Comsae Form 108 Direct

COMSAE Form 108 is a Comprehensive Osteopathic Medical Self-Assessment Examination (COMSAE) primarily used by students preparing for the COMLEX-USA Level 2-CE (Phase 2) [1, 5, 20]. It is designed by the NBOME to gauge a candidate's readiness and knowledge base before the official licensure exam [6, 17]. Core Content Areas

It was the threshold. The bare minimum. The 'P' in a world of 'F's. comsae form 108

GI

• Variceal Bleeding: First-line management? -> Octreotide (vasoconstricts splanchnic vessels) + Endoscopy within 24 hours. Prophylaxis with Non-selective Beta Blockers (Nadolol/Propranolol).
• Acute Pancreatitis: Cullen’s sign (periumbilical bruising) and Grey Turner’s sign (flank bruising) indicate retroperitoneal hemorrhage/severe necrotizing pancreatitis.
• H. Pylori Treatment: Triple therapy (PPI + Clarithromycin + Amoxicillin/Metronidazole). Know the side effects (e.g., Metronidazole causes disulfiram-like reaction with alcohol).

Musculoskeletal System (13%): High emphasis on OMM and orthopedic injuries [3, 14]. COMSAE Form 108 is a Comprehensive Osteopathic Medical

• Procedures performed, indications, technique, materials/devices used, complications

The exam is organized around two primary dimensions defined by the NBOME: Variceal Bleeding: First-line management