> When I talked to her about it, she was very much on the side that she wished she didn't have to study for it because it didn't have much to do with her job at all.
I assume you're referring to your ex's exam to become Board Certified in her specialty, which, if you are, makes this statement incredibly hard to believe.
A specialty's Board exam is comprised of simulated cases from that specialty. Your ex wouldn't have to prep for geriatric internal medicine or stroke rehab in pm&r. Basically everything asked in the exam for board certification is related to one's specialty.
It is not a general exam like the STEP exams.