Hey, no need to worry. I am a FM PGY2 resident and was in probably a shakier boat than yourself when I started. My program made incoming interns take the previous year ITE prior to starting and then the ITE in october. My scores were an abysmal 200 (prior to starting) and a 320 (average was ~ 350) in PGY1. What I recommend is to literally just READ, don't try and memorize. READ READ and READ some more lol. It will work out for you I promise. All I did was take a little time out of each day (1-2 hours) and read AFP articles. I would read the current articles as well as picking a few articles on the illnesses I would see in the office setting (that helps really cement, reading about something after seeing it). The inpt dx I saw, I would read about them from Up2Date. Many times, I felt like I read the same AFP articles over and over again (constipation, shoulder pain, knee pain, URI, etc...). Did skip a month or two from AFP while studying for USMLE Step 3 during intern year though.