Stop reviewing wrong answers for content — review them for the decision point you missed
Most people's wrong answer review looks like this: read the explanation, understand why the right answer is correct, move on.
The problem is that process tells you nothing about what actually went wrong in your reasoning. You already knew the content half the time. The failure was earlier — in how you read the question.
What actually helps:
Before reading the explanation, write one sentence: "I chose X because I thought the question was asking about ___"
That sentence almost always reveals the real error. Either you misidentified what was being tested, anchored on the wrong finding, or picked an answer that would be correct in a slightly different clinical context.
The explanation then becomes useful — not because it teaches you new content but because it confirms exactly where the read broke down.
After two weeks of doing this you'll notice you make the same 2-3 reasoning errors repeatedly. Fix those and your accuracy jumps more than any content review will.