Comsae Form 107 ((top))

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

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

Comprehensive Guide to COMSAE Form 107 COMSAE Form 107 is a critical tool for osteopathic medical students preparing for the COMLEX-USA Level 1 licensing exam. Developed by the National Board of Osteopathic Medical Examiners (NBOME) , this self-assessment form is designed to mirror the content and format of the actual COMLEX-USA Phase 1 examination. What is COMSAE Form 107? The Comprehensive Osteopathic Medical Self-Assessment Examination (COMSAE) Phase 1 series, which includes Form 107, allows students to gauge their knowledge of foundational biomedical sciences and osteopathic principles. Structure : The exam consists of 176 items , divided into four sections of 44 questions each. Format : All questions are single-best-answer, multiple-choice format. Media : Some questions include images, visual exhibits, or videos. Availability : Students can purchase Form 107 through the NBOME Portal for approximately $60. High-Yield Content Focus Based on student feedback and review materials from sites like Stuvia , Form 107 often emphasizes specific clinical presentations and foundational concepts. Key areas typically covered include:

COMSAE Form 107: The Ultimate Breakdown, Strategy Guide, and Predictive Value for COMLEX-USA Level 1 If you are an osteopathic medical student preparing for the COMLEX-USA Level 1, you have likely heard the whispers: “Form 107 is the hardest one.” Or, “Form 107 underpredicts everyone.” Maybe you’ve even seen a confusing score report that left you questioning your entire study plan. Understanding COMSAE Form 107 is no longer optional—it is a critical strategic move in your board preparation. This article will dissect everything you need to know: what Form 107 tests, how it compares to other COMSAE forms (102, 103, 105, 106, 108, 109, 110), its predictive accuracy for actual COMLEX scores, common pitfalls, and how to leverage your results to pass—and excel—on test day. What Is a COMSAE? (A Quick Refresher) The Comprehensive Osteopathic Medical Self-Assessment Examination (COMSAE) is a series of practice exams produced by the NBOME (National Board of Osteopathic Medical Examiners). These are not the same as COMATs (subject exams) or the real COMLEX. COMSAEs are designed to simulate the length, style, and content of the COMLEX, with a heavy emphasis on osteopathic principles and practice (OPP), clinical presentation, and the unique "double-jump" logic of COMLEX questions. Medical schools typically require students to achieve a specific COMSAE score (often >450 or >400 depending on the school) before granting a "sitting ticket" for the actual COMLEX. Form 107 was introduced as a newer iteration, replacing older retired forms, and has quickly gained notoriety. COMSAE 107: Core Characteristics First, let's establish the baseline facts: comsae form 107

Number of Questions: Approximately 176 multiple-choice questions (varies slightly by administration). Time Allotment: 4 hours (same as a standard COMSAE block; the real COMLEX is longer). Scoring Scale: 200–800. A score of 400 is the recommended passing threshold for COMLEX Level 1 (though the actual passing standard is set annually by NBOME). Content Distribution: Approximately 20-25% Osteopathic Principles (including viscerosomatics, Chapman’s points, and OMM treatment plans). The remainder is split between systems-based medicine (Cardio, Pulm, GI, Renal, Neuro, MSK, etc.). Question Style: Clinical vignettes, often requiring a "next best step" or "most likely diagnosis." Expect videos (gait analysis, OMM techniques) and audio heart/lung sounds.

Why Form 107 Is Different (And Harder) Ask any group of third-year medical students which COMSAE felt the most demoralizing, and the answer is often Form 107 . Here’s why: 1. Heavy Emphasis on OMM Diagnosis Over Treatment Earlier forms (102, 103) frequently asked straightforward OMM treatment questions (e.g., "Which technique treats a Type I somatic dysfunction?"). Form 107 focuses on diagnosis through motion testing —think Fryette’s principles in complex clinical scenarios. You’ll see questions like: “Patient has sidebending left with rotation left at L2. Which seated treatment position facilitates this segment?” This requires two steps: diagnose the dysfunction type, then apply biomechanics. 2. Longer, More Ambiguous Vignettes Form 107 is notorious for lengthy patient histories with distracting lab values. Where Form 105 might give you classic presentation of appendicitis, Form 107 will add comorbidities, medications that affect the exam, and subtle physical findings. The answer choices are often very close (e.g., “CT abdomen” vs. “serial abdominal exams” vs. “diagnostic laparoscopy”). 3. High-Yield Viscerosomatics and Chapman’s Points While all COMSAEs test these, Form 107 drills them into obscure territory. You need to know not just that the gallbladder refers to T5-9, but that the anterior Chapman’s point for the gallbladder is the right 5th intercostal space. Expect to identify referred pain patterns from the spleen, kidney, and even fallopian tubes. 4. Minimal "Gimme" Questions Unlike older forms where 10-15 questions were simple fact recall (e.g., "What nerve innervates the diaphragm?"), Form 107 leans heavily into second-order and third-order thinking. Fact recall is assumed; the test asks you to apply that fact to a patient with five other problems. COMSAE 107 vs. Other Forms: The Predictive Value Debate One of the most common student searches is: “Which COMSAE is most predictive?” Based on student-reported data (from Reddit, SDN, and informal surveys), here is how Form 107 compares: | Form | Difficulty | Typical Over/Under Prediction | Best Used For | | :--- | :--- | :--- | :--- | | 102 | Moderate | Underpredicts by 20-30 points | Early baseline (4-6 months out) | | 103 | Moderate-Easy | Slight overprediction | Confidence booster | | 105 | Moderate | Most accurate (±15 points) | Mid-dedicated (2-3 weeks out) | | 106 | Hard | Underpredicts by 30-50 points | Stress inoculation (harder than real) | | 107 | Very Hard | Underpredicts by 40-60 points | Final month challenge test | | 108 | Moderate | Slight underpredict | Alternative to 105 | | 109 | Moderate-Hard | Varies | Newer; less data | | 110 | Moderate | Slight overprediction | End of dedicated | Key Takeaway: COMSAE Form 107 is widely reported to underpredict your real COMLEX score by a significant margin. It is not uncommon to score 440 on Form 107 and achieve 550+ on the actual exam. Do not let a low 107 score derail your confidence. How to Interpret Your COMSAE 107 Score Report When you finish Form 107, you receive a score report broken down by:

Total Score (200-800) Osteopathic Principles Systems (e.g., Cardiovascular, Respiratory, Renal) Patient Presentation (e.g., Fever, Pain, Weakness) Discipline (e.g., Pathology, Pharmacology, Microbiology) COMSAE Phase 2 Form 107 is a 160-question

The Critical Numbers

<350: High risk of failing COMLEX. You need a content overhaul. Delay your exam and focus on foundational sciences (Pathoma, SketchyMicro, First Aid for COMLEX). 350-400: Borderline. You have significant content gaps, particularly in OMM and high-yield systems. But remember—this is Form 107. Many students with a 380 pass the real COMLEX after 2 more weeks of focused review. 400-450: Likely to pass COMLEX, but not comfortably. Focus on test-taking strategy and weak systems. >450: Very likely to pass. Your score on 107 would likely translate to 500+ on COMLEX. Keep reviewing OMM and doing practice questions.

Warning: Do not use the percentage correct alone. COMSAE scales questions based on difficulty. Two students with 60% correct might score 50 points apart. Strategic Study Plan Using COMSAE Form 107 Here is a week-by-week approach to integrating Form 107 into your dedicated study period. Phase 1: Pre-Dedicated (8 weeks out) Score Interpretation : Performance is reported as a

Take: COMSAE Form 102 or 103 as a baseline. Goal: Establish a starting score (aim for >350). Study: TrueLearn COMLEX question bank (40-80 Qs/day), review OMM from Savarese or The Green Book.

Phase 2: Early Dedicated (4-5 weeks out)