Took the Advanced PTEeXAM (as opposed to the ASCeXAM). It was a protracted, grueling, demoralizing experience. There were quite a few ultrasound physics questions, which I thought were fairly written. There were a couple of images in the final, case oriented block, where I had no clue what pathology I was looking at. Pretty frustrating... I've heard you need to answer >70% correct to pass - hopefully the bar is lower this year for my sake...