I have received a Conditional Offer of Appointment (LOA) to USNA, and I wondering what could go wrong from here on out. I have my medical exam this Friday and I don't think anything will go wrong. If I pass that what are my chances of obtaining a nomination. I do live in MD so I feel that may make my chances harder. Am I almost guaranteed a nomination because of my LOA or do I have the same chances as I would without it. I have been preparing a lot, but I am very stressed and would like some peace of mind.