The time has come for the fifth year residents to take their boards. Those who have taught them relentlessly over the past half decade see them off as if they were their own children. Mark even gives Jackson a few bucks. You know… just in case. Everyone boards the shuttle bus on their way to San Francisco. Well, everyone but Alex. He's busy looking for ways to help Morgan's baby. Arizona eventually shuffles him out the door.
April bumps into a fellow exam taker named Kevin at the airport. She inadvertently reveals that she's been offered a job he was hoping to get. So now this guy hates her. Meredith is also having a rough time of it after catching Zola's stomach flu. Let the vomiting begin! As for Jackson, he's dealing with the fact that his mom, Catherine, is staying in his hotel. On the bright side, she brought his lucky pencil along to help him ace the boards. Too bad this particular exam is oral.
That guy whose dreams April crushed at the airport without even batting an eye approaches her at the hotel bar. He makes some derogatory remarks, so April sucker punches him in the nose. No, really! She clocks him good! Then April goes after him again. Richard shows up to break up this mini bar brawl, but April is still completely wound up. That's probably why she kisses Jackson passionately and drags him into her room. Remember how April was a virgin before heading off to take her boards? Yeah, well, things change.