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Dimension 1: Patient Presentation

COMLEX-USA Content Outline · Patient Presentations and Physician Tasks

While all three COMLEX-USA examination levels contain osteopathic principles and practices, the depth and emphasis of each dimension changes in each level to assess different educational experiences and clinical responsibilities. This progressive design ensures the consistency and continuity of the measurement objectives required for osteopathic medical licensing.

Dimension 1: Patient Presentation
Population Health Concepts and Patients with Presentations Related to Health Promotion, Chronic Disease Management, and Human Development 8 – 16%
Patients with Presentations Related to Digestion and Metabolism 4 – 10%
Patients with Presentations Related to Cognition, Behavior, Sensory & Central Nervous Systems, Substance Abuse, and Visceral and Sensory Pain 28 – 38%
Patients with Presentations Related to the Musculoskeletal System, including Somatic Pain 6 – 12%
Patients with Presentations Related to the Genitourinary System and Human Sexuality 3 – 8%
Patients with Presentations Related to Circulation and the Respiratory System 8 – 16%
Patients with Presentations Related to Thermoregulation 2 – 6%
Patients with Presentations Related to Trauma, Masses, Edema, Discharge, and the Skin, Hair, and Nails 8 – 16%
Patients with Presentations Related to Pregnancy, the Peripartum, and the Neonatal Period 3 – 8%

Dimension 1 Exam Topics

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