Item Writing Manual

Download the Item Writing Manual in Portable Document Format (PDF)

You can download the manual in its entirety by clicking on the first selection below or you can download it section by section by clicking on the index and the individual sections as shown below. The sections are also available in Spanish and Russian translations (see below).

English:

• Entire Item Writing Guide
• Item Writing Guide Index
• Section I
• Section II
• Section III
• Section IV
• Appendix

NBME Spanish Translation:

Descargar el manual en español:

• Guía completa sobre la redacción de ítems
• Indice de la guía
• Sección I
• Sección II
• Sección III
• Sección IV
• Apéndice

Russian Version:

A draft Russian translation of the sections of the Guide is available. Please note the translation has not been proofread. If you discover problems with the translation, please report them via e-mail to webmail@nbme.org.

• Entire Item Writing Guide
• Russian Introduction
• Item Writing Guide Index
• Section I
• Section II(a)
• Section II(b)
• Section III
• Section IV plus Appendix