It wasn't supposed to be exactly like the old Part II. It was supposed to be a combination of old Part I and old Part II. They kept all of the basic science items, but tried to keep the focus on more clinically relevant items. The Part II material that they moved to the new exam was, as it was explained to me, the subjective and objective aspects of some ocular and systemic disease, leaving the assessment and plan portion in the new part II. The majority of disease testing is still in the new Part II, and it is still supposed to be "easier" than the new Part I.
I didn't take the old test so I can't compare. I thought there were some ridiculously easy questions, some questions you had to think through, and then some impossible questions that a year of solid studying would not have helped on. It was what I was expecting in that regard. I can't wait to get my scores!