“…A number of studies have indicated that multiple-choice questions have certain limitations and drawbacks in that they do not provide deep insights into the conceptual understanding of students (Rollnick & Mahooana, 1999). For example, it is very difficult to develop multiple-choice test items that assess higher cognitive skills (Chang, Yeh, & Barufaldi, 2010;Miller, 1988). However, higher-level learning, such as integration, reasoning, and problem-solving abilities, is highly dependent on domainspecific prior knowledge (Chen et al, 2006;Scheiter et al, 2009).…”