Failed MBBS exit exam twice — what am I doing wrong here?

by rachel_s 5 views3 replies
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rachel_sOP
May 27, 2026

I'm honestly at my wit's end. I graduated from a Caribbean med school two years ago and I've now failed the MBBS exit exam twice. My scores aren't terrible — I'm hovering around 58-62% — but I need 70% to pass and move forward with my residency applications. I've been using a mix of resources but nothing seems to be clicking the way I need it to.

Someone in my study group mentioned switching to a dedicated MBBS practice test bank to simulate the real exam conditions, and I think that's where I've been slacking. I've been reading a lot but not actually testing myself under timed pressure. My weakest areas are pharmacology and clinical reasoning — I can memorize facts but applying them to vignette-style questions is killing me.

Has anyone here gone from failing to passing on the third attempt? I'm giving myself 14 weeks to prepare this time. Looking for a solid MBBS study guide recommendation and any exam tips that actually worked for you, not just generic advice.

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Tyler B.
May 28, 2026
14 weeks is actually a solid runway if you use it right. One thing nobody told me was to focus heavily on the last two weeks doing full-length timed mock exams — not topic review. Your brain needs to practice stamina. Also, clinical reasoning questions almost always have a 'most likely' answer that hinges on one specific detail in the stem. Practice identifying that pivot point. What score are you getting on your practice tests right now? That matters more than how many hours you're putting in.
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David K.
May 28, 2026
I was in almost the exact same position — failed twice, passed on attempt three with a 74%. The biggest shift for me was doing timed blocks of 40 questions daily instead of just reading. Honestly the vignette weakness you're describing is a pattern recognition problem, not a knowledge problem. You need volume. I did 2,500+ practice questions in 12 weeks and tracked every wrong answer in a spreadsheet by topic. Pharmacology clicked for me around week 8 when I stopped memorizing drug names and started learning mechanisms.
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Sofia R.
May 28, 2026
Don't underestimate sleep and pacing. I crammed 12 hours a day the month before my second attempt and my score actually dropped. Third time I capped myself at 6 focused hours and passed with room to spare. Your brain consolidates during rest — sounds cliché but it's real. You've got this.

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