“…Several studies have been conducted to examine the processes of test development, such as item analysis in multiple choice questions in the field of education (Boopathiraj & Chellamani, 2013), medical science (Hingorjo & Jaleel, 2012;Mehta & Mokhasi, 2014;Patil, Palve, Vell, & Boratne, 2016), and social work (Qaqish, 2006); and the processes of item writing in language studies (Kim et al, 2010;Spaan, 2006Spaan, , 2007. Spaan"s study (2006), for example, provides a practical approach of test development and item specifications.…”