How might I use multiple-choice questions as an evaluation mechanism?

Published Date: 
September 30, 2015
Last Revised: 
November 2, 2016

Multiple-choice questions can be used in a variety of ways. They are typically used as mini-case simulations that present a clinical vignette and a question (the "lead in") followed by a discrete range of possible responses, one of which is correct. These can be readily scored using audience response systems, computer score sheets, or manually. Instructions for writing effective multiple-choice items can be found at

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