The answer depends when you started school. I believe if you entered school prior to 6/1/06 you got to take the old version of the exam, and if you entered school after that date you need a class in pathology. The test would also reflect the new class in pathology. This class is to be taken after you have passed A&P class. I suggest you contact the board and ask them, they also have a free booklet that explains the entire test and all the dates. You can order it free online. It has not been changed but it has been updated since then to reflect any new procedures.