Exam Format

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

COMLEX-USA Level 1, 2-CE, 3 Exam Outline
Section 150 questionsQuestions can be answered in a timed or untimed manner.
Section 250 questions
Section 350 questions
Section 450 questions

All items are multiple-choice items that are grouped by item type within each section. Stand-alone items appear first, followed by items clustered in cases. Matching items, when present, usually are in the last section.

Some items may have medical images as attachments. Sections are not based on content; all items are randomly assigned to sections.

Timing Modes

All Phases of COMSAE have two timing modes: Timed and Self-Paced and must be chosen before launching a test. Once examinees select one of the two timing modes, it cannot be changed. The timed test is most similar to COMLEX-USA.

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

COMSAE Technical Requirements

Please refer to this technical guide to ensure proper execution of the online exam on the computer. COMSAE is not intended for mobile devices.

Requirements Windows Macintosh
Supported Browser Microsoft Internet Explorer 8 or higher Apple Safari 1.2 or higher
Operating System Windows Vista, XP or Windows 2000 Mac OS X 10.4 or Mac OS X 10.3
Processor 233 MHZ or higher: Intel Pentium/Celeron family, or AMD K6/Athlon/Duron family, or compatible processor recommended. Power PC G3, G4, or G5 processor
RAM 128 MB or higher 256 MB or higher
Display 17" display at 1024x768 with 16-bit color or higher 17" display at 1024x768 with 16-bit color or higher
Internet Connection Broadband connection or higher Broadband connection or higher

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