This episode centers on the high-stakes oral board exams for the surgical residents.

: Meredith, Cristina, Jackson, and April travel to San Francisco for their boards. While Meredith fights a stomach flu and Cristina clashes with an old-school examiner, they all struggle with the anxiety of the "pass/fail" results.

There appears to be a slight mix-up in the episode identification. While The Vampire Diaries is famous for its 22-episode seasons, its final season (Season 8) concluded with only 16 episodes.