Studies with 220 college students found that multiple-choice test items with 3 items are more difficult than those with 4 items, and items with the none-of-these option are more difficult than those without this option. Neither format manipulation affected item discrimination. Implications for test construction are discussed. (SLD)

The reliability and validity of multiple-choice tests were computed as a function of the number of options per item and student ability for 435 parochial high school juniors, who were administered the Washington Pre-College Test Battery. Results suggest the efficacy of the three-option item. (SLD)

Factor analysis was used to determine whether computerized patient management problems had the same factor structure as multiple choice examinations and rating scales. It was determined that the factor structure was similar to the examinations but not the rating scale. (JKS)

An age-dependent answer-selection sequence of answers on multiple-choice tests suggested by previous studies was supported using statistical rather than clinical means. Results with 2,810 students aged 88 months through 241 months given a reading comprehension test twice during a 5-month interval support the systematically connected age-dependent…