abingdon). 2018;31(2):65‐71. - PubMed
    1. Jud SM, Cupisti S, Frobenius W, et al. Introducing multiple‐choice questions to promote learning for medical students: effect on exam performance in obstetrics and gynecology. Arch Gynecol Obstet. 2020;302(6):1401‐1406. - PMC - PubMed
    1. Downing SM. Construct‐irrelevant variance and flawed test questions: do multiple‐choice item‐writing principles make any difference? Acad Med. 2002;77(10 Suppl):S103‐S104. - PubMed
    1. Downing SM. The effects of violating standard item writing principles on tests and students: the consequences of using flawed test items on achievement examinations in medical education. Adv Health Sci Educ Theory Pract. 2005;10(2):133‐143. - PubMed
    1. Kern D, Thomas PA, Hughes MT. Curriculum Development for Medical Education: A Six‐Step Approach. Johns Hopkins University Press; 2009.