This is going to sound ridiculous, but I think the written portion was harder than the skills. And I got a 98% in my class (aced every test) and felt like I knew the material really well. And I studied more than enough. My test seemed like it was written by a 7th grader. It wasn't just tricky / written strangely in parts, but there was a question that literally contradicted itself. Many of the questions were written in incorrect English as well. I really wasn't expecting all of that. Is there anything I can do? I would assume there isn't because it's not like I can revisit the questions and complain.... but it seems messed up nonetheless. I'm assuming the test questions vary by testing location and it isn't "standardized" across the whole state? But the skills portion? I think I did pretty darn well on that. Go figure. Has anyone else experienced this? Oh, and side note, the exam asked a question that didn't point out whether the resident was independent or dependent, and then gave answers for both of them.....hope I explained that right. All in all, the exam seemed SUPER outdated. Almost like they'd been using the same old exam that'd never been edited since 1990. OK, I'll stop ranting now. :)