To create the most effective test possible, the appropriate considerations necessary will depend significantly on the assessment's purpose. The more important the resulting consequences, the greater the care that must be taken to ensure validity, reliability and security. High stakes assessments have a lot riding on them. Passing one of these tests results in benefits of high importance to the test taker, such as a license to practice a profession or an opportunity to attend the best university. While the contents of items that comprise the assessment may be no different, it is the direct consequences of passing or failing and clear distinction between the two that make it a high stakes test.