“…This model will specify which parts of the item can be manipulated, including the context, content, and the question that examinees are required to answer . For a typical MCQ, it includes the stem (part of the item model that compiles the information needed to solve the problem), response options (all answers, including distractors and correct options), the lead-in-question and other ancillary information (Gierl et al, 2022a). Finally, in the third stage, algorithms integrate the content from the cognitive model outlined in step 1 into the item model developed in step 2 (Gierl et al, 2022a).…”