Albanese M A, Kent T H, Whitney D R
Annu Conf Res Med Educ. 1977;16:105-110.
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.
