| Feature | Details | |---------|---------| | Number of Items | Approximately 352 multiple-choice questions | | Time Allowed | ~ 4 hours (one session) – some forms may offer two sessions | | Question Style | Single-best answer, clinical vignettes, image-based, audio (heart/lung sounds), and osteopathic manipulative treatment (OMT) items | | Break Time | Optional breaks between sections | | Scoring | Scaled score (range typically 200–800); passing threshold is approximately 400 (equivalent to COMLEX Level 1 pass standard) | | Score Report | Provides total score, pass/fail prediction (e.g., >90% chance of passing COMLEX), and category-level performance |
Unlike the real COMLEX, COMSAE 108 does not have experimental questions removed from the scoring. That means it may feel harder than the real exam because every question counts. Many students report scoring 20-30 points higher on the actual COMLEX than on Form 108.
Case Study: Student A scored 465 on COMSAE 108 (failing threshold at her school). She delayed COMLEX by 3 weeks, hammered OMM and biostats, and scored 510 on the real exam.
This is the million-dollar question. Data aggregated from student reports (Reddit/r/comlex, SDN, and school analytics) suggests: