How to study for second year?

[Chicken Bone]

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Hey all I need some advice regarding second-year study tips. So I just finished my first block of the second year and I think I failed. Last year I had no trouble passing any course and ended up with a near-average score in the class. But I feel this year's materials are much harder. Also, there is no premade anki deck nor tutor-made question bank for this year so i had to adjust my study strategy (literally there are no school-provided study materials this year). I started doing Anking, first aid and other qbanks like osmosis and rx then went through the PPTs. I felt pretty confident but on the real exam day, the questions and focused contents were no too much relevant to Anking or these qbanks even though under the same system. I spoke to the learning guy at my school she said I had to go over the PPTs slides five to six times to consolidate all the information. This honestly is pretty useless for me. I am kinda frustrated and have no clue what I have to study for the next block. Can any of you give some advice and suggestion?