No, absolutely not. Scoring 50s on your Pre-NAPLEX indicates that you are not ready for the real thing. If you were then you would be scoring triple digits easily. Sounds like you are gambling with your license at this point. Sure, you might end up really lucky and pass the NAPLEX first try but are you going to take that chance? Everyone that went to pharmacy school should pass the NAPLEX, that's what pharmacy school is for. I would brush up on areas that you didn't gain much exposure too such as HIV/ID/chemotherapy, etc. I wouldn't focus on primary disease states (HTN, HLD, thyroid, diabetes, etc.) since you should've gotten these topics drilled into your head during your APPEs. Again, tailor your studies based on your experience in class/rotations. Study a little harder for a short period of time then take the NAPLEX and try to pass the first try so you can get a job. Being top 20% of class isn't an accompishment nowadays. Everyone has access to old exams and professors recycle a majority of their exam questions anyways. I'd rather be at the bottom of the class, passing the NAPLEX on first try and getting a FT job before anyone else does. Good luck on your test!