Level 1, Level 2, and Level 3
Computer-based Cognitive Examinations
The COMLEX-USA series is designed to assess the osteopathic medical knowledge and clinical skills considered essential for osteopathic generalist physicians to practice medicine without supervision. COMLEX-USA is constructed in the context of medical problem-solving which involves clinical presentations and physician tasks. Candidates are expected to utilize the philosophy and principles of osteopathic medicine to solve medical problems. The Clinical Presentation (“Dimension 1”) of the COMLEX-USA examination blueprint identifies high-frequency and/or high-impact health issues that osteopathic generalist physicians encounter in practice. The Physician Task (“Dimension 2”) specifies the major steps osteopathic physicians generally undertake to solve medical problems. Major categories of the two dimensions can be found in the table below.
The COMLEX-USA series is an examination sequence with three Levels. While all examination Levels have the same two-dimensional content structure, the depth and emphasis of each Level parallels the educational experiences of the candidate. This progressive nature of the COMLEX-USA examinations ensures the consistency and continuity of the measurement objectives of the osteopathic medical licensing examinations. A description of the blueprints follows:
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%|
|Dimension 2: Physician Tasks||Level 1||Level 2 CE||Level 3|
|Health Promotion & Disease Prevention||1 – 5%||15 – 20%||15 – 20%|
|History & Physical Examination||5 – 15%||30 – 40%||10 – 20%|
|Diagnostic Technologies||1 – 5%||10 – 20%||15 – 25%|
|Management||2 – 7%||10 – 20%||25 – 40%|
|Scientific Understanding of Health & Disease Mechanisms||70 – 85%||5 – 15%||5 – 10%|
|Health Care Delivery Issues||1 – 3%||5 – 10%||5 – 10%|
Osteopathic principles and practices, by design, are integrated throughout all areas of the examination, as this best reflects the manner in which osteopathic principles and practices permeate osteopathic medicine.
Comlex Level 1
Comlex Level 1 is constructed according to the COMLEX-USA examination blueprint. Candidates are expected to demonstrate basic science knowledge relevant to medical problems as defined by the Level 1 blueprint. Level 1 emphasizes the scientific concepts and principles necessary for understanding the mechanisms of health, medical problems and disease processes.
Comlex Level 1, taken in one-day, is a problem- and symptom-based assessment integrating the basic medical sciences of anatomy, behavioral science, biochemistry, microbiology, osteopathic principles, pathology, pharmacology, physiology and other areas of medical knowledge as they are relevant to solving medical problems. The examination consists of two four-hour test sessions, each containing questions related to diverse clinical presentations and principles.
In this Comlex Level 1 practice test, we present 30 free Comlex Level 1 practice questions to help you prepare for the Level 1 Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA Level 1), given by the National Board of Osteopathic Medical Examiners (NBOME).
The Comlex level 1 practice exam provided below are primarily designed to assist the candidate in navigating through the examination, and are provided to facilitate the actual testing experience. They are NOT designed to give the candidate a score or provide information about how a candidate might actually perform on the examination.
Related Comlex Level 1 practice test:
To respond 30 free comlex level 1 exam questions in this practice test: Click the button corresponding to the best answer for each question. When you are finished, click the “Submit” button at the bottom of the page. Your browser window will reload, displaying your results.
This practice exam is all free and not timed, so you may take it as many times as you wish.