COMSAE Phase 1 Form 107 is a 176-question, four-section self-assessment from the NBOME designed to evaluate readiness for the COMLEX-USA Level 1 exam. It aligns with the COMLEX-USA Blueprint, frequently testing OMM, pathology, and metabolic topics, and provides score reports without an official passing standard. For full details on the exam format, visit NBOME. COMSAE Examination Format - NBOME
The Comprehensive Osteopathic Medical Self-Assessment Examination (COMSAE) Phase 1, Form 107, is a self-assessment tool designed to help students gauge their readiness for the COMLEX-USA Level 1. Exam Structure & Scoring
Format: The exam consists of 176 multiple-choice questions. These are typically divided into four sections of 44 questions each.
Score Interpretation: Performance is reported as a numerical score, generally categorized into three levels: Higher Performance: Greater than 649. Average Performance: 400–649. Lower Performance: Less than 400. Student Feedback & Preparation
Medical students often discuss Form 107 in comparison to other available forms:
Difficulty: Some students on community forums like Reddit have described Form 107 as having a distinct question style that may feel different from standard board prep materials.
Study Resources: High-yield resources frequently recommended for these self-assessments include Dirty Medicine for OMT and COMQUEST or COMBANK to better match the specific question phrasing used by the NBOME. Accessing Results
Scores and graphical performance reports are typically available on the NBOME's official portal immediately after completing a non-proctored self-assessment. COMSAE Scoring & Reporting - NBOME
COMSAE Form 107 is a common practice examination used by osteopathic medical students to prepare for the COMLEX-USA Level 1
. It is often described as one of the "easier" or more "balanced" forms compared to other versions like 110 or 112. Content and Difficulty
Form 107 is known for specific high-yield concentrations that distinguish it from other forms: Neuroanatomy Focus comsae form 107
: Students frequently report a high volume of questions on brain lesions and neuroanatomy. Osteopathic Principles (OMM)
: While all COMSAEs include OMM, students find this form to have a significant focus on viscerosomatics and innominate rotations. Specific High-Yield Topics : Notable topics reported in recent updates include sulfasalazine for inflammatory diseases, pulmonary effects, and
side effects (the "3 Cs": convulsions, coma, cardiotoxicity). Difficulty Ranking
: It is generally considered easier than Form 110 or 112. Some students use it as a baseline assessment early in their dedicated study period. Scoring and Prediction NBOME scoring system categorizes results into three levels: : Less than 400 : 400–649 : Greater than 649 COMSAE Scoring & Reporting - NBOME
COMSAE Form 107 is a 176-question self-assessment examination designed by the NBOME to gauge student readiness for the COMLEX-USA Level 1 or Level 2-CE, depending on whether the Phase 1 or Phase 2 version is utilized. While the NBOME explicitly states it is not an exact score predictor, it is widely used to identify knowledge gaps and determine the likelihood of passing the actual boards. Core Content & High-Yield Focus
Based on student feedback and performance summaries, Form 107 frequently features specific "high-yield" clusters:
Musculoskeletal & OMM: Heavily emphasizes sacrum and ilium dysfunctions (e.g., anterior innominate rotation), cranial techniques, and the distinction between direct vs. indirect OMM.
Toxicology: Frequent questions on heavy metal exposure, specifically lead, arsenic, benzene, and mercury presentations.
Pharmacology: Includes detailed mechanics of DMARDs (like sulfasalazine), anti-diabetic agents (SGLT2 inhibitors and GLP-1 analogs), and the side effect profiles of TCAs (e.g., imipramine's "Tri-C" effects).
Ethics & Public Health: Focuses on informed consent, advanced directives, malpractice requirements, and the VFC vaccination program. COMSAE Phase 1 Form 107 is a 176-question,
Specialties: Often noted for a heavy presence of Pediatrics (developmental milestones, vaccines) and OBGYN. Examination Structure
The exam is structured to mimic the standard COMSAE Phase 1 Format:
Item Count: 176 single-best-answer multiple-choice questions.
Sections: Divided into four distinct blocks of 44 questions each.
Media: Includes static images and potentially one or more video-based questions requiring headphones. Predictive Utility & Benchmarking COMSAE - NBOME
COMSAE Form 107 Phase 1 practice examination used by osteopathic medical students to prepare for the COMLEX-USA Level 1 Key Insights from Student Experiences
Many students find Form 107 particularly challenging due to the "vagueness" of its questions. Reports on community forums like Reddit's COMLEX community Difficulty Level
: Some students have noted that a significant portion of their class failed to hit school-mandated benchmarks (such as a score of 450) on this specific form. Predictive Value : While the
provides numerical scores, these are often viewed as performance indicators rather than exact predictors of your final COMLEX score. Scoring Benchmarks : A score of 400 or higher
is generally considered a "passing" threshold associated with a high likelihood of passing the actual COMLEX. Preparation Tips The Action Plan Recap:
If you are struggling with Form 107, common advice includes: Diversifying Resources
: Moving beyond standard "UFAP" (UWorld, First Aid, Pathoma) to include Dirty Medicine
to better adjust to the specific style of osteopathic questioning. Timed Practice
The COMSAE (Comprehensive Osteopathic Medical Self-Assessment Examination) Form 107 is a common self-assessment tool used by osteopathic medical students to gauge their readiness for the COMLEX-USA Level 1 exam. While there is no single "official paper" released by the NBOME, students typically utilize high-yield review sheets and community-sourced resources to study for this specific form. Key Study Resources for Form 107
Flashcard Decks: Many students use community-driven decks like Quizlet's COMSAE 107 cards which cover high-yield topics found on the exam, such as arteriovenous malformations (AVM), Meckel's diverticulum, and Hashimoto's thyroiditis.
High-Yield Review PDF: Students often refer to the "Mehlman Medical" PDFs, specifically the HY Neuroanatomy and other system-based reviews, which are frequently cited as helpful for these assessments.
Predictive Value Research: Academic studies published in journals like the Journal of the American Osteopathic Association indicate that COMSAE performance is one of the strongest predictors of success on the actual COMLEX Level 1. High-Yield Topics Frequently Encountered
Based on student feedback and review materials, you should focus on:
Pathology: Distinguishing between UMN vs. LMN lesions, and identifying ectopic tissues (e.g., gastric tissue in Meckel’s).
Osteopathic Manipulative Medicine (OMM): Standard COMSAE exams heavily weight viscerosomatic reflexes and Chapman points.
Microbiology/Immunology: Specific antibodies in autoimmune conditions like Hashimoto's (anti-TPO) and hepatitis B surface markers. Comsae 107 Flashcards - Quizlet