This document outlines an unsupervised approach to automatically generate multiple choice questions from biomedical texts. It presents an architecture that uses unsupervised information extraction techniques, including surface-based and dependency-based approaches, to identify important semantic relations in an unannotated corpus. These semantic relations are then converted into questions using rules. Distractors are generated using distributional similarity measures. The system is evaluated on an annotated corpus and shows potential for automatically generating assessment questions from biomedical documents without requiring manual labeling of relations.