• Skin Cancer:

    • When to take it: Ideally 3–4 weeks before your COMLEX Level 1 date, after completing one pass of a Q-bank (e.g., TrueLearn, Combank) and reviewing OMT.

    Score interpretation:

    Post-exam review: NBOME provides a breakdown by system and competency. Do not just look at the score—analyze every OMM question you missed. Students often lose points on simple viscerosomatic reflex tables.

    Form 108 follows the same content blueprint as COMLEX-USA Level 1, emphasizing:

    Form 108 is not “harder” or “easier” than other forms; rather, it is equated to maintain consistent scoring standards across versions.

    1. Osteopathic Manipulative Medicine (OMM) – ~20-25%

    2. Microbiology & Immunology – ~15%

    3. Biostatistics & Epidemiology – ~8-10%

    4. Ethics & Law – ~5%

    5. Pathology & Systems – ~40%

    6. OMM/Pathology Integration (The "COMLEX Twist") Example: A 45-year-old with chronic GERD presents with T6-8 tenderness. What is the most likely Chapman's point finding? (Answer: Anterior midline between xiphoid and umbilicus).

    | Feature | Form 105 | Form 106 | Form 107 | Form 108 | Form 109 | Form 110 | |---------|----------|----------|----------|--------------|----------|----------| | Relative Difficulty | Baseline | Slightly harder | Moderate | Equated | Newer | Newest | | Predictive validity | Older data | Older data | Updated | Current | Emerging | Emerging | | School requirement frequency | Low | Low | Medium | High | Medium | Low |

    Note: As of recent academic cycles (2023–2025), Form 108 is among the most commonly mandated by osteopathic medical schools for COMLEX Level 1 eligibility.

    COMSAE Form 108 is a must-take for any DO student serious about passing Level 1 on the first attempt. It is not a standalone study tool, but rather a diagnostic mirror reflecting your readiness. Use it to identify weak OMT concepts, practice pacing, and build confidence. Pair it with a thorough review of the Savarese OMT review book and a daily Q-bank routine, and you will walk into COMLEX with a clear sense of where you stand.

    Disclaimer: COMSAE forms and COMLEX are property of the NBOME. Predictive accuracy varies by student. Always consult your school’s academic advisors.

    The COMSAE Phase 1 Form 108 is a standardized self-assessment examination designed by the National Board of Osteopathic Medical Examiners (NBOME) to help osteopathic medical students gauge their readiness for the COMLEX-USA Level 1 licensure exam. Exam Structure and Format Total Items: Form 108 typically consists of 176 items.

    Sections: The exam is divided into four sections, with each section containing 44 questions.

    Format: All questions are in a single-best-answer, multiple-choice format.

    Media: Some items may include images, visual exhibits, or videos. Content Coverage

    The content of Form 108 is aligned with the COMLEX-USA Level 1 blueprint and is based on two primary dimensions:

    Dimension 1 (Competency Domains): Covers seven categories of foundational competency in osteopathic medicine.

    Dimension 2 (Clinical Presentations): Covers ten categories focused on clinical scenarios and patient presentations.

    Core Topics: Questions test foundational biomedical sciences and Osteopathic Principles and Practice (OPP). Key Characteristics

    Self-Assessment Only: COMSAE forms, including 108, are intended for self-evaluation and are not designed to be official score predictors, though many students use them to estimate their COMLEX performance.

    Scoring Feedback: While it provides a numerical score, COMSAE generally does not provide correct answers or explanations for the questions, making it more of a "gauge" than a primary learning tool.

    Correlation: Recent studies show a strong positive correlation (

    ) between COMSAE Phase 1 performance and actual COMLEX Level 1 results.

    For more specific information on registration or accessing these forms, you can visit the NBOME COMSAE Phase 1 page. COMSAE Exam Guide: Structure, Scoring, Phases & Study Tips

    The COMSAE Phase 2 Form 108 is a 160-item, 4-hour self-assessment for the COMLEX-USA Level 2-CE, covering clinical sciences and Osteopathic Principles and Practice. Student feedback indicates Form 108 may have a harsh grading scale and shorter question stems compared to the actual exam, with scores above 450 often considered a passing benchmark. For more insights, read the discussion at COMSAE Examination Format - NBOME

    The COMSAE Form 108 is a 176-question self-assessment exam designed by the

    to help osteopathic students prepare for COMLEX Level 1 or Level 2-CE. It covers standard blueprint topics such as OMM, musculoskeletal, and nervous systems, with recent updates providing answer keys for individually purchased exams. Learn more about the exam at NBOME. COMSAE Phase 2 - NBOME