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Multiple choice

Test where answers are chosen from lists

  • 9 min read
  • 7 chapters

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Through Chart and Pathogen

Although E. L. Thorndike developed an early scientific approach to testing students, it was his assistant Benjamin D. Wood who developed the multiple-choice test. Multiple-choice testing increased in popularity in the mid-20th century when scanners and data-processing machines were developed to check the result. Christopher P. Sole created the first multiple-choice examinations for computers on a Sharp Mz 80 computer in 1982.

Nomenclature

Single best answer or one best answer is a written examination form of multiple choice question used extensively in medical education. This form, from which the candidate must choose the best answer, has been distinguished from single correct answer forms, which can produce confusion where more than one of the possible answers has some validity. The single best answer form makes it explicit that more than one answer may have elements that are correct, but that one answer will be superior.

Another type of MCQ also used in medical education is the extended matching question (EMQ). EMQs have been designed to test clinical reasoning and applied knowledge rather than simple recall. A comparison study found that students preferred the MCQ exam format, but that EMQs tested and delivered content better.

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