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COMAT Comprehensive Osteopathic Medical Achievement Test — VIP Practice Exam

COMAT — The COMAT (Comprehensive Osteopathic Medical Achievement Test) is administered by the National Board of Osteopathic Medical Examiners (NBOME) as subject-specific shelf exams used by osteopathic medical schools; each COMAT covers a clinical rotation subject (e.g., Family Medicine, Internal Medicine, Surgery) and consists of approximately 100–125 single-best-answer clinical vignette questions, with scaled passing scores typically set at 70–75 by individual institutions. This practice exam covers core clinical domains tested across COMAT subject exams and includes Osteopathic Manipulative Medicine (OMM), a hallmark of DO education not found on allopathic shelf exams.

54
Questions
120m
Time Limit
75.00%
To Pass
Question 1 of 54👑 VIP

A 58-year-old male with a history of hypertension and hyperlipidemia presents to the emergency department with crushing substernal chest pain radiating to his left arm, diaphoresis, and nausea for the past 90 minutes. His ECG shows ST-segment elevation in leads II, III, and aVF. His blood pressure is 98/62 mmHg and heart rate is 48 bpm. Which of the following is the most appropriate immediate next step in management?

Questions 2–54 and full explanations are VIP-exclusive.