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How misleading can practice test scores be?

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I just recently took the AAMC FL1 and scored a 518 and never in any way expected to do this well. I averaged a 510 on three Kaplan tests and a 511 on two next step tests as well. Many people on SDN mention doing better on the real MCAT as opposed to their practice ones. I am somewhat unsure of how much I should look into these scores and don't want to get a false sense of confidence. If someone is scoring this well does that mean they're probably adequately prepared for the MCAT? Are there...

How misleading can practice test scores be?

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