PubMed · 606061
A comparison of the difficulty, reliability and validity of complex multiple choice, multiple response and multiple true-false items.
Abstract
Complex multiple choice (CMC) items, a type of multiple choice item used extensively in the health sciences, were compared with multiple response (MR) and multiple true-false (MTF) items. The results indicated MTF to be easier, more reliable and more valid than CMC items; therefore, test-makers such as the National Board of Medical Examiners who use CMC items are urged to explore alternatives item formats.
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M A Albanese, T H Kent, D R Whitney. 1977. A comparison of the difficulty, reliability and validity of complex multiple choice, multiple response and multiple true-false items.. https://pubmed.ncbi.nlm.nih.gov/606061/
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