I think being good at multiple choice tests is an art. It takes a lot of time to hone critical thinking skills and while it may come easy to some folks, it does not necessarily mean people who struggle with these types of tests are also going to struggle in school. I recently immigrated to America and have had a lot of trouble with the MCAT. Exams in my country were descriptive and were based more on rote memorization. I graduated with a near perfect gpa and at the top of my class. I had postbaccs from Stanford, Cornell and Harvard in many of my pre-med classes and I did better than them on all of my exams. However, when it came to the MCAT they did much better than me. They were just better at critical thinking than I was. However, I refuse to believe just because they are better test takers, they are automatically more intelligent. No, it just means they are better test takers. Memorization and Critical Thinking are both signs of intelligence and will both be required in med school. And I believe both skills can be improved with practice. I started my MCAT studying by concentrating more on content review and memorization(just like I did the last 20+ years of my life) and less on practicing and improving my reading comprehension and critical thinking abilities. Yep, it did not work. I had to retake the test and completely change my mindset. It required a lot of practice and patience. As an ESL student, I wasn't used to reading about the kind of topics presented in the VR section. My reading speed was dismal and I struggled with this section for the longest. I would always miss a passage or 2 because it took me forever to read+understand. After tons and tons of practice I made a 29, with an 8 in VR. I would say the bulk of my studying was dedicated to bringing this section up, because I knew even if I had great science scores, I would not be considered with a sub 8 VR score. But I have no doubt in my mind I will do great in medical school. I know what it is like to struggle and work hard. Hopefully, medical schools see that and not just dismiss me because of my less than 30 MCAT.