Boards are in full-swing this week on Grey's Anatomy Season 8, Episode 22: “Let the Bad Times Roll,” and they are epic. The examination is six hours long, and if our docs fail two out of the three sessions, they're toast. And at the start, we're not optimistic. Meredith's (Ellen Pompeo) answers are all competent and confident but punctuated with vomit. Cristina (Sandra Oh) is squaring off with her examiner and implying that he's antiquated and out-of-touch. Jackson is distracted by the sound of his mom being naughty in the next room, presumably with Richard (James Pickens Jr.). Alex (Justin Chambers) is flying by the seat of his pants, having already forfeited one session due to his tardiness. And April (Sarah Drew) just doesn't know when to stop talking — and it's seriously making us want to defibrillate our TV sets. She is so shrill and spastic and — yuck — sweaty.

During a break, as Cristina tends to Mer's vomiting, Jackson and April find each other in the restroom and start venting. Then, inexplicably, they rehash the previous night's sexual escapades in far more detail than we've ever wanted to hear about someone named Kepner. We're crawling out of our skins at this point, so let's just blot this from our memory and move on. After their, um, "decompressing," Jackson (Jesse Williams) and April both return to their examinations refreshed and collected. And April has some sort of revelatory moment in which she decides she no longer has to feel ashamed of her religion. No, April, you just have to feel ashamed of your personality.

Back at the hospital, Callie (Sara Ramirez) meets Arizona's (Jessica Capshaw) friend Ryan right before she's set to remove his six-month-old tumor. But then he drops the bombshell that he's been sick for six years. Sure enough, when Callie cuts, she finds evidence that his cancer has spread. Arizona berates Ryan for waiting so long. Gee, that guy would probably love his biggest problem to be a six-hour test.

Meanwhile, Derek (Patrick Dempsey) and Mark's (Eric Dane) patient is a with a caved-in skull. (The man's wife is Libby from Lost, by the way!) Now Derek and Mark have to reconstruct the skull so that the guy won't be relegated to the scratch-and-dent aisle for the rest of his life. Mark is feeling frazzled because Julia (you know, his girlfriend whom we know nothing about?) abruptly told him that she wanted to have a baby with him. But despite his split focus, they repair the guy's head. And when Derek tells Lexie (Chyler Leigh) about Julia's potential baby-mama status, she runs to find Mark and blurts out exactly how she feels about him. And we're cheering! See, April, listen: your basic problem is that you're just not Lexie.

Meanwhile, Derek (Patrick Dempsey) and Mark's (Eric Dane) patient is a with a caved-in skull. (The man's wife is Libby from Lost, by the way!) Now Derek and Mark have to reconstruct the skull so that the guy won't be relegated to the scratch-and-dent aisle for the rest of his life. Mark is feeling frazzled because Julia (you know, his girlfriend whom we know nothing about?) abruptly told him that she wanted to have a baby with him. But despite his split focus, they repair the guy's head. And when Derek tells Lexie (Chyler Leigh) about Julia's potential baby-mama status, she runs to find Mark and blurts out exactly how she feels about him. And we're cheering! See, April, listen: your basic problem is that you're just not Lexie.

Also, Owen (Kevin McKidd) tasks Bailey (Chandra Wilson) with wooing attending candidates, but they're all noxious; Bailey tells Derek to dole out advice through metaphors (finally acknowledging a Grey's cliche!); and Richard and Catherine make plans to meet up at the next conference. Oh, and Derek's hair looks greasy, but that's neither here nor there.

At the very end of the episode, the residents return to Seattle just in time to see that they had all passed the boards... all of them except April, that is. Well, we don't know definitively, but she looked awfully crestfallen. Then again, we see her partying in the next episode, so who knows... See ya next week, Greysers!

Catch a new episode of Grey’s Anatomy on Thursday, May 10 at 9 p.m. ET/PT on ABC.

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Dan is a contributing writer at Wetpaint Entertainment. Follow him on Twitter @SixFourDan.