COMSAE Form 107 is a common practice examination used by osteopathic medical students to prepare for the COMLEX-USA Level 1
2. Longer, More Ambiguous Vignettes
Form 107 is notorious for lengthy patient histories with distracting lab values. Where Form 105 might give you classic presentation of appendicitis, Form 107 will add comorbidities, medications that affect the exam, and subtle physical findings. The answer choices are often very close (e.g., “CT abdomen” vs. “serial abdominal exams” vs. “diagnostic laparoscopy”).
Risk-rating guidance (simple matrix)
- Critical — Immediate action; business/mission failure or safety hazard.
- High — Action within days; significant impact or noncompliance.
- Medium — Action within weeks; manageable impact.
- Low — Routine maintenance; monitor.
While the NBOME periodically updates forms, Form 107 is frequently used by medical schools as a "benchmark" or mandatory "gating" exam that students must pass (often with a score of 450+) before they are cleared to sit for the actual COMLEX. 📊 Quick Overview
If you want, I can: generate a printable Form 107 template (PDF/Word layout), create a tracked spreadsheet for your team, or adapt this guide to a specific industry (e.g., IT, manufacturing, communications). Which would you like?
What to Do If You Fail COMSAE Form 107
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.


