honestly i think 4th year was quite chill, im not sure about other unis, but i went to aston, and instead long projects (dissertation) , we could also choose from short projects or elective modules... so i enjoyed picking electives as the assesment legit was to make a patient infomation leaflet, and another assesment a 3000 word essay.
My whole year was online, so most of the time i could rewatch all recorded sessions and learn at my own pace. There was plenty of time to prepare for exams and catch up and recap knowlegde from 1st,2nd 3rd year too...
final year will only be difficult if you dont have a strict routine and discipline, so try not to oversleep on live online lectures, and treat the degree as a fulltime job, since it is full time course...
Obvs i dont mean do 9-5 of revision everyday, but u get what i mean, the hours and consistency are KEY to success in final year.
Also with essays/assignments, try do drafts as soon as, ask a couple lecturers to proof read before everyone starts bombarding them with emails, take advantage of the staff in final year whilst ya can!