Most questions have between four and six answer choices. Some questions (probably about 40 out of 350 on my exam) had 8-10 choices. Here are a few things I noticed: If a question gives you five or six answer choices, then it's just a typical MCQ that lets you either answer the question directly or systematically eliminate wrong answers. If a question gives you 8-10 choices, the question writer doesn't want you to eliminate wrong answers-- they want you to know the answer outright. Most of my 8-10 choice questions had answers that were very similar to one another, so ruling out became a pain. Lastly, if a question has 4 choices (and this one's kinda interesting) it usually has you selecting an answer from a group of related answers such as four zones, four lobes, etc. I had about 4 questions on my test like this and they all followed this format.