The difficulties confronting board exam takers are not a series of isolated stressors but a deeply interconnected, self-reinforcing system that can lead to failure. Financial strain is a primary catalyst, often forcing candidates to work while reviewing, which leads to physical and mental exhaustion. This state of exhaustion directly fuels psychological distress, including severe anxiety. Research confirms a significant correlation between stress, anxiety, and impaired cognitive functions like memory performance and concentration, ultimately resulting in poor learning outcomes. This cognitive impairment makes study efforts inefficient, which in turn amplifies the fear of failure and worsens test anxiety, creating a vicious cycle that can culminate in poor exam performance. Systemic issues, such as the well-documented misalignment between university curricula and the actual content of the board exams, act as a powerful external stressor that exacerbates this cycle by fostering a sense of helplessness and uncertainty. Consequently, any effective success strategy must address this entire system of challenges. A purely academic approach that focuses only on content acquisition is destined to be inadequate because it fails to stabilize the foundational pillars of a candidate's well-being: their psychological, physical, and financial stability.