The fluorescent light above station four flickered with a rhythmic, buzzing impatience, mirroring the pulse behind Dr. Elias Thorne’s eyes. He sat in a hard, plastic chair that seemed designed to impede circulation, staring at the packet in front of him.
Subject: COMSAE Form 107.
It wasn’t just a test; it was a rite of passage, a crucible of fire that stood between his third-year chaos and the glimmering horizon of residency. The room was silent, save for the scuffing of sneakers on linoleum and the collective, shallow breathing of fifty medical students all wondering if they had studied the right brachial plexus pathways.
Elias cracked his knuckles—a nervous habit his study partner, Sarah, hated—and opened the booklet.
Phase 1: The False Confidence The first ten questions were a siren song. They were straightforward: Mechanism of action of ACE inhibitors? Easy. The anatomical landmark for a lumbar puncture? Child’s play. Elias felt a surge of adrenaline. He had this. He had spent three weeks in the library, surviving on stale popcorn and caffeine, living by the mantra, "Trust your first instinct."
He bubbled in answers with a swagger, the pencil lead dark and decisive. Form 107 was rumored to be a "fair" form, a balanced exam. He began to think the rumors were true.
Phase 2: The Descent Then came Question 42.
Elias stopped mid-bubble. The question stem was a paragraph of dense text describing a patient with fatigue, bruising, and a perplexing lab value. He read it once. He read it twice. He looked at the options. A) A rare genetic disorder he vaguely recalled from a slide deck at 2:00 AM three months ago. B) A vitamin deficiency. C) An autoimmune condition. D) "Wait, that's not even a real disease," he whispered to himself.
The confidence evaporated. The room suddenly felt smaller. The flickering light above him seemed to intensify. This was the "COMSAE Twist." Just when you felt safe, the exam tested your ability to distinguish between two answers that were both technically correct, but one was more correct based on an obscure piece of trivia buried in the First Aid book he had highlighted but never actually memorized.
He stared at the patient's age in the vignette. 55 years old. Did that matter? It always mattered. In osteopathic medicine, the structural exam was king, but here, on Form 107, the questions demanded a synthesis of pathology and holistic wellness.
He chose B. He wanted to choose A. He second-guessed himself. He erased B, leaving a smudge of graphite that looked like a bruise. He marked A.
Phase 3: The "Osteopathic" Labyrinth Section two was the minefield. This was where COMSAE Form 107 distinguished itself from its USMLE cousins. It wasn't enough to know the pathology; one had to know the somatic dysfunction.
A patient presents with right shoulder pain. Examination reveals a Chapman’s point on the right...
Elias closed his eyes, visualizing the Chapman's reflex points chart he had tacked to his bathroom mirror. He tried to recall the lymphatic drainage. He could see the chart in his mind's eye, but the ink was fading. He rubbed his temples. The "Osteopathic Manipulative Treatment" (OMT) questions were notorious for being either ridiculously easy or impossibly granular.
He felt the phantom weight of his stethoscope around his neck. He remembered the cadavers, the smell of formaldehyde, the solemnity of the anatomy lab. He wasn't just a student taking a test; he was a future physician trying to decide if a patient needed a muscle energy technique or a high-velocity, low-amplitude thrust.
He drew a diagram in the margin of the scratch paper. It looked like a potato with legs. He deciphered his own scribbles, reasoned through the biomechanics, and bubbled in the answer.
Phase 4: The Sprint The proctor called out, "One hour remaining."
A collective groan rippled through the room, quickly silenced by the stern look of the proctor. Elias looked at his answer sheet. He was on question 150 of 176. The easy questions were gone. Now it was a blur of pediatric milestones, psychiatric criteria, and obscure fungal infections.
His stomach growled, a loud roar in the quiet room that made his cheeks burn. He ignored it. He was in the zone now, operating on pure instinct and adrenaline. He was no longer overthinking. He was parsing the language of the test writers, recognizing the patterns of distractors.
Femoral nerve injury? No, the sensation is preserved. It must be the obturator.
Staph aureus or Strep pyogenes? The clue is the golden crust.
He finished with seven minutes to spare. He went back to Question 42. He looked at the smudge. He looked at option A. He thought about the patient in the vignette, a hypothetical person relying on him for a diagnosis. He kept A.
The Aftermath "Time. Pencils down. Close your booklets."
The silence broke. The tension rushed out of the room like air from a balloon. Students stretched, groaned, and began the post-game analysis in
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 Phase 1 Form 107 is a 176-question, NBOME-administered self-assessment for COMLEX-USA Level 1, often perceived as an easier, predictive exam compared to newer forms. It focuses on foundational biomedical sciences, OMM, and PEDs/OBGYN, with scores below 400 indicating a high risk of failing the actual board exam. For more information, visit NBOME.
COMSAE Form 107 is a Phase 1 self-assessment examination designed to gauge your readiness for the COMLEX-USA Level 1 . It consists of 176 questions divided into four sections of 44 questions each, with a time limit. Performance & Scoring A score of 400 or higher
is generally associated with a high likelihood of passing the COMLEX-USA Level 1. MSU Osteopathic Medicine Lower Performance: Less than 400. Average Performance: 400–649. Higher Performance: Greater than 649. Exam Focus & Content
Form 107 is frequently used by medical schools as a baseline or "readiness" exam. Key areas often tested on this form include: COMSAE Scoring & Reporting - NBOME
Master the COMLEX-USA: A Deep Dive into COMSAE Phase 1 Form 107
Preparing for the COMLEX-USA Level 1 is a rite of passage for every osteopathic medical student. Among the various study tools available, the
Comprehensive Osteopathic Medical Self-Assessment Examination (COMSAE)
stands out as the gold standard for gauging readiness. Specifically,
has become a focal point for students looking to simulate the real exam environment.
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?
COMSAE Phase 1 Form 107 is one of several self-assessment exams provided by the National Board of Osteopathic Medical Examiners (NBOME)
. It is designed to mirror the format, timing, and content blueprint of the actual COMLEX-USA Level 1.
Unlike older forms, Form 107 is part of the updated pool of assessments that reflect the current emphasis on clinical reasoning osteopathic principles and practice (OPP) Key Features of Form 107 Question Style:
Expect a heavy emphasis on "next step in management" and "most likely diagnosis" questions. OPP Integration:
True to the COMLEX, Form 107 integrates Osteopathic Manipulative Medicine (OMM) across various organ systems, rather than isolating it.
It consists of 176 questions divided into four sections, giving you a realistic feel for the stamina required on test day. Why Take Form 107?
Many students ask, "Is Form 107 harder than the real thing?" While difficulty is subjective, Form 107 is widely regarded as a highly predictive Benchmarking:
It provides a three-digit score that correlates to the COMLEX scale. This helps you decide if you are ready to sit for the exam or if you need to push your date back. Identifying Weaknesses:
The score report breaks down your performance by discipline (e.g., Microbiology, Pharmacology) and organ system, allowing for "surgical" revision of your weak spots. Anxiety Reduction:
Familiarity with the NBOME interface reduces "platform shock" on the actual exam day. How to Interpret Your Score
The NBOME does not provide a formal "passing" score for COMSAEs, as they are self-assessments. However, most schools use a benchmark: Score < 400:
This is often considered a "red zone." It suggests significant gaps in foundational knowledge. Score 400–450: The fluorescent light above station four flickered with
You are likely in the passing range but with a slim margin. More focused review is recommended. Score 500+:
This generally indicates a high level of readiness and a strong probability of passing the COMLEX-USA Level 1 with a comfortable cushion. Strategy: When to Take Form 107
Timing is everything. Most successful students take Form 107 roughly 2 to 3 weeks before their actual exam date If you take it too early:
You haven't covered enough material to get an accurate prediction. If you take it too late:
You won't have enough time to fix the weaknesses the exam uncovers. Final Thoughts
COMSAE Form 107 is more than just a practice test; it’s a diagnostic roadmap. Treat it like the real deal—sit in a quiet room, time yourself strictly, and don't look at your notes. The data you get back is only as good as the conditions under which you took the test. Are you currently prepping for COMLEX?
Tell us how your practice scores are trending in the comments below!
Disclaimer: This blog post is for informational purposes only. Please consult your school's academic advising office for official guidance on COMLEX readiness. frequently seen on Form 107?
COMSAE Phase 2 Form 107 is a 160-question practice exam used to gauge readiness for the COMLEX-USA Level 2-CE, with a focus on toxicology, pediatrics, biostatistics, OMM, and ethics. The assessment consists of four blocks and is often used by institutions to determine board eligibility, as noted in user discussions. For insights from other students, see the discussion on Reddit. COMSAE Examination Format - NBOME
Absolutely—but only if used correctly.
Think of Form 107 as your stress test. It is designed to feel harder than the real COMLEX. It will find your weaknesses, especially in OPP and clinical reasoning. A low score is not a verdict on your future; it is a roadmap for your final two weeks of study.
Do not make Form 107 your baseline COMSAE. If you take it before you finish 50% of UWorld or TrueLearn, you will likely score poorly and lose motivation.
Better strategy:
Here is a week-by-week approach to integrating Form 107 into your dedicated study period.
If you want, I can: generate a printable Form 107 template (PDF/Word layout), create a tracked spreadsheet for your team, or adapt this guide to a specific industry (e.g., IT, manufacturing, communications). Which would you like?
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
COMSAE Form 107 is a critical self-assessment tool used by osteopathic medical students to gauge readiness for the COMLEX-USA Level 1 (Phase 1) and Level 2-CE (Phase 2) examinations.
While the NBOME periodically updates forms, Form 107 is frequently used by medical schools as a "benchmark" or mandatory "gating" exam that students must pass (often with a score of 450+) before they are cleared to sit for the actual COMLEX. 📊 Quick Overview
Format: 176 items (Phase 1) or 160 items (Phase 2), divided into four equal blocks. Phase 1: Pre-Dedicated (8 weeks out)
Timing: Consistent with the real COMLEX-USA per-item timing (approx. 4 hours total).
Scoring: Results are provided as a three-digit standard score. Predictive Value: Scores correlate positively ( to ) with actual COMLEX performance. 💡 Content & High-Yield Topics
Students often report that Form 107 has a specific "flavor" compared to other forms like 110 or 112. Key topics frequently identified in recent 107 administrations include:
Neuro & MSK: Known for being relatively neuro-heavy, with questions on brain bleeds, cranial nerves, and muscle anatomy.
Reproductive: Specific focus on reproductive tumors, menopause, and associated hormones.
OMM: Standard viscerosomatic reflexes, Chapman points, and sacral/innominate rotations.
Professionalism & Law: Includes "vague" but high-yield questions on ethics, legal issues (e.g., suing/court scenarios), and biostatistics.
Infectious Disease: Reports of questions on Anthrax and standard pediatric infectious markers. 📈 Score Interpretation & Pass Probability
According to NBOME data, a COMSAE score provides a strong indicator of passing the real COMLEX: COMSAE Score Predicted Probability of Passing COMLEX 400 450 500+
Note: Form 107 is sometimes cited by students as being "easier" than newer forms like 112, but it can under-predict your actual score by 20–50 points depending on how far out you are from your test date.
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
Title: Decoding COMASAE Form 107: A Strategic Benchmark on the Path to COMLEX-USA Level 1
Introduction
The Comprehensive Osteopathic Medical Self-Assessment Examination (COMSAE) series, produced by the National Board of Osteopathic Medical Examiners (NBOME), serves as a critical formative assessment tool for osteopathic medical students. Among the various forms (e.g., 105, 106, 108, 109), COMSAE Form 107 occupies a specific niche, typically administered during the dedicated preparation period for COMLEX-USA Level 1. Unlike its counterparts that may be used for early preclinical benchmarking, Form 107 is widely regarded as a mid-to-late preparation exam designed to simulate the content, difficulty, and timing of the actual COMLEX. This paper provides an informative analysis of COMSAE Form 107, covering its structural characteristics, content emphasis, predictive validity, strategic uses, and inherent limitations.
Structural Characteristics
COMSAE Form 107 mirrors the core format of COMLEX Level 1. Key structural features include:
Content Emphasis and Distribution
Form 107 adheres to the COMLEX Level 1 content blueprint, with a distinct emphasis on osteopathic principles and clinical presentation. Key content areas include:
Strategic Use in Exam Preparation
COMSAE Form 107 is best employed as a mid- to late-dedicated study assessment (approximately 3-6 weeks before the target COMLEX date). Its optimal strategic uses include:
Predictive Validity and Limitations
Evidence from student surveys (e.g., via r/COMLEX and SDN forums) and NBOME technical reports suggests that COMSAE Form 107 has moderate positive predictive value for passing COMLEX Level 1.
Comparison with Other COMSAE Forms
Practical Recommendations for Students
Conclusion
COMSAE Form 107 is an indispensable formative tool for osteopathic medical students preparing for COMLEX Level 1. It effectively simulates the exam's length, interface, and content—especially the critical OPP section. When used strategically as a mid-dedicated assessment, it provides a reasonably predictive readiness score and highlights specific areas for last-minute improvement. However, students must recognize its limitations: it is a static, non-adaptive test that cannot fully replicate the variable difficulty of the actual COMLEX. Ultimately, Form 107 is most valuable not as a crystal ball but as a diagnostic roadmap—guiding targeted study and building the test-taking endurance needed for success on exam day.