Before you purchase and sit for this 4-hour marathon, understand what you are getting into.
As an osteopathic diagnostic exam, OMM is heavily integrated across all clinical presentations. COMSAE Examination Format - NBOME
A: Many schools use Form 107 or 108 as their "gateway" exam. Check with your administration. If they use 107, you absolutely must treat it like a final exam. comsae form 107
Because Form 107 has dense clinical vignettes, many students run out of time. If you found yourself rushing through the last 30 questions, you have a pacing problem. On the real COMLEX, you have about 1.3 minutes per question. Practice cutting your loss on a question after 90 seconds.
This is your primary diagnostic. Take it under strict exam conditions. No music. No pausing. No phone. Your raw score on Form 107 at this point is your "worst case scenario." If you score below 400, you are in the red zone. If you score 450-500, you are on track. Before you purchase and sit for this 4-hour
It is a near-universal experience to finish COMSAE Form 107 and feel like you failed. The questions are long. The answer choices are ambiguous. You will likely flag 40-50 questions for review. This is normal. The curve on Form 107 is generous. Many students leave thinking they scored a 320, only to see a 480.
Older forms often tested OMM in isolation: "What is the diagnosis of this somatic dysfunction?" Form 107 integrates OMM into medical scenarios. You might get a patient with chronic low back pain and asthma, and you must know which OMM technique (rib raising, Still technique, HVLA) is contraindicated or indicated given the comorbidity. Check with your administration
Do not burn Form 107 yet. Use an older form to get used to the software.
Historically, COMSAE forms did not provide answer keys, leaving students blind to their explicit errors. However, the NBOME provides answer keys exclusively for self-purchased forms via the student portal. Institutional forms bought and proctored directly by medical schools still omit the answer keys. High-Yield Clinical Focus Areas