The document provides guidelines on constructing effective multiple-choice questions (MCQs), highlighting their benefits in assessment, including ease of creation and broad coverage of topics. It offers strategies for general design, creating the stem, and developing plausible alternatives, emphasizing clarity, consistency, and avoiding common pitfalls like negative wording and ambiguous choices. Well-designed MCQs should enable objective measurement of students' understanding, with only one best answer among clearly defined, mutually exclusive alternatives.