- The residents go through the three sessions to pass their exams. They are allowed to fail one session without failing the exam.
- April and Jackson hook up in between two sessions. Meredith continues to get sick. Cristina fights with her proctor. Jackson can hear his mom in the next room. Alex shows up late but makes it in time for two sessions.
- Arizona’s childhood friend comes in for treatment by Callie but his cancer is spread and he is dying.
- Julia tells Mark she wants to have a baby with him.
- Lexie admits to Sloan that she is still in love with him.
- The residents find out their test results. Cristina, Meredith, Jackson, and Alex pass. April fails.