Throughout my years so far of medical school, caffeine has supplied that extra energy needed to get me through the late nights before deadlines and exams. There is also another well-recognised group of students, well-recognised at least in the USA - those who illegitimately acquire drugs, such as Adderall, in the run up to, and even during, exams. A study published in the Journal of Attention Disorders identified that 56% of student patients with attention-deficit hyperactivity disorder (ADHD) had been approached by other students to acquire their ADHD medications; just under half of these ADHD patients complied. Of course, these stimulants can also be obtained with a simple internet search of symptoms to then present to the physician. Evidence demonstrates that these drugs can significantly bolster the score of an exam and so we ask, is it wrong for students to use these drugs for enhancing their grade?