The document summarizes the process for developing test items for graded English language exams. It involves 4 main stages: 1) Item writers are recruited and trained to write test prompts. 2) Test items are commissioned, pre-edited, may be resubmitted or rejected, and edited by a panel. 3) Approved items are trial tested, reviewed for bias, and added to the test bank or rejected. 4) Final exam materials are produced and analyzed after testing. Examples show an item being resubmitted and edited during development.