Comsae Form 107 [work] May 2026

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

OMM (10-15 questions guaranteed)

  • Sacral diagnoses: L5 rotated vs. Sacral torsions (forward/backward).
  • Chapman’s points: What organ does the intercostal space at L2 correspond to? (Kidney).
  • Cranial rhythm: Which bones are palpated for the “vault hold”?

Real Student Experiences with Form 107 (Anonymized)

“I got a 412 on Form 107 two weeks before COMLEX. I was devastated. I reviewed everything I missed, especially OMM and micro. Real COMLEX: 532. That 107 was way harder.” – OMS-III comsae form 107

“Our school required a 450 on any COMSAE to sit for COMLEX. I took 107 and got a 390. Panic. Took 105 the next week – 480. Took 107 again after two weeks of studying (different version? Same number?) – 460. Real COMLEX: 489. So yes, it’s a harsh grader.” – OMS-II

“Don’t use 107 as your only assessment. I scored 80th percentile on TrueLearn, 85% on OMM practice tests, but 107 gave me a 440. It’s like they intentionally write vague stems. But the real COMLEX felt closer to 105 and TrueLearn.” – OMS-III

Do NOT use Form 107 to:

  • Predict your exact COMLEX score (add 10-15 points for a realistic estimate).
  • Guage your performance on clinical rotations (it is basic science heavy).
  • Compare yourself directly to MD students (they take NBMEs, which are different).

Microbiology

  • Beta-lactamase inhibitors: Amoxicillin-clavulanate (Coverage: MSSA, anaerobes).
  • Viral hepatitis: Serology (HBsAg vs. anti-HBc IgM).
  • Zoonotic diseases: Brucella, Tularemia, Lyme (know the vectors).

What to Do If You Fail COMSAE Form 107

Failing (score <400) is stressful, but it is not the end of your medical career. In fact, it is a warning shot you can use to your advantage.

Key Features:

  • Number of Questions: 352
  • Time Allotted: 4 hours (usually 1 hour per 88-question block)
  • Format: Multiple choice, single-best answer
  • Focus Areas: OMM (8-12%), Microbiology, Pharmacology, Ethics/Law, Biostatistics, and heavy clinical presentation.
  • Delivery: Online via the NBOME platform (exactly mimicking the real COMLEX interface).

Closing Thoughts

COMSAE Form 107 is a tool—nothing more, nothing less. It is not a crystal ball. It is a particularly sharp-edged tool that will cut through your complacency and expose your weak spots. Embrace the low score. Learn from the mistakes. Then, walk into your COMLEX with the quiet confidence that you have already survived the hardest practice exam the NBOME has to offer.

You’ve got this. Now go study Fryette’s laws.

Disclaimer: This article is based on student experiences and publicly available NBOME information. Predicting COMLEX scores is inherently variable. Always consult your academic advisor and the official NBOME guidelines for the most current passing standards.

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. Sacral diagnoses: L5 rotated vs

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.

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. Real Student Experiences with Form 107 (Anonymized)

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.

Title: COMSAE Form 107: The “Reality Check” You Need Before Level 1

Body:

If you are an OMS-II or OMS-III preparing for Level 1, you have likely heard the rumors about COMSAE Form 107. Is it hard? Is it predictive? Does it unfairly crush your confidence?

After taking it (and helping dozens of peers analyze their scores), here is the honest breakdown of what Form 107 actually is and how to use it effectively.