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.

  • Perform brief root-cause analysis (5 Whys or fishbone).
  • Add verification criteria: how you’ll confirm it’s fixed.
  • Sign off once verification is complete and record the completion date.
  • 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 Phase 1 Form 107 is a practice exam from the NBOME designed to help students prepare for the COMLEX-USA licensing exams, featuring 176 items covering topics like pharmacology, neurology, OMM, and ethics [NBOME]. Student feedback suggests the exam is generally straightforward, with a focus on specific, high-yield areas such as Type 2 Diabetes management and biostatistics [Reddit, Stuvia]. To learn more about the exam structure and to access sample questions, visit the official 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

    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

    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

    As noted, 107 underpredicts dramatically. One student on a popular forum reported: “COMSAE 107: 430 → Real COMLEX: 594.” Another: “107: 390 → COMLEX: 521.” Do not cancel your exam based solely on a single 107 score if your other metrics (TrueLearn average, COMSAE 105) are solid.