Despite the 50 percent probability of a correctly guessed response, a multiple true-false examination should provide sufficient score variability for adequate discrimination without formula scoring. This scoring system directs examinees to respond to each item, with their scores based simply on the number of correct responses. (Author/CM)

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)