The Bottom Line
- Performance often peaks at moderate arousal; too high impairs working memory and attention.
- Breathing is the fastest lever for downshifting physiological stress during exams.
- Rehearse your reset routine in mocks so it runs automatically on exam day.
The Concept
Anxiety is not always harmful. The problem is excess arousal that steals working memory (worry loops, rushing stems, second-guessing). Your objective is functional arousal: alert, calm, and methodical. Build a simple control system: (1) detect early signs, (2) downshift physiology, (3) lock onto a consistent stem-reading protocol. In the exam hall, you execute—no improvisation.
Scientific Evidence
The Yerkes–Dodson principle describes a relationship between arousal and performance. Slow, controlled breathing is associated with improved autonomic regulation and reduced anxiety symptoms across multiple studies and reviews.
Implementation Strategy
1
Phase 1: Build a 60-second reset
Box breathing: 4s inhale → 4s hold → 4s exhale → 4s hold, repeated 3–4 cycles. Keep the exhale smooth and controlled.
2
Phase 2: Add a stem-reading protocol
Read the question ask (last line) first, then the stem, then options. This reduces panic-driven scanning and anchors attention.
3
Phase 3: Condition with timed mocks
Twice weekly, do timed blocks and practise the reset when you feel pressure. You are training a reflex, not a concept.
4
Phase 4: Exam-day pacing safeguards
Insert planned micro-resets every 10 questions. If you spike: stop, breathe, re-read the ask, then proceed.
Practice
Test your knowledge
Apply this concept immediately with a high-yield question block from the iatroX Q-Bank.
SourceRead the original paper (PubMed)
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