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is a Comprehensive Osteopathic Medical Self-Assessment Examination (COMSAE) primarily used by students preparing for the COMLEX-USA Level 2-CE (Phase 2) [1, 5, 20]. It is designed by the NBOME to gauge a candidate's readiness and knowledge base before the official licensure exam [6, 17]. Core Content Areas
COMSAE scores range from 100 to 800. The NBOME defines the passing standard for Level 1 as a three-digit score of . However, because practice exams have a margin of error, most medical schools require a buffer zone:
Since you cannot see the exact questions you missed, use the visual bars on your Score Report to categorize subjects into three priority tiers: 🔴 Tier 1: Critical Weaknesses (Scores in the "Low" band) Subject A (e.g., OMM/Neuromusculoskeletal): comsae form 108
High-yield bugs, mechanisms of resistance, and vaccine schedules.
Highly integrated with OMT anatomy.
Focuses heavily on physiology, pathology, and autonomic innervation.
COMSAE does not have an official passing score. Instead, the NBOME provides performance levels: below 400 is considered "Lower," 400-649 is "Average," and above 649 is "Higher". Many medical schools require a score of 450 or higher to permit students to sit for COMLEX. The NBOME defines the passing standard for Level
Respiratory System (e.g., NRDS diagnosis, pulmonary embolism findings) [3, 8]. Circulatory and Hematologic Systems [3].
He was hallucinating. That was the effect of Form 108. It stripped away your confidence until you were a raw nerve, guessing between 'C' and 'D' not because you knew the answer, but because 'C' looked friendlier. but because 'C' looked friendlier.
COMSAE Form 108 remains an indispensable element of the osteopathic medical student’s toolkit. It bridges the gap between theoretical knowledge and the practical reality of a timed, high-pressure licensing exam. While no practice test can perfectly predict the future, Form 108 offers a comprehensive snapshot of a student’s standing, highlighting both their clinical mastery and their command of osteopathic principles. For the student navigating the "dedicated" study period, it is a vital compass pointing the way toward professional licensure. or see a breakdown of how to interpret your three-digit score