The (Comprehensive Osteopathic Medical Self-Assessment Examination) is a critical tool for osteopathic medical students preparing for the COMLEX-USA Level 1 exam. Developed by the National Board of Osteopathic Medical Examiners (NBOME) , this specific form is designed to simulate the format, content, and difficulty of the actual board exam, allowing students to assess their readiness.
According to NBOME data, a COMSAE score provides a strong indicator of passing the real COMLEX: COMSAE Score Predicted Probability of Passing COMLEX 450 500+
Form 107 consists of 4 sections of 44 questions each. You are given a total of 4 hours, averaging roughly 1 minute and 21 seconds per question. Because the stems can be confusing, do not get bogged down. If a question leaves you blank, flag it, pick a placeholder answer, and move on. Interpreting Your Score Report
Released by the NBOME as a self-assessment tool, Form 107 occupies a strange, twilight zone in the board prep ecosystem. It is not the beast itself (the real COMLEX), nor is it the polished, third-party product (think TrueLearn or UWorld). It is something rawer—a diagnostic scalpel designed to cut through the noise of your Anki reviews and Sketchy videos. comsae form 107
(Invoking related search suggestions...)
"Form 107 felt like they purposely picked the most random OMM facts. Real COMLEX OMM was much more clinical. I saw three counterstrain points on the real thing, none on 107." –
| Category | COMSAE Form 107 | Real COMLEX Level 1 | | :--- | :--- | :--- | | | High focus on sacral diagnoses, Chapman’s points, and viscerosomatics (levels of facilitation). | Broad coverage, but more emphasis on muscle energy, HVLA, and counterstrain. | | Microbiology | Heavy on Gram-positive cocci (Staph/Strep) and antibiotics mechanisms. | More parasitology and fungal questions than expected. | | Biostatistics | Straightforward (NNT, ARR, sensitivity/specificity). | Slightly more convoluted study design questions. | | Ethics | Obvious answers (do not lie, get consent). | Subtle nuances regarding state laws and mandatory reporting. | | Image Quality | Dark, sometimes difficult to interpret X-rays/CTs. | Slightly improved, but still not great. | | Stem Length | Short-medium (most are 3-6 sentences). | Can be longer with more "distractor" labs. | You are given a total of 4 hours,
: Students frequently report a high volume of questions on brain lesions and neuroanatomy. Osteopathic Principles (OMM)
Background: Routine inspection after reported inventory discrepancies on 2026-03-20.
In this post, we’ll break down what makes Form 107 unique, how to interpret your score, and how to integrate it into your dedicated study period. What is COMSAE Form 107? Interpreting Your Score Report Released by the NBOME
The NBOME emphasizes that the COMSAE is intended for self-assessment and caution should be exercised when using it to predict future COMLEX scores. Think of it as a diagnostic tool, not a crystal ball.
: As of February 2024, individually purchased COMSAE forms now include an answer key in the score report, allowing students to see which questions they got right or wrong. Performance Levels
The biggest mistake students make with Form 107 is treating it as a "one and done" score. Because there are no explanations provided, many students simply look at their three-digit number and move on. To truly benefit, you must manually go through the sub-score report. If your "Respiratory System" or "Preventive Medicine" bars are low, that is your roadmap for the following week of study. Final Thoughts
This is the $64,000 question. According to the NBOME, COMSAE scores have a "moderate to high" correlation with actual COMLEX performance. However, anecdotal evidence from medical students suggests that your real score by 10-15 points.