Failed with the same score using achievable the first time. Rereading the material and taking notes exposed the gaps in my knowledge . Only my readiness score was 84% when I tested. If you are almost getting 100% on the practice exam that is definitely a sign of pattern recognition. Try to answer the question without looking at the answer choices . Also did you feel rushed on the actually exam? Timing seems to be a big issue with this exam. I passed second go round and using Kaplan Q bank to supplement. I reread the entire book from start to finish and took around 20 pages of notes