is generally considered a "passing" threshold associated with a high likelihood of passing the actual COMLEX. Preparation Tips
It is important to remember that COMSAE scores are often "predictive" but not definitive. Many students see a 50 to 100-point jump between their COMSAE and their actual COMLEX-USA Level 1 score, provided they use the feedback from the assessment to bridge their knowledge gaps. Final Thoughts
side effects (the "3 Cs": convulsions, coma, cardiotoxicity). Difficulty Ranking
Pathophysiology, pharmacology, microbiology, anatomy, and biochemistry. comsae form 107
OMM and Musculoskeletal: Expect a heavy emphasis on Chapman’s points, Viscerosomatics, and Sacral diagnosis. Form 107 often tests the "rules of threes" for thoracic vertebrae and specific counterstrain positions. Mastering the autonomic nervous system levels for different organs is essential for scoring well in this section.
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.
Form 107 is available for individual student purchase through the NBOME Portal, typically at a cost of approximately $60 per form. Many osteopathic medical schools also purchase COMSAE forms in bulk to administer to their students as required or recommended practice examinations. Final Thoughts side effects (the "3 Cs": convulsions,
"I scored a 430 on COMSAE 107 two weeks before COMLEX. I almost cancelled. I ended up scoring a 512 on the real thing. Don't let 107 psych you out." –
If you are currently preparing to take Form 107, let me know before your exam date, your most recent practice scores , and which specific OMM or system topics you find most challenging so we can map out a targeted study plan. Share public link
: Moving beyond standard "UFAP" (UWorld, First Aid, Pathoma) to include Dirty Medicine Form 107 often tests the "rules of threes"
The exam is structured to mimic the standard COMSAE Phase 1 Format :
Failing (score <400) is stressful, but it is not the end of your medical career. In fact, it is a warning shot you can use to your advantage.
Based on student recalls, these topics appear disproportionately on Form 107:
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.