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Multiple choice questions have come to occupy a prominent place in the evaluation system of medical education. However the framing of multiple choice questions and their effective use need further clarification in the Indian context. This paper outlines some of the steps that may be adopted for streamlining the preparation and administration of a multiple choice test and their scoring. A few tips have been given for getting the best from the candidates in a multiple choice examination. Lastly institutional mechanisms for developing MCQ bank have been suggested.

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Study objectives-To assess the amount of poliomyelitis and its epidemiological features including risk factors. Design-This was a retrospective study of cases ofparalytic poliomyelitis among children 0-6 years of age.Setting-Pondicherry, India, 1983-89.

To study the serological response to various doses of tetanus toxoid given to pregnant women, 320 samples of blood obtained from 173 pregnant women were analysed using the indirect haemagglutination technique. Two doses of toxoid were necessary to achieve protective titres in women who were previously unimmunized. The antibody levels appeared to persist for up to 4 years. During a subsequent pregnancy, a single booster dose of toxoid was sufficient to raise the titres adequately for protection. These findings are in accordance with the immunization programme followed for prophylaxis against tetanus among pregnant women.