The PSM II is considered an advanced level exam. The majority of the questions are context or use case based. You will be provided with different real life scenarios and will be asked the best way to respond based on Scrum. These questions and answers will be lengthy and you will need to be able to visualize the situation and understand what you are being tested on. Having proper experience in Scrum is helpful as many scenarios will be common and many answers will contain common anti-patterns.