Multiple choice questions

Author MCQ-shaped toggles in Notion and get interactive multiple-choice cards in Anki.

2anki detects multiple-choice questions directly from your notes — no plugins, no extra steps. Structure a toggle correctly and you get an interactive MCQ card in Anki instead of a basic front/back card.

Plan: Free

Enable it first

Multiple choice is opt-in. Go to Card options, expand the Multiple choice group, and switch it On. Until you do, your toggles convert as Basic cards.

What a valid MCQ looks like

A toggle whose title is the question stem and whose children are the answer options. One option is marked as correct using either of two methods.

Method 1 — Notion to-do blocks (recommended)

Create a toggle (type > followed by a space, then the question stem). Inside the toggle, add one to-do block per option (/to-do) and check exactly one — the checked option is the correct answer.

The shape, written in Notion's markdown shortcuts:

> A 65-year-old man presents with crushing chest pain radiating to the jaw.

    - [x]  Acute MI
    - [ ]  Stable angina
    - [ ]  GERD
    - [ ]  Aortic dissection

What you get in Anki:

Front: the question stem with the options listed and labelled A–D
Back: the same layout with the correct option's row highlighted green and a checkmark

Method 2 — Bulleted list with one option fully bolded

Useful when you've pasted content from Word or Google Docs and the options are already a bulleted list. Inside the toggle, add a bulleted list (/bulleted list) and bold the full text of exactly one option (select the text, press Cmd/Ctrl+B).

The shape:

> Which antibiotic class inhibits cell wall synthesis by blocking transpeptidase?

    - Fluoroquinolones
    - **Beta-lactams**
    - Macrolides
    - Aminoglycosides

What you get in Anki:

Front: the question stem with the options listed and labelled A–D
Back: the correct option's row highlighted green, with the explanation below

Adding an explanation

Anything inside the toggle that isn't a to-do or a bullet becomes the explanation on the card back — a paragraph, a quote, or a callout works. Put it below the options.

> Which finding is most specific for PE on ECG?

    - [x]  S1Q3T3 pattern
    - [ ]  ST elevation in V1–V4
    - [ ]  Left bundle branch block
    - [ ]  Peaked T waves

    S1Q3T3 (large S in lead I, Q wave in lead III, inverted T in lead III) is a classic but uncommon finding in PE. Sinus tachycardia is the most common ECG finding.

It renders on the card back under an Explanation heading.

What falls back to a basic card

If the parser can't determine a single correct answer, it creates a standard toggle card instead (no MCQ behaviour, no error). These count toward the {n} skipped, no answer marked figure shown next to the badge after conversion.

Situation	Result
Zero checkboxes checked, zero items bolded	Basic card
Two or more checkboxes checked	Basic card
Two or more items fully bolded	Basic card
Only one option listed	Basic card
Mixed to-do + bullets in the same toggle	Basic card

Fix: in Notion, open the toggle, check the correct option (or bold it), export again, and re-upload.

Scope

MCQ detection runs on Notion HTML exports (.zip or .html) and on plain markdown uploads — the same - Question / - [x] Option shape works in both. XLSX, PPTX, and Google Docs uploads use the existing basic/cloze pipeline — see Card types for those.