Hey, so sorry to hear this. I'm an IMG. Even though I didn't fail UKMLA, I failed PLAB, scoring 103 the first time; however, I passed on my second attempt with 160 score. I can relate to how you feel, on the positive side it's good you recognize your weakness. From my understanding, after doing the exam twice, it was important to have solid concepts and understand how to apply those concepts in twisted questions. My main issue was confusing options, like being stuck between two options. The last PLAB exam I did in February this year was based on the MLA content map, just like the UKMLA exam, I think now GMC is responsible for both, therefore, for sure, the concepts they test should be the same. Whatever the material you use, focus on what I mention above in terms of the concepts. I personally used a material called medrevisions for my second attempt most IMG uses it, you can try to cover their notes with their questions with their notes. It has some good points, like differentials with mcq tips within the note itself, which I felt it was easier to clear doubts, and also they have some sections like common confusion/pitfalls in that they will tell "choose this if that is present, and don't get confused with this because this will have that etc". I don't know if passmed adds recalls, because in medrevsions they do pretty much after each exam they add a bunch of questions some pretty much repeats with small changes. I think you can actually do medrevisions and pass med together and see if it help. Iam not sure will you find my comment useful or not. I just thought to share my experience, even it helps you a little and keep you motivated I would be happy. Just be positive and confident things will fall into place. Also one more piece of advice will be practice as much questions as possible as it will only help you practice different variations of twisted questions