This week the episode reveals it is time for the fifth year residents to take their board tests. The superior team sees them off as they have trained and taught them unendingly over the years. As they leave, Mark slips Jackson a few dollars, “just in case.” They are off to San Francisco, all but Alex as he is still looking for ways to help Morgan’s baby. Arizona finally forces him out the door.
April meets a fellow peer, Kevin, at the airport. She tells him that she has been offered a position he wanted, so he now hates her. Meredith is battling the stomach flu she caught from Zola. Jackson is dealing with his mom living in his hotel room.
Kevin approaches April at the hotel bar and makes some smart remarks. April cleans his clock and starts to throw another punch when Richard shows up to break it up. She then kisses Jackson and drags him into her hotel room. While she was a virgin before heading off to take the boards, things have now changed.
Richard sees Catherine in the hotel lobby and they continue flirting as he shares his story about Adele over dinner. They end up in Catherine’s room. Richard hesitates, but only for a moment as passion wins out. It is soon deflated as Jackson drops by his mom’s room to pick up his lucky pencil.
Alex heads back to check on Morgan’s baby as he can’t get it out of his head. He lets Morgan know it is time to give it up and let the baby go. He stays with her as they unhook the baby and she holds him in her arms for the last time.
Christina pumps Meredith full of IV fluids in her hotel room. Christina finally lets Meredith know that Owen cheated on her. The two have been inseparable, but their new jobs could take them away from each other.
Owen and Teddy feud over how to best treat a trauma patient. Callie calls on Bailey to step in and get the two surgeons to put aside their differences for the good of the patient and the hospital. While it wasn’t easy, Baily gets through to Teddy that is was not Owen’s fault her husband died. Owen is surprised when Teddy tells him that Christina texted her before they went to surgery.
Things remain awkward between Mark and Lexie as she is still in love with him but won’t tell him. Mark is good with being friends with her and even asks her why she and Jackson broke up because he thought they were good for each other. Mark tells her she should go after him if she cares, but what he doesn’t know is that she cares, but not for Jackson.
It’s time for the boards and Meredith throws up before going to the interview area with Christina. Jackson sits by April who now thinks that sleeping with him was a mistake. The interviewer breaks Jackson’s lucky pencil. Alex has not returned when his interviewer calls his name.