This document discusses best practices for writing multiple choice questions (MCQs). It outlines principles of objective assessment and the value of MCQs. Guidelines are provided for writing valid MCQ items, including keeping the item focused, having only one correct answer, using consistent grammar, and avoiding flaws. Different types of MCQ items are described along with terminology. The document also covers analyzing items based on difficulty level, discrimination index, and effectiveness of distractors. Good practices for developing high quality MCQ items are recommended.