MCQs checklist - 1- An important and useful aspect of the subject (The topic is important for the learners). 2- Test knowledge around a central theme (Focuses on one aspect (e.g. indication, side-effects, contraindication, mechanism of action). 3- Ability you wish to test (Recall facts - Ability to interpreted - Solve problem). 4- Data or facts should be presentation (photo text …). 5- The level of difficulty is appropriate. 6- Context-based/contains integrated clinical vignette. 7- Tests beyond knowledge recall and memorization. 12345678- Question can be answered without looking at the options. Stem as a question. Stem is clear and complete. Simple and clear language. Grammatically sound. Reading time to the minimum. Responses are clear and concise. Avoid clues (Stereotyped – Inconsistencies - Unequal length - use of absolutes - similar distractors - illogical distractors). 9- Do not use eponymous, acronyms, abbreviation, or jargons. 10-Specify unite and normal value. 11-Indicate opinions. 12-Minimize negatively phrased statement. 13-Avoid double negatives. 14-Avoid “all of the above” and be aware of “non of the above”.