I am taking Anatomy and Physiology at our local community college. They are separate courses that count for University credit as well as Community college credits. There were about 20 A's out of 100 students in our Anatomy class. But those of us who got them worked our buns off and memorized everything. We were told what was going to be on the tests as we went thru each chapter so if you made up your own practice tests along the way it was not too hard.
Our exams consisted of multiple choice, fill ins, essays, drawings, models, color plates and actual animal organs systems. I studied everything as if I had to write an essay. I took my practice test over and over until I knew it all and could write the answers down immediately.When the questions came up on the test I immediately knew the answers.
There were also quite a few folks in our class who rec'd D's and those who failed. They figured with multiple choice questions they could figure it out.
I'm so thankful that I studied like I did. It gave me a real boost in confidence on test day!