As an American student I've observed or heard of both international and local students cheating. It really pissed me off when students would come to exams with

As an American student I've observed or heard of both international and local students cheating. It really pissed me off when students would come to exams with psychiatrists' notes about a sudden onset of ADHD. Or abuse the sympathy of the teacher to get more time. Crib sheets only occurred in lower level classes where it's hard to observe. At the higher levels it becomes obvious who knows what.