In Part I of this episode bundle on standardized testing, we discussed building an examination, and in Part II we discuss item writing with Drs. Ray Price, Chair of the American Academy of Neurology Resident-in-Training-Examination (RITE) Committee and Jeremy Moeller, former Chair of the American Epilepsy Society Assessments and Examinations Committee, which produces the epilepsy Fellow-in-Training-Examination (EpiFITE).