Help. Been months and I still have not gotten a score above 200...

most recent nbme 11: 178.

Beginning of the month took nbme 9 got 193.

I need to take comp by the end of this month, not sure how to get up to 214 in 4 weeks if i've been performing like this for over 6 months.

What I do: Uworld, CMS forms, write notes on incorrect answers which I occasionally review. I just feel like I can never remember everything. Fatigue is a huge thing. Taking a month off from electives to study for this so any advice on how to pass by the end of the month???