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COMLEX Level 1 Board Review Questions and Practice Tests

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“BoardVitals offers well-written practice questions with highly detailed explanations that help students review for Step 1. Even going over wrong answers helps students learn high-yield associations so that they know what key information to look for on the real exam and won’t get questions like those wrong in the future. BoardVitals offers both a tutor/review mode and a timed test mode to give students flexibility in practicing for the exam. BoardVitals makes it easy to study at your own pace. ”

Jess U.
Medical Student

COMLEX Questions and Answers, Tips and Tricks

It’s important to understand that COMLEX is not a combination of USMLE and OMT – the scoring is completely different and the questions are a little more ‘murky’ than the more straightforward approach of the USMLE exams. Your study time should be focused on working through these types of questions instead of just memorizing facts. You should be using practice questions to drive the study focus, and always study the answer options as well. (We’ve spent a significant amount of time writing out explanations for incorrect answers for a reason – it really helps!)

In terms of understanding exam structure, the following may be helpful:

The COMLEX-USA Examination Blueprint

  • Dimension 1: Patient Presentation Level 1, Level 2 CE, Level 3
  • 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%

We also suggest taking the time to look at the COMLEX dimension outlines.

COMLEX Level 1, Level 2, and Level 3 all include 400 questions. Level 1 is typically given to 2nd year Osteopathic Medical Students. While each exam has slight variations, we have heard that Neuro and Psychiatric Pharm are heavily tested. OMM questions tend to be on the easier side. Several students that we have talked to struggled with the ‘data gathering’ section… this probably is one area where rote memorization is advised.

All in all, BoardVitals is a pretty challenging question bank. Students that score over 50% on our COMLEX question bank tend to do very well on the real exam. We’ve focused on really teaching the key concepts. Just make sure to flag problematic questions that you can go back to the week before the exam. Good luck!