Comsae Form 107

When you finish Form 107, you receive a score report broken down by:

One of the most common student searches is: “Which COMSAE is most predictive?” Based on student-reported data (from Reddit, SDN, and informal surveys), here is how Form 107 compares:

| Form | Difficulty | Typical Over/Under Prediction | Best Used For | | :--- | :--- | :--- | :--- | | 102 | Moderate | Underpredicts by 20-30 points | Early baseline (4-6 months out) | | 103 | Moderate-Easy | Slight overprediction | Confidence booster | | 105 | Moderate | Most accurate (±15 points) | Mid-dedicated (2-3 weeks out) | | 106 | Hard | Underpredicts by 30-50 points | Stress inoculation (harder than real) | | 107 | Very Hard | Underpredicts by 40-60 points | Final month challenge test | | 108 | Moderate | Slight underpredict | Alternative to 105 | | 109 | Moderate-Hard | Varies | Newer; less data | | 110 | Moderate | Slight overprediction | End of dedicated |

Key Takeaway: COMSAE Form 107 is widely reported to underpredict your real COMLEX score by a significant margin. It is not uncommon to score 440 on Form 107 and achieve 550+ on the actual exam. Do not let a low 107 score derail your confidence. comsae form 107

As noted, 107 underpredicts dramatically. One student on a popular forum reported: “COMSAE 107: 430 → Real COMLEX: 594.” Another: “107: 390 → COMLEX: 521.” Do not cancel your exam based solely on a single 107 score if your other metrics (TrueLearn average, COMSAE 105) are solid.

Unlike older forms where 10-15 questions were simple fact recall (e.g., "What nerve innervates the diaphragm?"), Form 107 leans heavily into second-order and third-order thinking. Fact recall is assumed; the test asks you to apply that fact to a patient with five other problems.

How does 107 stack up against its siblings? When you finish Form 107, you receive a

Recommendation: Take Form 107 first (week 1 of dedicated). Take Form 108 or 110 three weeks later to gauge improvement.


This is the $64,000 question. According to the NBOME, COMSAE scores have a "moderate to high" correlation with actual COMLEX performance. However, anecdotal evidence from medical students suggests that Form 107 tends to underpredict your real score by 10-15 points.

While all COMSAEs test these, Form 107 drills them into obscure territory. You need to know not just that the gallbladder refers to T5-9, but that the anterior Chapman’s point for the gallbladder is the right 5th intercostal space. Expect to identify referred pain patterns from the spleen, kidney, and even fallopian tubes. Recommendation: Take Form 107 first (week 1 of dedicated)

“I got a 412 on Form 107 two weeks before COMLEX. I was devastated. I reviewed everything I missed, especially OMM and micro. Real COMLEX: 532. That 107 was way harder.” – OMS-III

“Our school required a 450 on any COMSAE to sit for COMLEX. I took 107 and got a 390. Panic. Took 105 the next week – 480. Took 107 again after two weeks of studying (different version? Same number?) – 460. Real COMLEX: 489. So yes, it’s a harsh grader.” – OMS-II

“Don’t use 107 as your only assessment. I scored 80th percentile on TrueLearn, 85% on OMM practice tests, but 107 gave me a 440. It’s like they intentionally write vague stems. But the real COMLEX felt closer to 105 and TrueLearn.” – OMS-III