I make my own study guide USING my annotated primary notes (I don't know what category that is above, so I chose 1st one). I never go back to my primary notes though b/c my study guide should contain everything in it already. Plus, I add pics (figures, histology, gross, tables) and relevant paragraphs from e-books. It ends up being a really good study guide (the type that other students after you will use for many generations). I highlight it also. It's all on word, so easy to edit and search for anything.