COMSAE Form 107 is a 176-question, web-based self-assessment exam designed to mimic the style, timing, and interface of the COMLEX-USA Level 1. The exam is divided into 4 sections of 44 questions each. Medical schools use Form 107 for two primary purposes:
COMSAE questions are notorious for being shorter and occasionally more ambiguous than NBME questions. You must learn to pick out the single most defining feature of the vignette.
: Some students have noted that a significant portion of their class failed to hit school-mandated benchmarks (such as a score of 450) on this specific form. Predictive Value : While the
Beyond content knowledge, effective test-taking strategies can meaningfully impact your COMSAE 107 performance. comsae form 107
Divided into four distinct blocks of 44 questions each.
: The exam consists of 176 items , divided into four sections of 44 questions each.
The content of COMSAE Phase 2 aligns directly with the COMLEX-USA Level 2-CE blueprint, which is divided into two main dimensions: COMSAE Form 107 is a 176-question, web-based self-assessment
The exam is structured to mimic the standard COMSAE Phase 1 Format :
Retaking the same form (same questions) invalidates the predictive value because you will remember answers. If you need another assessment, purchase a different form (108, 109, or 110). The NBOME does not allow reuse of the same COMSAE for score validity.
The COMSAE Phase 1 examination, including Form 107, consists of divided into four sections of 44 questions each . Each question follows a single-best-answer, multiple-choice format , with some items incorporating images or visual exhibits to simulate real clinical scenarios. You must learn to pick out the single
As of February 2026, the COMSAE Phase 2 (including Form 107) consists of divided into four sections of 40 questions each. This is a reduction from the previous 176 questions, aligning with recent changes to the COMLEX-USA Level 2-CE itself.
Student feedback suggests meaningful differences in difficulty across forms:
The content breakdown matches the NBOME Blueprints , emphasizing two distinct axes: (seven core competency domains, including Osteopathic Principles and Practice) and Dimension 2 (ten clinical presentation categories across major organ systems).
The proctor called out, "One hour remaining."