Examination Format

Each phase of COMSAE has 200 items, divided into four sections.

Phase 1, 2, and 3 Exam Outline
Section 1 50 questions Questions can be answered in a timed or untimed manner.
Section 2 50 questions
Section 3 50 questions
Section 4 50 questions

All examination items are multiple-choice. Some items may include images as attachments. Sections are not based on content and all items are randomly assigned to sections.


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 7 and higher Mac OS X 10.9 and higher
Supported Browser Internet Explorer 9 and higher Safari 7 and higher
Google Chrome 41 and higher
Mozilla Firefox 36 and higher
Google Chrome 41 and higher
Mozilla Firefox 36 and higher

COMSAE is not intended for mobile devices.

In this section
More information for...