It's important to note the distinction between breezing through course material and breezing through an exam.
I have taught plenty of students who possessed a deep understanding of mathematics but could not perform within the confines of a structured exam. They may be berated for performance or even lack of preparation, but given that problem-solving is the main criteria for admissions this surely reflects the limitation of the measuring tool.
Similarly, many students who breeze through A Level exams may have thought they'd mastered topics like calculus, but it turns out the exams only called on their computational fluency. The moment they are pushed conceptually and asked to formulate their thinking with the rigour that undergraduate mathematics, they come unstuck.