I just took the exam on Saturday and am waiting for the results. I feel that I passed so I hope my intuition in right. I purchased the study guide and practice exams but never had time to for the practive exams. I read the enitre study guide and did the chapter questions, reading the rationales for the ones I got wrong. Also it is ok to write notes in your CPT. And even though my CPT has indented tabs, I put my own tabs on it because it is faster to find and flip to. Tab things such as the vascular families or anything that may be helpful to you. The test is time sensitive with 5 hours and 40 minutes to complete, so anything you can do to eliminate page flipping and searching will only benefit you. I was told that no matter what, you will have 10 questions left when you run out of time. I didn't. I finished with a little time to spare. The advice I got and followed was: Eat something for breakfast. Do not drink coffee that morning or come with a starbucks. Not only will it make you have to use the restroom, you will also crash when you come off the caffeine. I never had to use the restroom. I had 3 sips of water all day. Do bring a few peppermint candies. I started to waver around 1:00 and popped a peppermint to perk me up, and also had gum with me. A lot of people also ate snacks. Unless you need it for your blood sugar level, etc. I wouldn't unless I was starving, and if you ate something for breakfast, you shouldn't be. Most of the people in the room were not finished when time was called. The gal next to me brought a starbucks and and food to eat, she was first one to get up for the bathroom and did not complete her test. Oh and also bring a yellow highlighter. While you read the questions abstract and highlight what you're really coding for easy reference when you look back at it. Oh and don't panic. If a question looks really long or intimidating, skip it and go back to it later. Each question has the same point value, whether it's long or short. I skipped 5 or 6 and had the last 1/2 hour to go back and figure them out and finished the test with 15 minutes remaining. I hope this helps. I know this advice helped me tremendously, and I hope I passed like I think I did..............take care, Karen