1. The stem should be meaningful by itself and should present a definite problem. A stem that presents a definite problem allows a focus on the learning outcome. A stem that d… See more

1. All alternatives should be plausible.The function of the incorrect alternatives is to serve as distractors,which should be selected by students who did not achieve the learnin… See more

1. Avoid complex multiple choice items, in which some or all of the alternatives consist of different combinations of options. As with “all of the above” answers, a sophisticated test-taker c… See more

When writing multiple choice items to test higher-order thinking, design questions that focus on higher levels of cognition as defined by Bloom’s taxonomy. A stem that presents a … See more