Based on student surveys and NBOME blueprints, here is how Form 107 compares to the real deal.
| Category | COMSAE Form 107 | Real COMLEX Level 1 | | :--- | :--- | :--- | | OMM | High focus on sacral diagnoses, Chapman’s points, and viscerosomatics (levels of facilitation). | Broad coverage, but more emphasis on muscle energy, HVLA, and counterstrain. | | Microbiology | Heavy on Gram-positive cocci (Staph/Strep) and antibiotics mechanisms. | More parasitology and fungal questions than expected. | | Biostatistics | Straightforward (NNT, ARR, sensitivity/specificity). | Slightly more convoluted study design questions. | | Ethics | Obvious answers (do not lie, get consent). | Subtle nuances regarding state laws and mandatory reporting. | | Image Quality | Dark, sometimes difficult to interpret X-rays/CTs. | Slightly improved, but still not great. | | Stem Length | Short-medium (most are 3-6 sentences). | Can be longer with more "distractor" labs. |
Key Insight: Students often report that COMSAE 107’s OMM section is harder and more abstract than the actual COMLEX. Conversely, the pharmacology on the real COMLEX is often considered more straightforward than Form 107.
If you are a medical student in the Doctor of Osteopathic Medicine (DO) program, you have likely heard the acronym COMSAE whispered in tones ranging from mild annoyance to outright panic. Among the various forms released by the NBOME (National Board of Osteopathic Medical Examiners), COMSAE Form 107 occupies a unique and often controversial space. comsae form 107
Is it an accurate predictor of your COMLEX-USA Level 1 score? Is it harder than the real exam? How should you use it in your dedicated study period?
In this guide, we will dissect everything you need to know about COMSAE Form 107, including its format, question style, typical score correlations, common pitfalls, and exactly how to review it for maximum yield.
Earlier forms (102, 103) frequently asked straightforward OMM treatment questions (e.g., "Which technique treats a Type I somatic dysfunction?"). Form 107 focuses on diagnosis through motion testing—think Fryette’s principles in complex clinical scenarios. You’ll see questions like: “Patient has sidebending left with rotation left at L2. Which seated treatment position facilitates this segment?” This requires two steps: diagnose the dysfunction type, then apply biomechanics. Based on student surveys and NBOME blueprints, here
If you are an osteopathic medical student preparing for the COMLEX-USA Level 1, you have likely heard the whispers: “Form 107 is the hardest one.” Or, “Form 107 underpredicts everyone.” Maybe you’ve even seen a confusing score report that left you questioning your entire study plan.
Understanding COMSAE Form 107 is no longer optional—it is a critical strategic move in your board preparation. This article will dissect everything you need to know: what Form 107 tests, how it compares to other COMSAE forms (102, 103, 105, 106, 108, 109, 110), its predictive accuracy for actual COMLEX scores, common pitfalls, and how to leverage your results to pass—and excel—on test day.
When you finish Form 107, you receive a score report broken down by: If you are a medical student in the
COMSAE (Comprehensive Osteopathic Medical Self-Assessment Examination) is a series of practice exams designed by the NBOME to simulate the content, difficulty, and interface of the COMLEX-USA exams. Form 107 is one of the newer iterations in the "Phase 2" series of assessments, typically intended for students preparing for COMLEX Level 1.
Unlike older forms (such as 101, 102, or 103), Form 107 was released to reflect changes in the COMLEX blueprint, including an increased emphasis on clinical presentation, patient safety, and osteopathic principles. It is a 352-question exam broken into four 88-question blocks, and you are given 4 hours to complete the entire exam (typically 60 minutes per block, though timing can vary based on accommodation).
If you missed 10 micro questions, spend the next two days doing micro flashcards and UWorld micro questions. Do not review everything; review only your weak zones.
How does 107 stack up against its siblings?
Recommendation: Take Form 107 first (week 1 of dedicated). Take Form 108 or 110 three weeks later to gauge improvement.