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Comsae Form: 108

If you are a second-year osteopathic medical student (OMS-II), the acronym "COMSAE" likely carries a heavy weight of anxiety. Among the battery of practice exams administered by the NBOME (National Board of Osteopathic Medical Examiners), COMSAE Form 108 has become a hot topic in student forums, study groups, and academic coaching sessions.

But what exactly is Form 108? How does it compare to Forms 107, 109, and 110? And most importantly, if you have this form coming up, how should you prepare? comsae form 108

In this comprehensive guide, we will break down the anatomy of COMSAE Form 108, analyze its difficulty, discuss its predictive value for Level 1, and provide a strategic roadmap to conquer it. If you are a second-year osteopathic medical student


"I took 108 ten days out. Scored a 472. Freaked out. Grinded OMM for 10 hours a day. Got a 507 on the real deal. 108 is hard, but it's fair." – OMS-III, Kansas City University "I took 108 ten days out

"Form 108 underpredicts. I got a 451 on 108. My school almost held me back. I took a risk and took COMLEX. Passed with 489. Don’t let a bad 108 kill your confidence, but also don’t ignore it." – OMS-II, RowanSOM

"COMSAE 108 had three questions about Chapman's points for the appendix. Guess what showed up on my COMLEX? Two Chapman's point questions. Memorize that table." – OMS-III, Touro


Many students begin with the free COMSAE Phase 1 (often Form 101) to establish a baseline, but Form 108 is viewed as a “second-trimester” or “mid-dedicated” exam. Here’s why it matters:

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