This is actually hard. Please don't assume I'm just being modest.

Medical school is hard. I know you hear med students say that all the time, but maybe you're a pre-med student who thinks, "Yeah, it's hard for most people but I've never struggled in school before and I'm killer with multiple choice tests."
Maybe you just know a medical student, and all of his or her life they've been really good in school, and if they get an A- their whole day is ruined. If they get a B in a class, they might cry for 3 hours. So you assume that when they say they didn't do well on a test that they got in the low 90s, maybe an 89%, and so you naturally say, "Oh come on, I'm sure you did fine!"

There's a meme on the popular tumblr about medical school about test scores. There is picture a representing undergrad 75, showing a girl under a desk crying and drinking a bottle of wine. The picture of a med school 75 has a man winning a game show, ecstatically raising his hands above his head. #whatshouldwecallmedschool

This is an accurate description.

So from now on, if I tell you I didn't do well on a test, please do me a favor and assume I almost failed...or maybe that I did fail....and react accordingly. It makes it worse when you remind me that I used to be smart enough for you to assume doing bad was still an A.