You have to "fail" the test kinda but not really. The first 3 answers need to be correct and then the last question will have 4 answers but if you get the first 3 correct then it doesnt matter which you pick. After that she will say you need to go to a lesson. Which is the lesson at the hospital. After that you will go back and pass the test with the 5th answer, but you still need to get the first 3 right.