immigrationaspirant,
it is not open grad permit,its BOWP(bridgin open work permit)the operational manual clearly indicates that an applicant can apply for it after receiving an AOR(acknowledgement of receipt) from CIO not necessarily he or she has to pass.
i have already told you that medical exam is under admissibility not eligibility so for PNP applicants the medical request comes from CIO along with aor or shortly after.
if you applied under another category such as cec or fsw you will get medical request from cpp-ottawa not CIO and it is a positive sign that your file has been reviewed by a visa officer and found eligible under the category for which its applied under.
if you are a PNP and have already received your nomination i don't see why you are worried as long as you don't have a criminal record or serious medical condition then you should be good to go.
one last IMPORTANT advice,if you do not trust what forum members share here you should consider consulting a lawyer and stop your unnecessary messages.
you sound like a big headed and you are stuck up with one idea in your mind,so bother asking questions here.
i also have noticed in your posts lack of formality and respect,you don't even thank forum members for helping you by answering your topics.
anyway good luck with your application.