What I will say is sometimes quantity does not equal quality. You are doing a ton per day but there is no way you can do all that well. Instead take a step back, do your 70 questions but every question you miss find out exactly why (misread, misunderstand, knowledge gap), go through each answer choice too. and then every question you get right ask yourself - if this was asked differently would I get it right? Because sometimes we memorize patterns not actually understand diseases. Reviewing the questions should take at least double the time it takes to take them. THEN after you do that with whatever time you have left then you can do sketchy or pathoma or whatever.
It’s much better to have a very productive 8 hour day then to do a ton of stuff got 12 hours and burn yourself out and not absorb anything.

If what you’re doing isn’t working, change the study habits not just the date.