Yes it is never a good thing to be out of proportion in anything. You can't be too nice nor too mean towards people. You can't be over confident or even over doubtful of yourself. You can't... - the point is, choosing to balance it out can get you through even the most nastiest of all situations (including exams like these). I wish I had someone who told me all these when I was unsure about the exam, the way I am convincing you now that the epr exam isn't completely something that's gonna eat away at your sanity, provided of course if you put in all the effort that's required for it. The exam itself isn't cheap and the waiting period for it can really test the patience of even the calmest zen master. Mcqs can be tricky and when you have 120 of em' in one setting of approximately 3 hours (which isn't that much as there are also exams that have way more number of questions to be answered in a shorter period of time), trying to play the guess game may not help you outta this one. I personally took all the time I had before the exam to read up almost all of the suggested books (I don't remember putting in this much effort for any other exam) and on the day of the exam, it was like I struck all the notes beautifully and I cussed at the thought of how worked up I got over something like this! My experience may not apply to all but this is my take of it: If your foundation in medicine is fairly good, acing this exam would not be an issue. Read, read and keep reading and get used to answering those test based medical questions that you can find simply by googling for them and keep trying no matter how impossible it may seem. Hey, I am no expert in all. I still have trouble remembering all the clinical findings of the various vasculitides or the different classes of antiarrhytimics but I have a rough idea of the essentials and that's what that got me through this exam in one piece.
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