Findings regarding formats and scoring formulas for multiple-choice test items with more than one correct response are presented. Strong cluing effects in the Type K format, increasing the correct score percentage and reducing test reliability, recommend using the Type X format. Alternative scoring methods are discussed. (Author/CM)

Medical and dental students were administered two short confidence-scored tests on cellular and molecular biology. Increases in test reliability and predictive validity were found when test scores were adjusted for realism, but were not statistically significant. (Author/MH)