Following his heart attack, Lucas returns to school, hoping to rekindle his romance with Peyton. Haley learns that Nathan was responsible for her accident. Brooke and Rachel hatch a plan to steal the next calculus exam, while Dan faces murder charges and Deb breaks out of rehab.

A class assignment reveals the deepest secrets and desires of Lucas and the students at Tree Hill High. Worried about college prospects, Skills turns to Haley, while Nathan wrestles with Deb's suicide attempt. Chase learns that Brooke cheated on her calculus exam, while nudity and drugs run rampant in the halls of the school.