An essential feature of the linear logistic test model (LLTM) is that item difficulties are explained using item design properties. By taking advantage of this explanatory aspect of the LLTM, in a mixture extension of the LLTM, the meaning of latent classes is specified by how item properties affect item difficulties within each class. To improve…

First year medical students answered parallel multiple-choice questions at different taxonomic levels as part of their diagnostic examinations. The results show that when content is held constant, students perform as well on interpretation and problem-solving questions as on recall questions. (Author/BW)