These posts just scare people, and even worries me when I read it, but I have to stick to facts and common sense.. This is BS regarding 40% international students will fail. I am an IMG and all the people i know who took the exam recently passed it, and they are all IMGs granted they are US IMGs or from Canada. Regardless ,if you can take a history in English, organize your thoughts, put a resonable differential diagnosis, wash hands, can say thank you and please showing good manners, have a personality, show empathy to the patient when needed, ie: your father died: say sorry to hear Its hard losing a parent, and type fast enough, you will have a great chance to pass this exam. I see too many people trying to memorize cases, memorize every scenario, esp the non US IMG thinking this is a purely knowledge test. I am sure many of you have gone to the doctors offices here in the USA and see the typical physical examinations being done, which are mostly bare bone, very basic, and focused PEs. Don't think you have to do all these full exams for every organ system for every case as a 4th year medical student and have it perfect, not to mention you are not GIVEN enough time to even do that. Common sense guys... lets use... and not get ourself worried over things that are unreasonable.....