I score in the 90s on practice, but I'm still very anxious about the real exam — how do I handle it?

Short Answer

This anxiety isn't a personal failing — it's built into how ARDMS is structured, for two specific reasons. ARDMS has no official designated textbook, so everything you study is prediction-based material that could turn out right or wrong — that uncertainty alone is enough to create anxiety. On top of that, unlike most exams, ARDMS never tells you afterward which questions you got right or wrong, or exactly why you passed or failed. So even retaking the exam doesn't resolve this — you never get the closure a normal exam gives you.