This is a pretty precarious situation for those whose scores were invalidated. They are likely to lose their residencies and status. Federal courts are unlikely to overturn the USMLE’s decision. Future applicants from Nepal and their qualifications will be scrutinized more carefully. Sharing confidential test information from previous exams and using it, even if publicly accessible, is considered cheating. These types of activities are common in Nepal but are taken extremely seriously in the US. I once shared my homework with a classmate when I was doing my undergraduate and received zero for the assignment and a warning. I was told I would get in trouble if I shared my own work. Never again. People need to take these things seriously. We will know what will happen in the coming days, but it looks bad if you ask me.