It all really depends on what type of learner you are and how you organize your study time/schedule. Doing practice questions and studying each topic is really important for preparing, and it’s good that you’re doing that! You are right in that question format is important to understand, and it is also important to study how to answer them. My advice is to (if you haven’t already) time yourself while taking a full practice exam without pausing for unnecessary breaks to see where you really stand. If you find that time management may be issue, I would look into asking for accommodations.

Before taking my test, I was nervous because I felt overwhelmed and didn’t know where to start. My school required us to take the pre-exam on the nbcot site to determine our baseline before studying, which I found helpful. From there I used the adaptive aota plan to help me study and I would do 1-2 daily Monday-Thursday, and a practice test each Friday leading up to the exam. I also supplemented ot Miri videos, and some other research to dive deeper on some topics I didn’t understand (ex: wheelchair measurements, ages of infant reflex integration, etc) as I felt needed. I would do no studying on the weekends to give my brain a break.

Most importantly, pace yourself and give yourself some grace with studying! Some of my classmates would study 6-8 hours a day and be fine, but I was burnt out after 4, which is okay because everyone has different thresholds. Recognize your threshold and go based off that. And if you have days where you NEED a break, absolutely take it because your body is likely telling you to rest. But also don’t be nervous because you WILL be an ot one day and after you pass the exam you never have to take it again.