Multiple choice questions (MCQs) are widely used in medical education as a form of assessment and feedback. However, there is a debate on whether MCQs can effectively measure high order thinking skills, such as critical thinking, clinical reasoning, and problem - solving, which are essential for medical practice. This literature review aims to explore the current evidence and best practices on using MCQs to assess high order thinking in medical education. DOI: 10.59715/pntjmp.3.2.4