Just wanted to throw my 2 cents in about this test:
1. This is the stupidest, most subjective test on earth.  No one is a better doctor because of it, only a better actor.  
2.  Having said that, it does not have to be a horrible test, as I somehow passed doing the following things:
-Barely starting the physical exam with only 5 minutes left to go on at least 3 cases
-Not asking one question at a time i.e. "do you have chest pain, shortness of breath, or abdominal pain?"
-Doing a physical exam (knee) on someone in obvious pain (something I heard was a huge no-no)
 -Forgetting to do heart/lung exam on multiple patients
-Forgetting to counsel at least a few patients on drugs, alcohol, diet, exercise, safe sex
 -Not summarizing findings for patient after taking HPI
 -Forgetting to do a diabetic exam i.e. fundoscopic, foot
 -Forgetting to avoid all medical jargon
 -Not offering water for coughing patients
-Not expressing empathy for each patient
 -COMPLETELY blowing the differential diagnosis on 3 different patients
In short, I worried relentlessly for 10 straight weeks.  I was already studying for the retake I knew awaited me.  I only post this so that if there are others worrying, maybe this will allay some fears.  I was terrified.  I hope it all works out for everyone.  This test SUCKS!!