In multiple-choice tests, four-option items are the standard in nursing education. There are few evidence-based reasons, however, for MCQs to have four or more options as studies have shown that three-option items perform equally as well and the additional options most often do not improve test reliability and validity. The aim of this study was to examine and compare the psychometric propertie...

BACKGROUND AND OBJECTIVES Multiple choice examinations assess learners' attainment of medical knowledge. Developing multiple choice examinations that discriminate among learners is difficult and time-consuming. Many institutions avoid this effort by using the National Board of Medical Examiners (NBME) subject examinations, which can also provide comparisons to a national norm. The family medici...

BACKGROUND A need for improved patient safety, quality of care, and accountability has prompted the development of competency-based educational processes. Assessment tools related to bronchoscopy training, however, have not yet been developed or validated. PURPOSES To determine whether 25 multiple-choice questions (MCQs) extracted from the free, Web-based Essential Bronchoscopist (EB) learnin...

This study aimed to explore the relationship between language acquisition and grade four senior high school (G4SHS) students’ achievement in English as a foreign language (EFL). To this end the 41-item English Language Acquisition Scale (ELAS) designed by Khodadady and Younesi (2017) was administered to 518 G4SHS students. Also to find the probable relationship between ELAS, its latent variable...

This paper evaluates certain guidelines for writing multiple-choice test items. The analysis of the responses of 5013 subjects to 630 items from 21 university classroom achievement tests suggests that an option should not differ in terms of heterogeneous content because such error has a slight but harmful effect on item discrimination. This also occurs with the "None of the above" option when i...

With minimal training in assessment design, professors must generate high quality examinations that fairly assess student accomplishment of course objectives. Multiple choice questions are frequently used for this assessment, but often do not address learning objectives, are misinterpreted, and if reused, may challenge the integrity of some students. It is proposed that computer aids for genera...

Introduction: Computer-aided testing is an alternative to traditional paper-and-pen tests. Despite the fact that computer-based examination methods are well-established in academic centres, continuous monitoring of their quality is still needed. In the academic year 2013/14, doctoral degree students of the Medical Faculty at Medical University of Warsaw (MUW) took part in the "Reliability in re...