Despite the NBOME‘s cautionary stance, research has demonstrated a statistically significant correlation between COMSAE Phase 1 scores and actual COMLEX-USA Level 1 performance. A peer-reviewed study published in 2021 found a between Phase 1 and Level 1 scores. The same study found that candidates’ Phase 1 scores increased by an average of 23.2 points from one attempt to the next.
| Score Range | What It Means | | :--- | :--- | | | High risk of failing Level 1. Postpone your exam. Focus on weak systems (micro, OMM, cardio). | | 400–450 | Borderline. You need 2–3 more weeks of dedicated. Prioritize OMM and biostatistics for quick points. | | 450–500 | Likely to pass Level 1, but not comfortably. Tighten up test-taking strategies. | | 500+ | You are in good shape. Keep reviewing weak areas but trust your prep. | | 550+ | Stop taking COMSAEs. Take the real exam within 10 days. |
Students can purchase this form independently through their NBOME account for self-evaluation. comsae form 107
COMSAE Form 107 casts a wide net across the preclinical medical curriculum, reflecting the comprehensive nature of COMLEX-USA Level 1. The examination covers tested on COMLEX Level 1, including pathology, pharmacology, microbiology, physiology, OMM, ethics, and clinical correlations.
Scope & Methodology: Reviewed armory logs (Jan–Mar 2026), conducted inventory, and interviewed armory NCO. | Score Range | What It Means |
: Vaccination schedules, developmental milestones, and pregnancy-related pathology. Osteopathic Manipulative Medicine (OMM)
Form 107 adheres to the COMLEX Level 1 content blueprint, with a distinct emphasis on osteopathic principles and clinical presentation. Key content areas include: | | 400–450 | Borderline
Osteopathic Manipulative Medicine (OMM): Form 107 typically includes a significant number of OMM questions. These focus on viscerosomatic reflexes, Chapman points, and treatment positioning for muscle energy and HVLA.
The NBOME offers multiple forms within each COMSAE phase. For Phase 1, available forms for student purchase include 107i, 110i, and 111i, all of which include answer keys. Additionally, "COM forms" such as ASA 113, ASA 114, ASA 115, and ASA 116 are available for institutional administration.
Because Form 107 is one of the most widely used forms, many schools administer it as a baseline assessment. Students preparing independently might consider taking multiple forms to assess readiness across different question styles and content emphases. As one Student Doctor Network contributor advised: “You would be doing yourself a disservice if you did not take all of the COMSAE‘s”.
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