The feasibility of an alternative format for the American College of Nurse-Midwives essay format certification examination was investigated. A 92-item multiple-choice examination was constructed that paralleled the content of an essay examination form and was administered to a sample of 138 candidates who also took the parallel essay format examination. Statistical evaluation of the multiple-choice format provided data to support assurance that a content-valid and reliable (KR21 = .73) multiple-choice format examination could be constructed. Performance of candidates on both forms of the examination provided data to support the assertion that the multiple-choice format had no adverse impact on candidate performance. A modest correlation between scores on the two forms was demonstrated. Differential pass/fail rates could not be assessed because no basis for a cut-score on the multiple-choice format could be determined.