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NBOME

Examination Format

This content is for candidates who took the COMLEX-USA Level 1 before May 2019. Click here to view the current documentation.

COMLEX-USA Computer-Based Examinations

The COMLEX-USA examinations are administered only in the English language in a standardized, time-measured environment to assess the candidate’s ability to interpret, process, and apply clinical knowledge and skills with fluency.

This is fundamental to a generalist osteopathic physician’s competence to practice osteopathic medicine. Passing Level 1 of COMLEX-USA is a requirement for medical school graduation and to begin a postgraduate medical education or residency training program.

The COMLEX-USA Level 1 examination consists of 400 multiple choice questions. During the day, two optional breaks can be taken: two 10-minute breaks and a 40-minute lunch break.

COMLEX-USA Computer-Based Examination Outline
SectionQuestions
144Time: 4 Hours
Questions can be answered, reviewed, and changed one section at a time. Individual sections are not timed. Once you move to the next section the previous section is no longer accessible.
244
Authorized 10-minute break
344
444
Authorized 40-minute lunch break
544Time: 4 Hours
Questions can be answered, reviewed, and changed one section at a time. Individual sections are not timed. Once you move to the next section the previous section is no longer accessible.
644
Authorized 10-minute break
744
844

Available Examination Features

Examination Review Screen
A review page is presented for each section. This provides candidates with information about the status of the items in the current section, which includes questions completed, questions marked for further review, and questions left incomplete (i.e., no answer is given).

Advancing through Examination Sections
Once a section is completed, the candidate cannot return to review or change any answers within that section.

Time Limitations
Although each session is 4 hours in length, the individual sections within a session are self-paced. A clock is provided to assist with time management. Warnings are given of the time remaining before the end of each 4-hour session.

Examination Visual References
Use of an “Exhibit” button may be required in order to see graphic materials related to a test question. These “exhibits” consist of images, videos, or audio. In some cases, multiple “exhibits” may be used in order to answer a question.



Reference Materials

Resources

In this section:

COMLEX-USA · Level 1

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