Practice & Preparation


We encourage candidates to take advantage of the practice and preparation resources provided on our website. These resources are designed to assist the candidate in preparing for and navigating through the examination experience. NBOME is not affiliated with and does not endorse any commercial test preparation resources.

Practice Exam: COMLEX-USA Level 1 Content

This exam accurately represents the types of items you will encounter in the Level 1 examination. Take Practice Exam: COMLEX-USA Level 1 Content here.


NBOME offers the Comprehensive Osteopathic Medical Self-Assessment Examination (COMSAE) for osteopathic students and residents to prepare for the COMLEX-USA cognitive examination. We encourage use of this exam as a gauge of the base of knowledge and ability. COMSAE is not intended to predict performance on any of the COMLEX-USA examinations. However, candidates who have taken a timed COMSAE before taking their first COMLEX-USA cognitive examination at the corresponding level demonstrate greater proficiency, on average, relative to candidates who did not take a timed COMSAE before their first COMLEX-USA examination.

More information on COMSAE can be found here.

Reference Materials


Client Registration System Tutorial


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