The Effect of Option Homogeneity in Multiple-Choice Items

Gregory M Applegate1, Karen A Sutherland2, Kirk A Becker3

  • 1National Registry of Emergency Medical Technicians, Columbus, OH, USA.

Summary

Option homogeneity in multiple-choice questions did not affect item difficulty or other psychometric properties in a professional licensure exam. This finding challenges existing item development guidelines and suggests a need for further research into inconsistent effects.

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