I could ask which of five foods would be most difficult to digest after a gallbladder operation. Fatty foods, for digestion, require bile which is stored in the gallbladder. The question asks which food has the highest fat content. So good multiple choice questions do require thought and understanding. I do not use double negatives or other horrendous logic tricks in asking the question.
Some question types are really several true and false questions.
For others, draw lines to make the associations between lists of related facts and concepts. Go through the paper answering the questions you are sure of and easy for you. Then return to work on the more challenging ones. Eliminate answers that you know to be wrong to narrow the possible choice. No marks are deducted for wrong answers.