How DLOSCE “Select One or More” Questions are Scored

How these questions are scored

You'll know it's a "select one or more" question because it tells you:

Select ONE OR MORE correct answers. Any INCORRECT selections will result in your earning NO CREDIT for this question.

Every answer choice is one of three things:

• Correct: the answers you want
• Incorrect: errors in clinical judgment
• Neutral: choices that can't be judged from the information given, or that experts disagree on

Here's how scoring works based on the answers you select:

• All correct, no incorrect: full credit
• Some correct, no incorrect: partial credit
• ANY incorrect answer: zero, even if you also picked every correct one
• Neutral answers: don't help or hurt you

The question never tells you how many answers are correct. Sometimes it's just one!

DLOSCE Tip: On some questions, selecting one specific correct answer earns full credit by itself, as long as you avoid any incorrect answers. You can't tell which questions work this way, so the same rule applies: select what you're sure about.

How to stop losing points

Go through the answer choices one at a time and ask yourself one question: am I sure?

• Sure it's correct: select it
• Sure it's incorrect: leave it
• Not sure: usually leave it

Adding an answer you're unsure about puts every point you've already earned on that question at risk. Leaving it out costs you, at most, part of the credit.

A few more tips:

1. Read the question carefully. "Most appropriate next step" and "appropriate treatments" can have very different answers.
2. Use the patient box. If a section is blank, assume that information is unknown or not available. Don't add answers based on details that aren't there.
3. Don't assume there's more than one answer. Sometimes there's only one correct answer.
4. Don't overthink neutral answers. If an answer can't be judged from the case, it probably won't hurt you, but it won't help either.

DLOSCE Tip: Knowing why the incorrect answers are incorrect matters just as much as knowing the correct ones. That's what keeps you from making the whole question incorrect.

Practice with DLOSCE Bootcamp

The best way to get comfortable with this question type is to practice it. In DLOSCE Bootcamp, "select one or more" questions are scored exactly like the real exam, with partial credit and no credit for a wrong answer. Every question comes with detailed explanations for every answer choice, so you learn why the incorrect answers are incorrect.

Log in with your Bootcamp account and create your first test at app.bootcamp.com/dlosce.