Start with ten sections of a lecture course. Add a dash of 'coordinator lost the test file' and stir well, then hold over the weekend. Mix in two tests written by a sadist, a sinus infection, and a toddler who wants to 'play bubbles, mama'. Let incubate two hours. Taste and realize that the entire thing is made of salt tears.
Throw out your test and start again. When the timer goes off, realize that you have ten minutes to go pick up your children. Print in great haste, then fold in blowing bubbles with your toddler instead of working. Administer liberally with a number two pencil.
Makes one Multiple Choice From Hell and one Nobody Finished The Essays, per student.