Validity, reliability and feasibility are important attributes for any method of assessment. Increasing objectivity in any method of assessment increases its reliability and validity. Multiple choice questions (MCQs) has only one possible answer hence it is highly objective. However, constructing a good MCQs not only requires good in-depth knowledge of the subject but good amount of planning. Failing to do this can result in technical flaws in MCQs in the form of testwiseness and irrelevant difficulty which reduces its reliability and validity. Effectiveness as an MCQ can be assessment by item analysis which helps to improve the quality of MCQs and identify which MCQs are either too easy, too difficult or technically flawed. Hence this review article in written which highlights the measures to be taken while constructing a MCQ and how to minimize flaws in them.