Your topic title hits the nail on the head with the word anxiety. Each person deals with it differently, but some of the tried and true advice includes getting sufficient sleep the night before a test, exercise and good nutrition. All of those things are hard to come by in medical school, but try your best. Some people have used meditation and yoga with good success. If you are really having bad anxiety, don't be afraid to seek help. Many schools have mini courses on dealing with test anxiety, so check out the other professional schools, graduate schools and undergrad colleges to see if these are available. On a place as large as MSU, I would bet that there are resources, you just may have to dig a little to find them. See what your student services offers. Good luck, and remember that you aren't alone. I don't know of anyone that enjoys testing, so anxiety is there for us all to some degree!