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COMSAE Examination Format

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COMSAE Phase 1

The COMSAE Phase 1 examination contains 176 items, divided into four sections of 44 questions each. All examination questions are single-best-answer, multiple-choice format. Some questions include images or visual exhibits as attachments. In addition, some forms contain one or more videos (as noted below), requiring the use of headphones.

FAQs
The following forms are available for Phase 1:

COM Forms

  • ASA 113 on secure browser (videos)
  • ASA 114 on secure browser
  • ASA 115 on secure browser (videos)
  • ASA 116 on non-secure browser  

Student Forms

  • ASA 107i with answer key (videos)
  • ASA 110i with answer key (videos) 
  • ASA 111i with answer key  

COMSAE Phase 2

COMSAE Phase 2 examination now contains 160 items, divided into four sections of 40 questions each. All examination questions are single-best-answer, multiple-choice format. Some questions include images or visual exhibits as attachments. In addition, some forms contain one or more videos (as noted below), requiring the use of headphones.

The timed version of this examination remains at 4 hours in length, consistent with the per-item timing change implemented for the COMLEX-USA Level 2-CE examination.

The following forms are available for Phase 2:

COM Forms

  • BSA 116 on non-secure browser
  • BSA 117 on secure browser (videos)
  • BSA 118 on secure browser (videos)
  • BSA 119 on secure browser

Student Forms

  • BSA 116 on non-secure browser
  • BSA 114i with answer key (videos)
  • BSA 115i with answer key

 

COMSAE Phase 3

The COMSAE Phase 3 examination has 200 questions, divided into four sections of 50 questions each. Some questions include images or videos, some of which also have audio. Unlike the actual COMLEX-USA Level 3 examination, Phase 3 does not include avatars or Clinical Decision-Making Cases.

COMSAE Sample Examination

COMSAE Sample Examination

This COMSAE sample examination does not contain videos or audio.

Launch Sample Exam

Timing Modes

All Phases of COMSAE have two timing modes. A mode must be selected before launching an examination. Once a mode is selected, it cannot be changed.

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Self-Paced Mode

Examinees may proceed at their own pace with no time limit per section. This mode is only available on student or nonsecure forms.

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Timed Mode

A maximum of four hours is allowed to complete the COMSAE examination, resulting in per-item pacing comparable to that of COMLEX-USA. This timed mode most closely approximates COMLEX-USA testing conditions. Secure browser forms are only available for administration in the timed mode.

Proctoring

All forms on a secure browser require COM-provided proctors for administration.

Technical Requirements

WindowsWindows 10+ and Microsoft Edge are required. The latest version of Windows products can be downloaded from the Microsoft Download Center.
MacMac OS Catalina 10.15.7 and Safari 15. Retiring support for Mac OS 10.14 and Safari 13 and 14. The latest version of Mac products can be downloaded from the Mac Support site.