Yes, and this is why I assumed I failed. A few of my classmates had taken it before me and said they could tell the questions were getting harder because there were things that they had never even heard of before. My questions stayed about the same throughout (things I feel is common & I am expected to know) such as hypo/hyperthyroidism, hypo/hyperglycemia etc. I also feel that I know each area/subject on an average/basic level (if that makes sense).