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Well, it's been a long time since I sat my Duke Elder so I can't remember specifics. However, if you've covered the head and neck in good details from all aspects (anatomy, physiology, pathology, pharmacology...etc...), as well as having a good grasp of general body basic sciences, you'll probably be ok.
Being multiple choice questions, the good news is that that answer is in front of you. You just need to choose it. Depending on how much prep you've done, this can range from guessing to knowing the answer without thinking. Generally you'll tend to fall in-between, where you can dismiss a few options pretty quickly, and then use your knowledge and instincts to "educatively guess" the answer.
I tend to find that my first educated guess is generally right, and that second guessing myself later is bad. But that may just be me. If you've found that your hunches in the past are generally right as you've remembered something unconsciously, then stick with this strategy.
If you are stuck on a question, don't just sit on it. Leave it and move on for the moment, rather than waste time where you could be picking up points on other questions. When you finish the paper and checked over your other answers, then go back and have a crack at those you haven't done in the time remaining. This is a tactic that is also useful for Finals papers, as well as any other paper you may sit in the future (where you are allowed to go back to previous sections and review answered questions/answer empty ones).
As a final note, make sure you are rested and refreshed the night before. Many a time have I crammed till the last minute and found that i'm so panicked my mind goes blank. You will benefit more from a good few hours sleep, and approaching the exam in a focused, calm manner.
Good luck,
Karnesh
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