From: Fixed or mixed: a comparison of three, four and mixed-option multiple-choice tests in a Fetal Surveillance Education Program
Three-option
Four-option
Mixed-option
Classical reliability, α
0.78
0.79
0.82
Mean discrimination (SD)
0.30 (0.08)
0.32 (0.08)
Mean facility (SD)
70.8 (15.6)
63.8 (17.1)
71.4 (14.1)