Found the problem, with the Dorman intake manifold my exhaust pressure never reached over 4psi and would fall as I held the engine at a higher rpm. The knock/tick I previously tried to explain and never gave a definite answer to what or where it was coming from. It was coming directly from the center of the intake manifold, yes I know there is nothing mechanical there other than the idle air control motor and it certainly wasn't that. Stumped, I decided to purchase an original Ford intake manifold and after installation there was a big difference in all engine pressures. The mass air flow reading was back to normal and idle was rough, I know that sounds like a bad thing but with the other intake I had hit a dead end. I rechecked previous exhaust pressure this time 2lbs at idle and up to 22lbs at 2000rpm. Pulled the exhaust and the cats were melted, took the truck for a ride she runs like a ***** ape. Thank you everyone.