Preparing for the COMSAE exam? A printable COMSAE practice test PDF lets you review questions, test your knowledge offline, and build the exam readiness that timed, screen-based testing demands. Whether you are studying at home, commuting, or revisiting weak areas on paper, a printed practice test remains one of the most effective preparation formats available. This page provides a free PDF download and a structured study guide for the COMSAE examination. Practice with the free COMSAE - Comprehensive Osteopathic Medical Self-Assessment Examination practice test on PracticeTestGeeks (7 questions with answer explanations).
The COMSAE assessment tests candidates on the core competencies required for certification or qualification in the field. A strong preparation strategy combines repeated practice testing with targeted review of areas where accuracy falls below 70%. Use this PDF alongside the online COMSAE practice tests on this site for the most complete preparation experience β paper for review and annotation, online for timed simulation with instant scoring.
Candidates are tested across the primary knowledge domains that define competency in the COMSAE field. Each domain contributes a weighted percentage of the total scored questions. High-weight domains deserve proportionally more preparation time. The exam format is typically multiple-choice, and understanding the question structure β identifying the best answer rather than the first correct-sounding one β is as important as content knowledge.
Common high-priority areas include foundational theory, applied practice, regulations or standards governing the field, and scenario-based reasoning that tests judgment under realistic conditions. Review official exam content outlines from the certifying body to confirm current domain weights before your examination date, as content outlines are updated periodically.
Print the PDF, set a timer proportional to the number of questions, and complete each section without reference materials to simulate real exam conditions. After grading, categorize every incorrect answer by domain to build a targeted error log. Prioritize re-study in your weakest domains, then take an additional timed practice session to confirm improvement. Repeat the cycle until accuracy is consistently above 75% across all domains.
Interactive COMSAE - Comprehensive Osteopathic Medical Self-Assessment Examination resources on PracticeTestGeeks, free to start:
Facts verified Oct 21, 2026 against National Board of Osteopathic Medical Examiners. Dates that have passed are removed automatically.
| Item | Detail | Official source |
|---|---|---|
| Number of questions (Phase 1) | 176 questions (4 sections of 44) | National Board of Osteopathic Medical Examiners |
| Number of questions (Phase 2) | 160 questions (4 sections of 40) | National Board of Osteopathic Medical Examiners |
| Number of questions (Phase 3) | 200 questions (4 sections of 50) | National Board of Osteopathic Medical Examiners |
| Time limit | 4 hours maximum in timed mode; untimed mode also available | National Board of Osteopathic Medical Examiners |
| Exam fee | $60 per form (individual, with answer key); $55 per form bulk for COMs | National Board of Osteopathic Medical Examiners |
| Retake policy | No limit on repurchasing a form | National Board of Osteopathic Medical Examiners |
| Validity | Purchased form available for 90 days | National Board of Osteopathic Medical Examiners |
| Delivery | Online via NBOME Portal; COM secure-browser forms are timed only and need COM-provided proctors | National Board of Osteopathic Medical Examiners |
| Eligibility | Osteopathic medical students (Phase 1: 3 forms, Phase 2: 2 forms) and residents (Phase 3: 1 form) | National Board of Osteopathic Medical Examiners |
| Score release | Immediately after completion (score report + performance profile) | National Board of Osteopathic Medical Examiners |
Facts verified Oct 21, 2026 against National Board of Osteopathic Medical Examiners. Dates that have passed are removed automatically.
Before attempting practice tests, ensure you have reviewed the official study materials for the COMSAE exam. Most certifying bodies publish a candidate handbook or content outline that lists exactly what knowledge is tested. Read this document first β it tells you not only what to study but also what to ignore. Allocate study time in proportion to domain weights: spend more time on high-weight domains and less on domains you already know well.
Once you have reviewed the content, move to practice testing. Each practice test session should be treated as a diagnostic: the questions you answer incorrectly are more valuable than the ones you answer correctly. Keep an error log organized by domain. After three to four practice tests, patterns in your errors will become clear. These patterns tell you exactly where to concentrate additional study effort.
In the week before the COMSAE exam, focus on review rather than new learning. Take one full-length timed practice test to confirm readiness, then spend the remaining days reviewing your error log and reinforcing the concepts behind your most common mistakes. Avoid cramming new material in the final 48 hours β consolidation of existing knowledge is more valuable at that stage than attempting to add new content.
After completing this PDF, take full online COMSAE practice tests at COMSAE practice test β instant scoring with explanations for every answer. Use both formats together: this PDF for offline review and annotation, the online tests for timed simulation with immediate feedback. Together they give you the most complete COMSAE exam preparation available on a single platform.
Try these questions from our free COMSAE - Comprehensive Osteopathic Medical Self-Assessment Examination practice tests. The correct answer and an explanation follow each question.
A 6-year-old with a family history of asthma and allergic rhinitis presents with intensely pruritic, erythematous, lichenified patches in the antecubital and popliteal fossae. Which immunological finding is most commonly elevated in this condition?
Answer: C. IgE
Atopic dermatitis is associated with elevated serum IgE levels and Th2-predominant immune responses, often part of the atopic triad.
Which of the following conditions is associated with a widened pulse pressure and bounding pulses?
Answer: C. Aortic regurgitation
Aortic regurgitation (AR) is characterized by a widened pulse pressure and bounding pulses. In AR, the aortic valve fails to close completely during diastole, causing blood to flow back into the left ventricle. This leads to an increased stroke volume and a rapid rise and fall in arterial pressure, resulting in a high systolic pressure, low diastolic pressure (widened pulse pressure), and strong, palpable 'bounding' pulses.
Which of the following techniques is a direct osteopathic manipulative treatment?
Answer: C. High-velocity, low-amplitude (HVLA) thrust
High-velocity, low-amplitude (HVLA) thrust is a direct osteopathic manipulative treatment technique. Direct techniques involve moving the dysfunctional body part towards the restrictive barrier, engaging it, and then applying a corrective force. HVLA specifically uses a rapid, therapeutic force of brief duration that travels a short distance within the anatomic range of motion, often resulting in an audible 'pop' or 'click'.
A patient is hospitalized and receives unfractionated heparin for a deep vein thrombosis. Five days later, their platelet count drops from 250,000/Β΅L to 90,000/Β΅L, and a new pulmonary embolism is suspected. What is the most likely underlying pathophysiology of this condition?
Answer: B. Autoantibody formation against the heparin-platelet factor 4 (PF4) complex
This clinical scenario is classic for Heparin-Induced Thrombocytopenia (HIT), specifically type II. The pathophysiology involves the formation of IgG antibodies against the complex formed by heparin and platelet factor 4 (PF4). This antibody-heparin-PF4 complex then binds to and activates platelets via their FcΞ³IIa receptors, leading to platelet aggregation, thrombocytopenia, and a paradoxical prothrombotic state. Type I HIT is a non-immune, direct effect of heparin causing mild, transient thrombocytopenia without thrombosis.
Take the full COMSAE - Comprehensive Osteopathic Medical Self-Assessment Examination practice test