I just passed both right before Christmas and wanted to tell you guys, it is not tricky, just study and use your critical thinking skills !! I would read something and then think about how it apply to me / my patients, that made it more "real" to me and I also took notes. I used a seperate notebook for each section: 498 and 496, (writing page #'s next to my notes, so I could look things up easier later). I also flagged my books with post it's , using a different color for each module "-). Good luck !!!