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What could you possibly do at this point? They're interviewing you, so they are least interested. Though some schools will "score" your application, and seeing as your MCAT/grades are low, you are going to have to rock the interview to make up for those lost points. Other schools treat applicants similarly at the interview..so I guess it depends where your school lies on the spectrum. Good luck!
Just be careful with the number and variety of excuses you present (if you're asked). People tend to use their spidey sense. You don't want them thinking, after a certain point, "If it smells like bullsh*t, it probably is."
Hmm, I would tread lightly here. If they ask for any discrepancies, be honest. But personally, I wouldn't go out of my way to bring it up. Your migraine story, which could be true, wouldn't fly IMO. The response would probably be something like, "If you felt you did so poorly, why did you choose to have the exam scored?".