Comsae Form 108 <ESSENTIAL – 2024>

The COMSAE Phase 2 Form 108 is a 160-item, 4-hour self-assessment for the COMLEX-USA Level 2-CE, covering clinical sciences and Osteopathic Principles and Practice. Student feedback indicates Form 108 may have a harsh grading scale and shorter question stems compared to the actual exam, with scores above 450 often considered a passing benchmark. For more insights, read the discussion at COMSAE Examination Format - NBOME

Question 47: The room seemed to get colder. Evans was deep in the "Zone of 108." This was the section where the vignettes stopped making sense. A patient had a rash, but also a heart murmur, and had recently returned from a trip to a specific river in Egypt. The answer choices weren't bacteria or viruses; they were vectors. Snail? Mosquito? Sandfly? Tse-tse fly? comsae form 108

3. Biostatistics & Epidemiology – ~8-10% The COMSAE Phase 2 Form 108 is a

  1. Predictive Value: Anecdotal evidence from student forums (e.g., Reddit’s r/comlex) suggests that scoring 450–500+ on Form 108 correlates with a high likelihood of passing Level 1. Scoring >550 indicates a strong chance of scoring above the national mean.
  2. OMT Emphasis: Form 108 tests viscerosomatics, Chapman’s reflexes, counterstrain, and high-yield OMM concepts more rigorously than older forms. Many students report that the real Level 1’s OMM feels exactly like Form 108’s.
  3. Endurance Check: The 176-question, 4-hour format (two 88-question blocks) helps students gauge mental fatigue—something shorter NBME exams do not replicate.

2. Microbiology & Immunology – ~15%

The "108 Vibe": Difficulty and Style

Ask any OMS-II who has taken COMSAE Form 108, and they will likely use descriptors like: vague, lengthy, and exhausting. They will give you a huge paragraph