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Examination Format

COMSAE Phase 1 and COMSAE Phase 2 examinations contain 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.

Although videos on the forms are in the process of being phased out, some COMSAE forms do still have 1-3 videos with audio, so headphones are needed for those questions. The actual COMLEX-USA Level 1 and Level 2-CE examinations do include videos.

The following COMSAE forms do contain videos with audio: Phase 1: ASA106, ASA108, ASA109; Phase 2: BSA106, BSA107

The COMSAE Phase 3 examination has 200 questions, divided into four sections of 50 questions each. Some questions include images or visual exhibits as attachments. In addition, some Phase 3 questions include videos with audio. There are no avatars or Clinical Decision-Making Cases in COMSAE Phase 3; however, the actual COMLEX-USA Level 3 examination includes these question types.

The COMSAE practice examination found under the tab “COMSAE Sample Examination” does not contain videos or audio.

Timing Modes

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

  • Timed Mode
    Similar to the suggested timing for COMLEX-USA, a maximum of four hours is allowed to complete the examination. This mode provides conditions as close as possible to those of COMLEX-USA and is associated with better outcomes.
  • Self-Paced Mode
    Examinees may proceed at their own pace with no time limit per section.

 

Technical Requirements

Requirements Windows Mac
Operating System Windows 8.1 and higher Mac OS X 10.12 and higher
Supported Browser Microsoft Edge Safari 11 and higher
Google Chrome 70 and higher
Mozilla Firefox 100 and higher
Google Chrome 70 and higher
Mozilla Firefox 100 and higher

COMSAE is not intended for mobile devices.

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