Wendy, What I'm hearing from students makes me think that the state exam has changed slightly. Two students told me recently that they thought the OLT final exam was harder than the state exam. I've found the state exam to be a mix of the questions in the state manual and the online exam questions. By this I mean, you will find some scenario questions (like the state manual) and you will find that some questions are more straight-forward. If you understand the concepts taught in the course, you will do fine on all types of questions. Jan