Personally, I like to use a variety of true/false, matching, multiple choice and always through in a couple of essay or evaluation/synthesis. I do feel that true/false an multiple choice can offer a small reward and higher esteem for students who have test anxiety, while if worded correctly, can still demonstrate comprehension and even higher order thinking. When writing tests, I start with a list of the outcomes/objectives and make sure I am testing for those important concepts; and edit my questions for possible confusion or that lead to misinterpretation or multiple correct answers.