This paper reports a multi-method approach for examining the cognitive level of multiple-choice items used in a medical pathology course at a large midwestern medical school. Analysis of the standard item analysis data and think-out-loud reports of a sample of students completing a 66 item examination were used to test assumptions related to the…

The feasibility of creating an item bank from a teacher-made test was examined in two comparable sections of a graduate-level introductory measurement course. The 67-item midterm examination contained multiple-choice and master matching items, which required higher level cognitive processes such as application and analysis. The feasibility of…

Before an item bank is constructed, several curriculum and testing considerations should be addressed. Such issues include the number of students enrolled in the selected subject area; number of desired objectives and items per objective; method of storing the items; and how and when to train how many teachers in item writing. The following steps…