Well, it's the day of the big intern test, and also the day of Susan's funeral. And Meredith takes a metaphorical axe to the head when Thatcher arrives at the hospital and tells her that she's not welcome at the funeral. In a state of shock, she sits in the intern exam and doesn't fill in a single bubble. And so her friends have to decide whether to leave her behind on the mountain in order to survive themselves. In the end, they pull together and let the Chief know about her problem. He gives her another chance, and she takes the test.

In non-Meredith news, George gets his transfer to Mercy West, but everyone except for Callie thinks it's a bad idea. Izzie follows him around begging him to stay all episode, until she finally tells him she's not remotely in love with him, so there's no reason for him to leave. Callie notices all their moping around, and is getting pretty suspicious. Addison, who just found out last week that she can't have a baby, is suddenly surrounded by pregnant ladies. First, Joe and his boyfriend ask Addison to examine the pregnant young woman who is considering letting them adopt her baby. And then Adele shows up in the hospital after a minor accident, where she drops the bomb that she's pregnant.

Meanwhile, Alex discovers that Crush has recovered her memories. It turns out she hated her old life, so she decided to try to keep it a secret. It's one day before the day the Chief will make a recommendation to the Board about who should be new Chief of Surgery and who should be the new Chief Resident. Bailey assumes she's a shoo-in for Chief Resident, until she realizes the very talented Callie is also going for the job.

It's also one day before the wedding of Burke and Cristina; she still hasn't written her vows. The episode ends with the separate bachelor and bachelorette parties. You won't be shocked to hear that Derek almost lets himself get picked up by a hot woman. You will be shocked to hear that the hot woman may very well be Meredith's yet-to-be-seen sister...