
RESEARCH LIBRARY
RESEARCH LIBRARY
View the latest publications from members of the NBME research team
Educational Measurement: Issues and Practice
This article aims to answer the question: when the assumption that examinees may apply themselves fully yet still respond incorrectly is violated, what are the consequences of using the modified model proposed by Lewis and his colleagues?
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.