This digest presents a list of recommendations for writing multiple-choice test items, based on psychometrics and logical deduction. Questions should ask more than mere knowledge of facts and should not contain superfluous information as an introduction to the question. Each question should focus on some specific aspect of the course, and the item stem should not provide clues to the answer. Varying the number of options is desirable, as is avoiding negative options after a negative stem. While "all of the above" options should be avoided, "none of the above" options may make an item more discriminating. Superfluous information, specific determiners, and wording from the item stem should not be included in options. Test makers should avoid: (1) typographical errors; (2) grammatical inconsistency; and (3) overlapping distractors. (Contains eight references.) (SLD)