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Diana - I did well on the Kuehn review exam.  I REALLY took my time with it and carefully went back and reread guidelines or sections of the text as they pertained to each question.  As for advice looking back, I think I have done well up until this one exam.  I have not rushed through the course, and I think that has been helpful for me.  I don't know if you can prepare any better than the instructors are already preparing you/us?  It's just that in module III, you start reading much larger fragments of medical documentation, and you need to practice, practice, practice sorting through it, understanding more complicated procedures, etc.  It's a learning curve.  I probably need to start asking more questions also - I like to try to figure things out for myself, but asking questions can be far more productive than spinning your wheels sometimes :-)