get your hands on examkrackers organic chemistry. this is what i did when i took the mcat in april w/o having taken the 2nd semester or labs for ochem. it helped me perform quite well on the bio sciences section.
but to answer your question, basically, understand electron-withdrawing and donating groups. if you are able to gain an intuitive understanding of these areas, you'll be able to make educated guesses on questions you don't know much about.
the mcat loves carbonyls and stereochemistry, but apparently won't test you on benzene/aromatics according to recent changes.
while i agree w/ice about studying ketones/amines, don't waste your time blindly memorizing random reactions and combinations. understand the logic behind the reaction--i.e. what makes a reactant more reactive, why a substrate might have to be protonated, etc. the mcat isn't going to test you on rote memorization of reactions--it's going to give you several new scenarios w/scary-sounding compounds and reactions you've never seen before and you'll have to use your intuitive knowledge and understanding to determine the answer.
don't stress--to do well on the test you need to keep your confidence up.
good luck!