Being on a clinical rotation while preparing for its shelf exam is a timing advantage most students under-use, mostly because clinical days leave little energy for a full study block.
Let patients you've seen anchor your review
When a practice question touches a presentation you saw on the wards that week, spend a little longer on it. The real patient encounter and the practice question reinforce each other more than either would alone.
Short blocks beat skipped days
A 20-question block after a long shift is more sustainable, and ultimately more effective, than planning a two-hour session that regularly gets skipped. Consistency matters more than session length.
Shift to mixed review in the final week
Spend most of the rotation on topic-specific sets tied to what you're seeing clinically, then switch to full mixed practice blocks in the final week to rebuild the exam-day experience of not knowing what's next.