Passed ABA Written Qualifying Exam on second attempt — what finally clicked

by brett_l 1,233 views6 replies
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brett_lOP
May 25, 2026

Failed my first attempt by about 15 points and spent the next 8 months completely rethinking my approach. I'd been relying too heavily on Miller's Anesthesia and not doing nearly enough practice questions — probably 200 total for my first sitting, which wasn't anywhere close to enough for a 200-question exam.

Second time around I did around 1,800 practice questions over 16 weeks, averaging 90 minutes a day on weekdays and 3–4 hours on Saturdays. My score jumped from 68% to 84%. The biggest shift was focusing on clinical pharmacology and cardiac physiology — together those probably make up 30–35% of the exam based on what I saw.

If you're in residency right now, start early. I know attendings who didn't open a review book until 6 weeks out and barely squeaked by. The WQE is harder than people give it credit for, especially pharmacokinetics and the physics sections. Use your off-service rotations to grind questions.

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nico_b
May 25, 2026

The physics section blind-sided me. Thought my pharm was solid at 78% but physics was dragging everything down. Spent the last 4 weeks doing nothing but gas laws and equipment questions and it made a real difference.

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rashid_c
May 26, 2026

Cardiac physiology is no joke. Pressure-volume loops, Starling curves — make sure you can draw all of it from memory. That's probably 8–10 points right there.

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nico_b
May 27, 2026

1,800 questions in 16 weeks tracks with what worked for me. The UWorld anesthesia bank is worth every dollar if you haven't used it — the explanations on wrong answers are where you actually learn.

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derek_v
May 28, 2026

How long before the exam did you start focused prep? I'm 5 months out and not sure when to shift from broad review to question-focused. Your 16-week timeline sounds about right.

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PrepKing_J
June 29, 2026

What finally got me over the line was changing how I used practice questions. The first time around I'd do a block, check my score, feel good about the ones I got right and just move on. That's basically useless. The second time I forced myself to sit with every single wrong answer and figure out why it was wrong, not just why the correct one was right. Half the time I'd realize I actually knew the concept but had talked myself into a distractor because I didn't fully understand what made it a trap. Once you start seeing why the wrong choices are wrong, the questions stop feeling random.

The ethics and patient safety stuff especially is built around tempting wrong answers, so I drilled those hard until I could explain each option out loud. These free aba professionalism ethics patient safety questions were great for that because I'd cover the answer and argue myself through all four. It's slower, sure. But you only need to really understand a tested concept once, and after that it sticks. Don't just grind volume. Grind the misses.

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FocusedStudent
June 29, 2026

Honestly the biggest thing that clicked for me was treating it like a long game instead of a cram. I've got two kids and a full clinical schedule, so I gave up trying to find big study blocks. I did questions on my phone during cases that ran slow, over lunch, in the car before driving home. Twenty here, thirty there. It adds up way faster than you think, and doing questions every single day kept the material warm in a way that reading Miller's cover to cover never did for me. First attempt I was a passive reader. Second attempt I was an active question machine, and that's the whole difference.

The other thing I underrated was the non-clinical stuff. I bombed a chunk of professionalism, ethics and patient safety the first time because I figured it was common sense and didn't drill it. It's not common sense, it's testable detail. I hammered free aba professionalism ethics patient safety questions on my commute until those points were basically free, and that alone probably made up most of my 15 point gap. Don't sleep on it like I did. Build the habit small, keep it daily, and the volume takes care of itself.

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