Comparing Item Performance on Three- Versus Four-Option Multiple Choice Questions in a Veterinary Toxicology Course

Background: The number of answer options is an important element of multiple-choice questions (MCQs). Many MCQs contain four or more options despite the limited literature suggesting that there is little to no benefit beyond three options. The purpose of this study was to evaluate item performance o...

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Main Authors: Kenneth Royal, David Dorman
Format: Article
Language:English
Published: MDPI AG 2018-06-01
Series:Veterinary Sciences
Subjects:
Online Access:http://www.mdpi.com/2306-7381/5/2/55
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author Kenneth Royal
David Dorman
author_facet Kenneth Royal
David Dorman
author_sort Kenneth Royal
collection DOAJ
description Background: The number of answer options is an important element of multiple-choice questions (MCQs). Many MCQs contain four or more options despite the limited literature suggesting that there is little to no benefit beyond three options. The purpose of this study was to evaluate item performance on 3-option versus 4-option MCQs used in a core curriculum course in veterinary toxicology at a large veterinary medical school in the United States. Methods: A quasi-experimental, crossover design was used in which students in each class were randomly assigned to take one of two versions (A or B) of two major exams. Results: Both the 3-option and 4-option MCQs resulted in similar psychometric properties. Conclusion: The findings of our study support earlier research in other medical disciplines and settings that likewise concluded there was no significant change in the psychometric properties of three option MCQs when compared to the traditional MCQs with four or more options.
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spelling doaj.art-ab45526c7d064857b64449e8df18d4c52022-12-21T23:24:25ZengMDPI AGVeterinary Sciences2306-73812018-06-01525510.3390/vetsci5020055vetsci5020055Comparing Item Performance on Three- Versus Four-Option Multiple Choice Questions in a Veterinary Toxicology CourseKenneth Royal0David Dorman1Department of Clinical Sciences, North Carolina State University, Raleigh, NC 27695, USADepartment of Molecular and Biomedical Sciences, North Carolina State University, Raleigh, NC 27695, USABackground: The number of answer options is an important element of multiple-choice questions (MCQs). Many MCQs contain four or more options despite the limited literature suggesting that there is little to no benefit beyond three options. The purpose of this study was to evaluate item performance on 3-option versus 4-option MCQs used in a core curriculum course in veterinary toxicology at a large veterinary medical school in the United States. Methods: A quasi-experimental, crossover design was used in which students in each class were randomly assigned to take one of two versions (A or B) of two major exams. Results: Both the 3-option and 4-option MCQs resulted in similar psychometric properties. Conclusion: The findings of our study support earlier research in other medical disciplines and settings that likewise concluded there was no significant change in the psychometric properties of three option MCQs when compared to the traditional MCQs with four or more options.http://www.mdpi.com/2306-7381/5/2/55assessmentmedical educationveterinary medicinetestingmultiple-choice questionspsychologytoxicologymeasurementitem writingveterinary education
spellingShingle Kenneth Royal
David Dorman
Comparing Item Performance on Three- Versus Four-Option Multiple Choice Questions in a Veterinary Toxicology Course
Veterinary Sciences
assessment
medical education
veterinary medicine
testing
multiple-choice questions
psychology
toxicology
measurement
item writing
veterinary education
title Comparing Item Performance on Three- Versus Four-Option Multiple Choice Questions in a Veterinary Toxicology Course
title_full Comparing Item Performance on Three- Versus Four-Option Multiple Choice Questions in a Veterinary Toxicology Course
title_fullStr Comparing Item Performance on Three- Versus Four-Option Multiple Choice Questions in a Veterinary Toxicology Course
title_full_unstemmed Comparing Item Performance on Three- Versus Four-Option Multiple Choice Questions in a Veterinary Toxicology Course
title_short Comparing Item Performance on Three- Versus Four-Option Multiple Choice Questions in a Veterinary Toxicology Course
title_sort comparing item performance on three versus four option multiple choice questions in a veterinary toxicology course
topic assessment
medical education
veterinary medicine
testing
multiple-choice questions
psychology
toxicology
measurement
item writing
veterinary education
url http://www.mdpi.com/2306-7381/5/2/55
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AT daviddorman comparingitemperformanceonthreeversusfouroptionmultiplechoicequestionsinaveterinarytoxicologycourse