This handbook assists the item writer in their preparation of questions for ICCP examinations. Since these exams consist entirely of multiple-choice types, other forms of item construction have not been included. We have chosen to include both general philosophy and specific mechanics of item construction. This will serve those concerned with question content as well as those who will construct final test items. Although these example items are actual items that have been used in previous ICCP exams, we have chosen them primarily for instructional purposes. They are not indicative of the specific content or level of difficulty which may be encountered in present or future ICCP exams.