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You don't want a huge breakfast, and if you're not one the usually eats breakfast to begin with, test day is not the time to start.
You definitely want a good mix of protein, complex carbs and some simple sugars - an egg or two an some whole wheat toast with jelly or honey would be a great choice. Or if you prefer a couple sausage patties/links for your protein. Toast with peanut butter would also be a good choice.
I would choose clifbars or kashi's protein bars over nutrigrain, again, you're looking for balance between your carbs and proteins. Luckily with so much break time available, it's not as important to go with gatorade or powerade over water, but gatorade is isotonic to blood and won't give you the free water bolus that could mean more restroom breaks.
In terms of caffeine, if you haven't been weaning yourself off up to this point, test day is not the time to start, so keep that intake as close to normal as you can. For me on Step 2 CK, this meant stopping for coffee before the test, and making sure I had my diet pepsi for lunch.
The biggest thing about these CBT's is that if you're a fast reader, there's gobs of time. I took a 45 minute break and walked around the mall to clear my head in the middle of step 2. I still had almost 90 minutes of break time left when I ended the exam...
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