Took it yesterday. Random is the correct way to describe it. It was totally doable but i thought nothing was straight forward. What i thought would be answer after the question stem would appear as two ambiguous choices below. Felt like i marked alot more than i normally do. There were a good amount of you know it or you dont type questions. It was like something i never came across before in practice or in questions. Some were word for word repeats from abfm/aafp and some with a little variation to it. I did two run throughs of the aafp videos and slides, did ITEs 2017-2020, and abfm/aafp questions. After my exam, i went through all the aafp slides and some of the questions from my board werent in the slides because the question was too specific. My MSK questions were basically about one body part. I did not feel great about it afterwards but felt like i knew more than half the test at least lol. Will update in a couple days i guess