The document provides guidance on creating effective exam questions. It discusses the importance of asking higher-order thinking questions that go beyond simple recall. Various types of questions are examined, including their suitability for different cognitive levels. Best practices for writing multiple choice, essay, and other exam questions are outlined. These include using plausible distractor options, a direct question format, emphasizing higher-level thinking, and ensuring questions have a single correct answer. The document also provides examples of lower and higher-order thinking questions and guidelines for creating novel essay questions that require students to assess problems and derive solutions.