Multiple choice questions are composed of one question (stem) with multiple possible answers (choices), including the correct answer and several incorrect answers (distractors). Typically, students select the correct answer by circling the associated number or letter, or filling in the associated circle on the machine-readable response sheet.
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A stem is the section of a multiple-choice item that poses the problem that the students must answer. Stems can be in the form of a question or an incomplete sentence. Poorly written stems fail to state clearly the problem when they are vague, full of irrelevant data, or negatively written.
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