Strengthen your knowledge of the physiology of the major systems, and the major pathos you normally see. So many of the questions are convoluted, that you have to work out the answer based on what you know about the body's norms and abnorms.
You'll also see things on the exam that no one in their right mind has ever seen (in recent memory) wander into their ER. That's where the phys and pathophys knowledge will really save your butt.
I assumed I failed after question #6, the questions were that odd, but I did pass, so there ya go.
Good luck! It's a bear, but doable!
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