“…As a method to minimize guessing, a number of authors have suggested adding an 'I don't know' (IDK) option to the true-false answer choices in MCQ assessments (Sanderson, 1973;Newble et. al., 1979;Courtenay & Weidemann, 1985;Hammond, McIndoe, Sansome, & Spargo, 1998;van Mameren & van der Vleuten, 1999;Spears & Wilson, 2010). For example, van Mameren and van der Vleuten (1999) suggested the formula (total # correct answers)-(total # incorrect answers) for the score, with no penalty for IDK answers.…”