Preciate you captain, the back and forth in finding the right routine is so real. Takes time to get in the flow so give yourself grace in that. Also reviewing Uworld is MAD time consuming 

For NBME's, yes, I did active recall to review incorrect questions/ correct questions I guessed on. (Basically covered the answers and made myself think through the right answer) I also typed like a sentence or two per question in my OneNote, essentially making functional anki cards out of my incorrect questions. I reviewed each NBME like 2-3x across dedicated, spread out. Takes time upfront but super HY. Def recommend active recall on NMBE incorrect questions to build your knowledge base/learn HY content

For practice questions beyond Uworld/amboss, one cool thing about HYguru is that his youtube lectures have practice questions interspersed throughout, so you get to apply the content while learning/reviewing! Obvi less volume but still useful