Multiple choice questions are difficult because there is more to read, and the speaker often mentions more than one of the choices (to trick you).
Here are a few tips:
1.Try to read the questions and choices before the listening starts.
2.Don't check your answers to the previous section; use the breaks to read ahead.
3.Underline key words in each choice. The key words are those that make the difference in meaning between choices.
4.When listening, only look at the words you underlined. Don't read everything again.
5.Expect the trick! They often mention more than one choice, so be careful.
6.If you're not sure, make a good guess, then move on to the next question.
7.If you don't have time to read everything (tip 1), don't worry. Prepare as many questions as you can, then do your best on the others.