A tool, method, and system for use in the development of sentence-based test items are disclosed. The tool may include a user interface that may include a database selection field, a sentence pattern entry field, an option pane, and an output pane. The tool may search a database for one or more sentences and may generate one or more responses to the one or more sentences. The one or more sentences and one or more responses may be used to produce the sentence-based test items. The tool may allow test items to be developed more quickly and easily than manual test item authoring. Accordingly, test item development costs may be lowered and test security may be enhanced.