
RESEARCH LIBRARY
RESEARCH LIBRARY
View the latest publications from members of the NBME research team
Adv in Health Sci Educ 24, 141–150 (2019)
Research suggests that the three-option format is optimal for multiple choice questions (MCQs). This conclusion is supported by numerous studies showing that most distractors (i.e., incorrect answers) are selected by so few examinees that they are essentially nonfunctional. However, nearly all studies have defined a distractor as nonfunctional if it is selected by fewer than 5% of examinees.
Educational Measurement: Issues and Practice, 37: 40-45
This simulation study demonstrates that the strength of item dependencies and the location of an examination systems’ cut‐points both influence the accuracy (i.e., the sensitivity and specificity) of examinee classifications. Practical implications of these results are discussed in terms of false positive and false negative classifications of test takers.