Download the NBME® Item-Writing Guide

nbme item writing guide

Construct quality test questions for your health science students

The NBME Item-Writing Guide incorporates lessons that NBME staff have learned from decades of developing exam items and leading workshops in the field. 

Now in its sixth edition, the NBME Item Writing Guide provides faculty:

  • A general overview of topics such as item and vignette writing, as well as the basics of psychometrics and measurement
  • Insight into improving the quality of multiple-choice items for the foundational and clinical sciences
  • New content, including guidance on implementing patient characteristics in items and recent innovations in the use of alternate item types

Fill out the form to get your PDF download today.

The NBME Item-Writing Guide is also available in Spanish and Portuguese

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NBME offers a portfolio of products and services, including assessment tools that can be used throughout the medical education and licensing journey, and services for health professionals and educators.

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