In random news, Bailey is asked to woo some snooty possible replacement residents just in case they lose anyone after the boards. Derek is told to use metaphors whenever anyone asks him for advice. He takes this approach with Meredith when she calls with fears that she's failing her boards. Believe it or not, his cryptic answer invigorates his wife. Richard and Catherine make plans to meet up at a future medical conference. In one final random tidbit, Julia blurts out that she and Mark should have a baby. Oh boy. Or girl!
Jackson finds April in mid-meltdown as she tries to dry her sweat-soaked shirt in the men's room. He's having his own personal panic attack. They calm down once they start reminiscing about their night of passion. CLICK! That sound you just heard was Jackson locking the men's room door so he and April can have some alone time in the nearest available stall. When they go back into their respective exam rooms, both formerly flustered fifth years are back at the top of their game.
Meredith vomits up a storm upon returning to her exam session, but she forges ahead through upchucks. Cristina continues to be combative with her guy. Her session ends abruptly when the old doc says there's no need to go on. Alex is also very hostile once he realizes he got sucked in by a trick question. He goes off on his examiners who don't seem to be sympathetic to the fact that he was late because of his dedication to a patient.