The authors compared the fit of the 2- and 3-parameter logistic models (2PLM; 3PLM) on 15 unidimensional factor scales derived from the Minnesota Multiphasic Personality Inventory - Adolescent item pool. Log-likelihood chi-square deviance tests indicated that a 3PLM provided an improved fit. However, residual statistics indicated that the difference in fit between the 2 models was negligible. An unexpected finding was that from 10% to 30% of the items had substantial lower asymptote parameters (c ≥ .10) when the scales were scored in the pathology or nonpathology directions. The authors argue that the large lower asymptote parameters are attributable to item-content ambiguity possibly caused by item-level multidimensionality. These findings suggest that the direction of scoring can critically affect an item response theory analysis.