{"id":11283,"date":"2026-09-24T00:01:00","date_gmt":"2026-09-24T08:01:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=11283"},"modified":"2026-09-24T08:54:28","modified_gmt":"2026-09-24T16:54:28","slug":"the-osmosis-ultimate-guide-to-comlex-usa-level-1","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1","title":{"rendered":"The Osmosis Ultimate Guide to COMLEX-USA\u00ae Level 1\u00a0"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_86 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_is_COMLEX_Level_1_and_who_is_this_guide_for\" >What is COMLEX Level 1 and who is this guide for?&nbsp;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_is_COMLEX-USA%C2%AE_Level_1\" >What is COMLEX-USA\u00ae Level 1?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Is_the_COMLEX_Level_1_exam_the_same_or_similar_to_USMLE_Step_1\" >Is&nbsp;the COMLEX&nbsp;Level 1 exam&nbsp;the same or&nbsp;similar to&nbsp;USMLE&nbsp;Step 1?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#How_do_you_register_for_COMLEX_Level_1\" >How do you register for COMLEX Level 1?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#How_much_does_COMLEX_Level_1_cost\" >How much does COMLEX Level 1 cost?&nbsp;&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Are_testing_accommodations_available_for_the_COMLEX\" >Are&nbsp;testing&nbsp;accommodations&nbsp;available&nbsp;for the COMLEX?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Why_is_COMLEX_Level_1_important\" >Why is COMLEX Level 1 important?&nbsp;<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Whats_the_format_of_the_COMLEX_Level_1_exam\" >What&#8217;s&nbsp;the format of the COMLEX Level 1 exam?&nbsp;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#How_many_questions_are_on_COMLEX_Level_1\" >How many questions are on COMLEX Level 1?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#How_long_is_COMLEX_Level_1\" >How long is COMLEX Level 1?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#How_do_breaks_work_and_do_you_have_sample_schedules\" >How do breaks work and do you have sample schedules?&nbsp;&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_types_of_questions_are_asked_on_the_COMLEX\" >What types of questions are asked&nbsp;on the COMLEX?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Can_you_give_me_an_example_of_a_COMLEX_question\" >Can you give me an example of&nbsp;a COMLEX&nbsp;question?&nbsp;<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#COMLEX_Level_1-Style_Single_Answer_Choice_Myocardial_Infarction\" >COMLEX Level 1-Style&nbsp;Single Answer Choice:&nbsp;Myocardial Infarction&nbsp;<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Answer_Rationale\" >Answer &amp; Rationale&nbsp;<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_is_the_COMLEX_testing_experience_like\" >What is the&nbsp;COMLEX&nbsp;testing experience like?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_topics_are_tested_on_COMLEX_Level_1\" >What topics are tested on COMLEX Level 1?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_is_the_COMLEX_Level_1_blueprint\" >What is the COMLEX Level 1 blueprint?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Hows_the_exam_broken_down\" >How&#8217;s&nbsp;the exam broken down?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_medical_subjects_are_included_on_the_COMLEX\" >What medical subjects are included&nbsp;on&nbsp;the COMLEX?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_are_osteopathic_principles_and_practices_OPP\" >What&nbsp;are&nbsp;osteopathic principles and&nbsp;practices&nbsp;(OPP)?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Highest-Yield_OMM_Topics\" >Highest-Yield OMM Topics&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_skills_does_the_COMLEX_exam_test\" >What skills does the&nbsp;COMLEX&nbsp;exam test?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#When_is_the_best_time_to_take_COMLEX_Level_1\" >When is the best time to take COMLEX Level 1?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#How_hard_is_COMLEX_Level_1\" >How hard is COMLEX Level 1?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-26\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#How_is_COMLEX_Level_1_scored\" >How&nbsp;is&nbsp;COMLEX Level 1&nbsp;scored?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-27\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_is_the_COMLEX_Level_1_pass_rate\" >What is the COMLEX Level 1 pass rate?&nbsp;<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-28\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#How_should_you_study_for_COMLEX_Level_1\" >How should you&nbsp;study for&nbsp;COMLEX Level 1?&nbsp;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-29\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#How_do_you_create_a_COMLEX_Level_1_study_plan\" >How do you create a COMLEX Level 1 study plan?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-30\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_are_the_most_effective_study_strategies_for_acing_COMLEX_Level_1\" >What are the most effective study strategies&nbsp;for&nbsp;acing&nbsp;COMLEX&nbsp;Level 1?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-31\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#How_should_you_study_OMM_for_COMLEX\" >How should you study OMM for COMLEX?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-32\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_are_the_best_COMLEX_Level_1_study_resources\" >What are the best COMLEX Level 1 study resources?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-33\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_does_a_COMLEX_Level_1_study_schedule_look_like\" >What&nbsp;does a&nbsp;COMLEX Level 1 study schedule&nbsp;look like?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-34\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#How_do_you_study_throughout_the_school_year\" >How do you study&nbsp;throughout&nbsp;the&nbsp;school year?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-35\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_is_Osmosis_AI_and_what_does_it_do\" >What is&nbsp;Osmosis AI and what does&nbsp;it&nbsp;do?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-36\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#How_can_Osmosis_AI_help_you_prepare_for_COMLEX_Level_1\" >How can Osmosis AI help you prepare for COMLEX Level 1?&nbsp;<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-37\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Should_osteopathic_med_students_take_both_the_COMLEX_and_USMLE%C2%AE\" >Should&nbsp;osteopathic med students take&nbsp;both&nbsp;the&nbsp;COMLEX and&nbsp;USMLE\u00ae?&nbsp;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-38\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#How_are_the_COMLEX_and_USMLE_exams_different\" >How are&nbsp;the&nbsp;COMLEX and USMLE&nbsp;exams&nbsp;different?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-39\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#How_do_the_exam_structures_compare\" >How do the exam structures compare?&nbsp;<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-40\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#OMM_and_OPP\" >OMM and OPP<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-41\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Scoring\" >Scoring&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-42\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Question_Styles\" >Question&nbsp;Styles&nbsp;<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-43\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#When_is_taking_both_the_COMLEX_Level_1_and_USMLE_Step_1_helpful\" >When is taking both&nbsp;the COMLEX Level 1 and USMLE Step 1&nbsp;helpful?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-44\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Other_Factors_to_Consider_About_Taking_Both_Exams\" >Other&nbsp;Factors to&nbsp;Consider&nbsp;About Taking Both Exams&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-45\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Want_to_learn_more_about_the_USMLE_Step_1_exam\" >Want to learn more about&nbsp;the&nbsp;USMLE&nbsp;Step 1 exam?&nbsp;<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-46\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_are_some_common_COMLEX_Level_1_mistakes_to_avoid\" >What are&nbsp;some&nbsp;common COMLEX Level 1 mistakes to avoid?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-47\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#How_do_you_stay_healthy_while_studying_for_COMLEX_Level_1\" >How do you stay healthy while studying for COMLEX Level 1?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-48\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#COMLEX_Level_1_FAQs\" >COMLEX Level 1 FAQs&nbsp;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-49\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#How_long_should_you_study_for_COMLEX_Level_1\" >How long should you study for COMLEX Level 1?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-50\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Is_COMLEX_harder_than_USMLE_Step_1\" >Is COMLEX harder than USMLE Step 1?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-51\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_is_a_passing_score_for_COMLEX_Level_1\" >What is a passing score for COMLEX Level 1?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-52\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Can_you_pass_COMLEX_without_a_question_bank\" >Can you pass COMLEX without a question bank?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-53\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#What_resources_are_most_helpful_for_COMLEX_Level_1\" >What resources are most helpful for COMLEX Level 1?&nbsp;<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-54\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Final_Thoughts_How_to_succeed_on_the_COMLEX_Level_1_Exam\" >Final&nbsp;Thoughts: How to succeed on the COMLEX Level 1 Exam&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-55\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#Key_Takeaways\" >Key Takeaways<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-56\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\/#References\" >References&nbsp;<\/a><\/li><\/ul><\/nav><\/div>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_is_COMLEX_Level_1_and_who_is_this_guide_for\"><\/span>What is COMLEX Level 1 and who is this guide for?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Having gone through the experience of medical school and taking boards, we understand how important&nbsp;these examinations&nbsp;are&nbsp;to your&nbsp;professional journey. This guide is designed to help osteopathic medical students&nbsp;like you&nbsp;confidently prepare for the COMLEX-USA Level&nbsp;1;&nbsp;the&nbsp;first of&nbsp;three exams&nbsp;you\u2019ll&nbsp;take to become a doctor of osteopathy (which is&nbsp;kind of a&nbsp;big deal)!&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Right&nbsp;now,&nbsp;you\u2019re&nbsp;hard at work learning&nbsp;the foundations and fundamentals of osteopathic medicine,&nbsp;so you can use your knowledge to ace the COMLEX-USA Level 1 exam,&nbsp;which means this guide is for YOU!&nbsp;<strong>Whether&nbsp;your exam is&nbsp;months&nbsp;away&nbsp;or&nbsp;just&nbsp;weeks away, if you\u2019re wondering what\u2019s on the test,&nbsp;how to study&nbsp;(including how to integrate OMM),&nbsp;what the day of your exam looks like,&nbsp;and everything in between, then you\u2019re in the right place.<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Our goal with this guide is to make your life easier.&nbsp;So,&nbsp;we\u2019ve&nbsp;made it simple to search,&nbsp;read straight through, or skip around and find&nbsp;what you need when you need it. And for a sense of what&nbsp;you\u2019ll&nbsp;need to do to prepare, take a&nbsp;quick peek&nbsp;at&nbsp;our&nbsp;<a href=\"https:\/\/www.osmosis.org\/blog\/top-3-tips-you-should-know-about-comlex-usa-level-1\" target=\"_blank\" rel=\"noopener\">top 3 tips for COMLEX-USA Level 1<\/a>&nbsp;article!&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Once you\u00a0work\u00a0your way\u00a0through this guide,\u00a0you\u2019ll\u00a0know exactly what\u2019s around the corner,\u00a0including how the\u00a0COMLEX Level 1\u00a0exam is scored,\u00a0what topics it covers, how to create a study plan,\u00a0and\u00a0how we can help you\u00a0walk into the exam confident\u00a0and\u00a0calm.\u00a0\u00a0Now,\u00a0let\u2019s\u00a0get started!<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image alignleft size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"537\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_7f3a42.png\" alt=\"Osmosis.org style illustration of am osteopathic physician sitting at the top of a three-step progression labeled Level 1, Level 2-CE, and Level 3, representing advancing levels of COMLEX medical licensing examinations.\" class=\"wp-image-11286\" style=\"aspect-ratio:1.1927374301675977;width:358px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_7f3a42.png 640w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_7f3a42.png?resize=300,252 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_is_COMLEX-USA%C2%AE_Level_1\"><\/span>What is COMLEX-USA\u00ae Level 1?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The&nbsp;<strong>Comprehensive Osteopathic Medical Licensing Examination of the United States, Level I,&nbsp;or&nbsp;COMLEX-USA Level 1,&nbsp;is a&nbsp;one-day,&nbsp;computer-based&nbsp;exam&nbsp;that covers everything&nbsp;you\u2019ve&nbsp;learned in your first&nbsp;two years as an&nbsp;osteopathic&nbsp;medical&nbsp;student, or OMS.&nbsp;<\/strong>It\u2019s&nbsp;also the&nbsp;first of three&nbsp;tests necessary to&nbsp;become an&nbsp;osteopathic&nbsp;physician.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The&nbsp;COMLEX&nbsp;exam is&nbsp;written and&nbsp;administered by the&nbsp;<\/strong><a href=\"https:\/\/www.nbome.org\/\" target=\"_blank\" rel=\"noopener\"><strong>National Board of Osteopathic Medical Examiners&nbsp;(NBOME),<\/strong><\/a>&nbsp;which is the&nbsp;organization&nbsp;responsible for&nbsp;all COMLEX-USA licensing&nbsp;exams, and&nbsp;it\u2019s&nbsp;through their website&nbsp;you\u2019ll&nbsp;eventually register and receive your score reports.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The COMLEX Level 1&nbsp;exam is&nbsp;required&nbsp;for every osteopathic&nbsp;medical&nbsp;student<\/strong>&nbsp;and is&nbsp;most&nbsp;often&nbsp;taken&nbsp;at the end of&nbsp;your&nbsp;second year of medical&nbsp;school, right&nbsp;before&nbsp;starting&nbsp;clinical rotations.&nbsp;Some&nbsp;students,&nbsp;though,&nbsp;decide to wait until&nbsp;they\u2019ve&nbsp;completed a few&nbsp;clinical rotations&nbsp;before&nbsp;taking&nbsp;it, mostly for more time to study&nbsp;(more on that later).&nbsp;&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Is_the_COMLEX_Level_1_exam_the_same_or_similar_to_USMLE_Step_1\"><\/span>Is&nbsp;the COMLEX&nbsp;Level 1 exam&nbsp;the same or&nbsp;similar to&nbsp;USMLE&nbsp;Step 1?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The&nbsp;COMLEX-USA Level 1&nbsp;exam&nbsp;is uniquely different&nbsp;from the&nbsp;USMLE&nbsp;Step 1 exam. It&nbsp;tests&nbsp;you&nbsp;on both <strong>Osteopathic Principles and Practice&nbsp;(OPP)<\/strong>, and <strong>Osteopathic Manipulative Medicine&nbsp;(OMM)<\/strong>,&nbsp;which are integrated into each section. So,&nbsp;unlike&nbsp;the USMLE,&nbsp;you\u2019re&nbsp;not just tested on&nbsp;pathology, physiology,&nbsp;and pharmacology,&nbsp;but&nbsp;how an&nbsp;<em>osteopathic&nbsp;<\/em>physician thinks.&nbsp;<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>&gt;&gt;&nbsp;Curious about&nbsp;the&nbsp;key&nbsp;differences between DOs and MDs?&nbsp;<\/strong><a href=\"https:\/\/www.osmosis.org\/blog\/md-vs-do-what-are-the-key-differences\" target=\"_blank\" rel=\"noopener\"><strong>Learn more about it!&nbsp;&lt;&lt;<\/strong><\/a>&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_do_you_register_for_COMLEX_Level_1\"><\/span>How do you register for COMLEX Level 1?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Now that&nbsp;you&nbsp;know&nbsp;that&nbsp;you&nbsp;need&nbsp;to take this test, how do you&nbsp;get started?&nbsp;&nbsp;Let&#8217;s begin with the NBOME registration process:&nbsp;&nbsp;<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><a href=\"https:\/\/nbomeapp.host.nbome.org\/ords\/nbome\/r\/portal\/login_desktop\" target=\"_blank\" rel=\"noopener\"><strong>Create an NBOME account<\/strong><\/a>. Set up your profile on the NBOME portal and verify your identity.&nbsp;<\/li>\n\n\n\n<li><strong>Confirm your eligibility<\/strong>. Your&nbsp;College of&nbsp;Osteopathic&nbsp;Medicine (COM) certifies that&nbsp;you&#8217;re&nbsp;in good standing and eligible to sit for the exam. Many schools also&nbsp;require&nbsp;a passing&nbsp;Comprehensive Osteopathic Medical Self-Assessment Examination&nbsp;(COMSAE)&nbsp;score before&nbsp;your&nbsp;eligibility&nbsp;is confirmed.&nbsp;<\/li>\n\n\n\n<li><strong>Apply and pay.<\/strong>&nbsp;Submit your application through the NBOME portal and pay the exam fee.<\/li>\n\n\n\n<li><a href=\"https:\/\/www.nbome.org\/assessments\/comlex-usa\/testing-windows-score-release-dates\/#level-1\" target=\"_blank\" rel=\"noopener\"><strong>Schedule&nbsp;with&nbsp;Pearson&nbsp;VUE<\/strong><\/a>,&nbsp;which is&nbsp;the testing center administering your&nbsp;exam.&nbsp;Once&nbsp;you&#8217;re&nbsp;approved, book your date and location&nbsp;on the&nbsp;Pearson VUE&nbsp;website. Dates are&nbsp;generally&nbsp;available&nbsp;for&nbsp;up to six months in advance.&nbsp;<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Be sure to give yourself plenty of lead time to&nbsp;schedule&nbsp;your exam&nbsp;date. Popular dates and locations fill up fast, especially during the spring testing crunch period, so&nbsp;<strong>schedule as early as you can!<\/strong>&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_much_does_COMLEX_Level_1_cost\"><\/span>How much does COMLEX Level 1 cost?&nbsp;&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">As of 2026, the testing fee set by the NBOME is&nbsp;<strong>$745<\/strong>, but&nbsp;make sure to <strong>check the current&nbsp;<a href=\"https:\/\/www.nbome.org\/assessments\/comlex-usa\/bulletin-of-information\/\" target=\"_blank\" rel=\"noopener\">Bulletin of Information<\/a>&nbsp;for the exact amount<\/strong>&nbsp;(as&nbsp;it&#8217;s&nbsp;subject to change without notice). A few other costs worth planning for:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Rescheduling:<\/strong>&nbsp;roughly $85&nbsp;to $250, depending on how close&nbsp;you are&nbsp;to your test date<\/li>\n\n\n\n<li><strong>Timing rule:<\/strong>&nbsp;you&nbsp;can\u2019t&nbsp;schedule or reschedule within 5 calendar days&nbsp;of&nbsp;the exam date, so choose your date carefully<\/li>\n\n\n\n<li><strong>No-show\/very late&nbsp;cancellation:<\/strong>&nbsp;the late fee is approximately&nbsp;$400 if you miss your appointment without canceling&nbsp;in a timely manner&nbsp;<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Are_testing_accommodations_available_for_the_COMLEX\"><\/span>Are&nbsp;testing&nbsp;accommodations&nbsp;available&nbsp;for the COMLEX?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">If you have a disability,&nbsp;as defined by the <strong><a href=\"https:\/\/www.ada.gov\/\">Americans with Disabilities Act&nbsp;(ADA)<\/a><\/strong>, you&nbsp;may&nbsp;apply to the NBOME for reasonable testing accommodations.&nbsp;A few things to know:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>You&#8217;re&nbsp;required to&nbsp;complete&nbsp;one year of medical school before applying.<\/strong>&nbsp;Typically,&nbsp;you&#8217;ll&nbsp;need&nbsp;an unofficial transcript from your first year&nbsp;or a signed,&nbsp;dated letter from&nbsp;a&nbsp;school official.<\/li>\n\n\n\n<li>It&#8217;s&nbsp;best to apply early because the NBOME&nbsp;generally requires&nbsp;about&nbsp;<strong>75 days<\/strong>&nbsp;to review a complete application.&nbsp;<strong>Applying early leaves&nbsp;time to&nbsp;submit&nbsp;additional&nbsp;information or request reconsideration if needed.<\/strong>&nbsp;<\/li>\n\n\n\n<li>Be prepared to&nbsp;submit&nbsp;<strong>credible, objective documentation from qualified healthcare professionals<\/strong>&nbsp;that&nbsp;support&nbsp;your request and&nbsp;demonstrate&nbsp;why the requested accommodations are necessary.&nbsp;<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Why_is_COMLEX_Level_1_important\"><\/span>Why is COMLEX Level 1 important?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">COMLEX-USA Level 1&nbsp;matters because&nbsp;it\u2019s&nbsp;an important&nbsp;step&nbsp;in&nbsp;continuing&nbsp;your medical education.&nbsp;Without&nbsp;passing it,&nbsp;you&nbsp;can\u2019t&nbsp;move towards becoming a licensed physician.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Here\u2019s&nbsp;more on why the COMLEX Level 1&nbsp;exam is so important:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>You need it to continue progressing.<\/strong>&nbsp;Most medical schools require students to pass COMLEX-USA Level 1&nbsp;<em>before starting clinical rotations<\/em>.<\/li>\n\n\n\n<li><strong>It\u2019s&nbsp;required&nbsp;for licensure<\/strong>. Level 1 is the first of three COMLEX-USA exams&nbsp;required&nbsp;to become a licensed DO.&nbsp;<\/li>\n\n\n\n<li><strong>Residency applications.<\/strong>&nbsp;While&nbsp;Level 1 is now&nbsp;pass\/fail, a passing result is still a baseline expectation&nbsp;that helps set the tone for how residencies can perceive your application.&nbsp;&nbsp;<\/li>\n\n\n\n<li><strong>It\u2019s&nbsp;a&nbsp;foundation for&nbsp;what&#8217;s&nbsp;next<\/strong>. The knowledge you build for Level 1 carries directly into COMLEX Level 2-CE and Level 3.&nbsp;In fact, you&nbsp;can\u2019t&nbsp;sit for&nbsp;Level 2 or&nbsp;Level 3 without first taking&nbsp;Level 1.&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The excellent news&nbsp;is the&nbsp;<\/strong><a href=\"https:\/\/www.nbome.org\/assessments\/comlex-usa\/examination-performance-data\/\" target=\"_blank\" rel=\"noopener\"><strong>first-time pass rate&nbsp;for the COMLEX Level 1<\/strong><\/a><strong>&nbsp;is&nbsp;around&nbsp;90%, which&nbsp;means the&nbsp;vast&nbsp;majority&nbsp;of students who prepare well&nbsp;will&nbsp;pass on their first try!<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image alignleft size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"531\" height=\"607\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_0ae0d5.png\" alt=\"Osmosis.org style illustration pie chart showing the COMLEX Level 1 test time breakdown: approximately 8 hours total for 320 questions across eight 40-question blocks, including 60 minutes of break time and a 16-minute tutorial.\" class=\"wp-image-11287\" style=\"aspect-ratio:0.8740740740740741;width:354px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_0ae0d5.png 531w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_0ae0d5.png?resize=262,300 262w\" sizes=\"auto, (max-width: 531px) 100vw, 531px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Whats_the_format_of_the_COMLEX_Level_1_exam\"><\/span>What&#8217;s&nbsp;the format of the COMLEX Level 1 exam?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">COMLEX Level I is a&nbsp;one&nbsp;day,&nbsp;computer-based&nbsp;exam administered over 8 hours. Questions consist of single,&nbsp;best&nbsp;answers,&nbsp;and&nbsp;multiple-choice options.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_many_questions_are_on_COMLEX_Level_1\"><\/span>How many questions are on COMLEX Level 1?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>320 total questions&nbsp;<\/li>\n\n\n\n<li>8 blocks of 40 questions each&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Note that&nbsp;the NBOME reduced the number of questions from 352 to 320 and adjusted the break structure&nbsp;on May 7, 2026. The content&nbsp;focus&nbsp;remains&nbsp;the same.&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_long_is_COMLEX_Level_1\"><\/span>How long is COMLEX Level 1?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Total testing time&nbsp;is 8 hours,&nbsp;<\/strong>including&nbsp;1 hour&nbsp;of&nbsp;break&nbsp;time&nbsp;divided throughout.<strong>&nbsp;<\/strong><\/li>\n\n\n\n<li><strong>The exam&nbsp;is split into two&nbsp;4-hour&nbsp;sections.&nbsp;<\/strong><\/li>\n\n\n\n<li><strong>Each 4-hour section has 4 blocks, and each block has 40 questions.&nbsp;<\/strong><\/li>\n\n\n\n<li>Each question takes on average about&nbsp;90 seconds&nbsp;to answer.&nbsp;&nbsp;<\/li>\n\n\n\n<li>At that pace,&nbsp;<strong>plan for&nbsp;roughly 50\u201360 minutes per 40-question block<\/strong>, which works out to about 4 hours per section across its 4 blocks, leaving a little buffer to review flagged questions before time runs out.&nbsp;<\/li>\n\n\n\n<li>Blocks&nbsp;within each&nbsp;section&nbsp;aren\u2019t&nbsp;individually timed, so you control the pace of each block as well as when, and how long to take your breaks.&nbsp;<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image alignright size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"672\" height=\"562\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_e18f1f.png\" alt=\"Osmosis.org style illustration comparing three break strategies for the COMLEX exam: taking small frequent breaks, taking a break after every two testing blocks, or taking one longer lunch break.\" class=\"wp-image-11289\" style=\"aspect-ratio:1.1946666666666668;width:448px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_e18f1f.png 672w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_e18f1f.png?resize=300,251 300w\" sizes=\"auto, (max-width: 672px) 100vw, 672px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_do_breaks_work_and_do_you_have_sample_schedules\"><\/span>How do breaks work and do you have sample schedules?&nbsp;&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>You\u2019re&nbsp;given&nbsp;a total of 60 minutes of break time.<\/strong>&nbsp;<\/li>\n\n\n\n<li>Because the test blocks&nbsp;aren\u2019t&nbsp;individually timed,&nbsp;<strong>you decide how to spend your 60 minutes of break time. <\/strong><\/li>\n\n\n\n<li><strong>There\u2019s&nbsp;no separate, mandatory lunch period.<\/strong>&nbsp;Most&nbsp;COMLEX&nbsp;test takers&nbsp;take&nbsp;a longer break (about 30\u201340 minutes)&nbsp;during&nbsp;the midpoint&nbsp;(after Block 4), between the two,&nbsp;4-hour sessions, and&nbsp;then&nbsp;take&nbsp;quick&nbsp;breaks&nbsp;between the other blocks&nbsp;to&nbsp;go to the restroom, have some water,&nbsp;etc.&nbsp;<\/li>\n\n\n\n<li>Make sure to&nbsp;<strong>keep an eye on the on-screen break timer<\/strong>, because&nbsp;once the 60 minutes&nbsp;have&nbsp;elapsed, any&nbsp;<strong>further break time comes out of your testing time<\/strong>.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Here are a some common ways to budget&nbsp;your break time&nbsp;across the day\u2019s 8 blocks:&nbsp;<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"754\" height=\"795\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_d9b7e4.png\" alt=\"Osmosis.org style illustration table comparing three ways to allocate 60 minutes of break time across eight 40-question test blocks: breaks after each block, 20-minute breaks after every two blocks, or breaks every two blocks with a longer 40-minute lunch at the midpoint.\" class=\"wp-image-11290\" style=\"aspect-ratio:0.9490566037735849;width:735px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_d9b7e4.png 754w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_d9b7e4.png?resize=285,300 285w\" sizes=\"auto, (max-width: 754px) 100vw, 754px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_types_of_questions_are_asked_on_the_COMLEX\"><\/span>What types of questions are asked&nbsp;on the COMLEX?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">All&nbsp;COMLEX Level&nbsp;1&nbsp;questions&nbsp;are&nbsp;&#8220;single-best-answer&#8221;&nbsp;format&nbsp;(you&nbsp;pick the best&nbsp;option&nbsp;from the choices given).&nbsp;Sometimes audio-visual&nbsp;items&nbsp;will be included, like images, heart or lung sounds,&nbsp;or short video&nbsp;clips.&nbsp;&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Can_you_give_me_an_example_of_a_COMLEX_question\"><\/span>Can you give me an example of&nbsp;a COMLEX&nbsp;question?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Sure,&nbsp;but&nbsp;don\u2019t&nbsp;stress&nbsp;if you get it wrong. We&nbsp;haven\u2019t&nbsp;gone over how to prep&nbsp;yet!&nbsp;<strong>Note:&nbsp;<\/strong>The following question was generated using <a href=\"https:\/\/www.osmosis.org\/features\/osmosis-ai\">Osmosis AI<\/a>; more on that later!&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"COMLEX_Level_1-Style_Single_Answer_Choice_Myocardial_Infarction\"><\/span>COMLEX Level 1-Style&nbsp;Single Answer Choice:&nbsp;Myocardial Infarction&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A patient experiences acute myocardial infarction. Cardiac biomarkers are measured serially to&nbsp;assess for&nbsp;myocardial injury.&nbsp;Which of the following cardiac biomarkers is <em>most sensitive and specific<\/em> for myocardial necrosis?&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Creatine kinase-MB (CK-MB)&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Lactate dehydrogenase (LDH)&nbsp; <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Aspartate aminotransferase (AST)&nbsp; <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Troponin I&nbsp; <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>E. Myoglobin&nbsp;<\/strong><\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Answer_Rationale\"><\/span>Answer &amp; Rationale&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h5>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Correct Answer:<\/strong> D. Troponin I&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>&nbsp;Troponins I and T are the most sensitive and specific markers of myocardial necrosis and have become the standard in the biochemical diagnosis of acute MI. Troponin is a cardiac-specific protein that&nbsp;participates&nbsp;in myosin cross-bridging in cardiac myocytes. During cellular injury and death, troponin is rapidly released into the serum.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Troponin I&nbsp;begins&nbsp;to rise&nbsp;within&nbsp;4 hours&nbsp;of myocardial infarction and&nbsp;remains&nbsp;elevated for&nbsp;7-10 days. Using conventional assays, the time interval from acute MI to first detection is&nbsp;approximately 4-10&nbsp;hours, requiring serial&nbsp;monitoring&nbsp;every 4-6 hours to effectively rule out MI.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">High-sensitivity troponin (hs-cTn) assays allow even earlier detection. A negative high-sensitivity troponin on arrival has a&nbsp;99.4% negative predictive value&nbsp;for acute MI, and recent guidelines endorse abbreviated 1- or 2-hour MI rule-out protocols using&nbsp;hs-cTn.&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"936\" height=\"240\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_bc4855.png\" alt=\"Osmosis.org style illustration timeline of the COMLEX Level 1 exam day experience, showing travel from home to a Pearson VUE testing center, storing belongings in a locker, entering the testing room through security, taking scheduled breaks, and completing the exam.\" class=\"wp-image-11291\" style=\"width:840px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_bc4855.png 936w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_bc4855.png?resize=300,77 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_bc4855.png?resize=768,197 768w\" sizes=\"auto, (max-width: 936px) 100vw, 936px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_is_the_COMLEX_testing_experience_like\"><\/span>What is the&nbsp;COMLEX&nbsp;testing experience like?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Think&nbsp;back to your MCAT&nbsp;(Medical College Admissions&nbsp;Test). The COMLEX is&nbsp;very&nbsp;similar!&nbsp;In fact, if&nbsp;you\u2019re&nbsp;taking COMLEX Level 1,&nbsp;then you already&nbsp;have experience with Pearson&nbsp;VUE&nbsp;testing centers, so this&nbsp;is&nbsp;likely&nbsp;familiar&nbsp;to you.&nbsp;However,&nbsp;as&nbsp;a refresher,&nbsp;let\u2019s&nbsp;go through the&nbsp;day&nbsp;together!&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>At check-in:&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Arrive to the testing center at the time listed on your confirmation email and bring the required identification (ID).&nbsp;Usually two forms are&nbsp;required,&nbsp;like a&nbsp;driver&#8217;s&nbsp;license,&nbsp;passport&nbsp;or military ID,&nbsp;so be sure to check which&nbsp;forms of identification are accepted.&nbsp;Also,&nbsp;<strong>make sure your ID matches the name you used to register for your exam!&nbsp;<\/strong><\/li>\n\n\n\n<li>Your exam will be verified.&nbsp;You\u2019ll&nbsp;sign a waiver confirming that you accept the test rules and agreements.&nbsp;<\/li>\n\n\n\n<li>Sometimes a photograph will be taken or a palm scan for extra security.&nbsp;<\/li>\n\n\n\n<li>You\u2019ll&nbsp;be assigned a locker for the day to store your personal belongings, including food and drink.&nbsp;<\/li>\n\n\n\n<li>No jewelry, except for a wedding band, is allowed on test day.&nbsp;<\/li>\n\n\n\n<li>Make sure to leave your&nbsp;electronics in&nbsp;your locker, or even better, in your car, since&nbsp;<strong>Pearson UVA has a&nbsp;zero-tolerance&nbsp;policy for prohibited electronics.<\/strong>&nbsp;&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>During the exam:<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A&nbsp;proctor&nbsp;will walk you to your&nbsp;assigned testing station and&nbsp;seat.&nbsp;<\/li>\n\n\n\n<li>You\u2019ll&nbsp;have somewhere to take notes and write things down, usually an erasable whiteboard and marker, but it&nbsp;can\u2019t&nbsp;be taken outside the testing room.&nbsp;&nbsp;<strong>Pro&nbsp;tip:<\/strong>&nbsp;Use the timed tutorial in the beginning of the test to&nbsp;write down high yield information, so you&nbsp;don\u2019t&nbsp;sacrifice working exam time.<\/li>\n\n\n\n<li>You can review and change answers within a section, but once you move on,&nbsp;previous&nbsp;sections lock.&nbsp;<\/li>\n\n\n\n<li>You can adjust font size and screen colors during the tutorial or anytime during the exam.&nbsp;<\/li>\n\n\n\n<li>You\u2019ll&nbsp;be required to&nbsp;raise your hand for breaks,&nbsp;as well as&nbsp;sign&nbsp;in and&nbsp;out.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>After the exam:<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Raise your hand when&nbsp;finished,&nbsp;and the proctor will escort you out.<\/li>\n\n\n\n<li>Retrieve your belongings and go celebrate a job well done!&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_topics_are_tested_on_COMLEX_Level_1\"><\/span>What topics are tested on COMLEX Level 1?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.osmosis.org\/blog\/what-are-the-social-determinants-of-health-and-why-are-they-important\" target=\"_blank\" rel=\"noopener\">Community Health &amp; Wellness<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/reproductive-system-and-breast\" target=\"_blank\" rel=\"noopener\">Human Development, Reproduction &amp; Sexuality<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/endocrine-system\" target=\"_blank\" rel=\"noopener\">Endocrine System &amp; Metabolism<\/a>&nbsp;&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/nervous-system-and-special-senses\" target=\"_blank\" rel=\"noopener\">Nervous System<\/a>&nbsp;&amp;&nbsp;<a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/behavioral-health\" target=\"_blank\" rel=\"noopener\">Mental Health<\/a>&nbsp;&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/musculoskeletal-system\" target=\"_blank\" rel=\"noopener\">Musculoskeletal System<\/a>&nbsp;&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/renal-and-urinary-system\" target=\"_blank\" rel=\"noopener\">Genitourinary &amp; Renal System<\/a>&nbsp;&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/search?search_term=Breast+Disorders\" target=\"_blank\" rel=\"noopener\">Breast Disorders<\/a>&nbsp;&nbsp;&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/gastrointestinal-system\" target=\"_blank\" rel=\"noopener\">Gastrointestinal System<\/a>&nbsp;&amp; Nutritional Health&nbsp;&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/cardiovascular-system\" target=\"_blank\" rel=\"noopener\">Circulatory<\/a>&nbsp;&amp;&nbsp;<a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/blood-and-lymphoreticular-system\" target=\"_blank\" rel=\"noopener\">Hematologic<\/a>&nbsp;Systems&nbsp;&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/respiratory-system\" target=\"_blank\" rel=\"noopener\">Respiratory System<\/a>&nbsp;&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/skin-and-subcutaneous-tissue\" target=\"_blank\" rel=\"noopener\">Integumentary System (Skin)<\/a>&nbsp;&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>In addition, foundational sciences are also tested and often integrated into clinical cases:<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/anatomy\" target=\"_blank\" rel=\"noopener\">Anatomy<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/physiology\" target=\"_blank\" rel=\"noopener\">Physiology<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/pathology\" target=\"_blank\" rel=\"noopener\">Pathology<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/pharmacology\" target=\"_blank\" rel=\"noopener\">Pharmacology<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/microbiology\" target=\"_blank\" rel=\"noopener\">Microbiology<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/immune-system\" target=\"_blank\" rel=\"noopener\">Immunology<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/genetics\" target=\"_blank\" rel=\"noopener\">Genetics<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/biochemistry-and-nutrition\" target=\"_blank\" rel=\"noopener\">Biochemistry<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/behavioral-health\" target=\"_blank\" rel=\"noopener\">Behavioral science<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/biostatistics,-epidemiology,-population-health,-and-interpretation-of-the-medical-literature\" target=\"_blank\" rel=\"noopener\">Epidemiology<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Ethical_principles_and_legal_aspects_of_care\" target=\"_blank\" rel=\"noopener\">Ethics<\/a>&nbsp;&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Prevention\" target=\"_blank\" rel=\"noopener\">Preventive medicine<\/a>&nbsp;&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Safety_and_Comfort\" target=\"_blank\" rel=\"noopener\">Patient safety<\/a>&nbsp;&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/features\/decision-making-trees\" target=\"_blank\" rel=\"noopener\">Diagnostic reasoning<\/a>&nbsp;&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/events\/video\/learn-how-to-think-clinically-with-osmosis's-new-clinical-sciences\" target=\"_blank\" rel=\"noopener\">Clinical decision making<\/a>&nbsp;&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_is_the_COMLEX_Level_1_blueprint\"><\/span>What is the COMLEX Level 1 blueprint?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<figure class=\"wp-block-image alignleft size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"616\" height=\"582\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_127f55.png\" alt=\"Osmosis.org style illustration of Mo the Osmosis mascot, holding a pencil and exam paper, with wide eyes, thinking about taking an exam.\" class=\"wp-image-11292\" style=\"aspect-ratio:1.059278350515464;width:275px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_127f55.png 616w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_127f55.png?resize=300,283 300w\" sizes=\"auto, (max-width: 616px) 100vw, 616px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Before you dive into studying,&nbsp;let\u2019s&nbsp;review what the COMLEX Level 1&nbsp;assesses.&nbsp;&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The exam is designed to follow&nbsp;what\u2019s&nbsp;referred to as the&nbsp;<a href=\"https:\/\/www.nbome.org\/assessments\/comlex-usa\/comlex-usa-blueprint\/\" target=\"_blank\" rel=\"noopener\"><strong>COMLEX-USA Blueprint<\/strong><\/a>, <strong>which is&nbsp;NBOME&#8217;s&nbsp;roadmap for the exam<\/strong>. Instead of just memorizing&nbsp;information, the blueprint focuses on knowledge, skills, and clinical reasoning&nbsp;required&nbsp;of&nbsp;every osteopathic medical student before starting clinical rotations.&nbsp;&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Hows_the_exam_broken_down\"><\/span>How&#8217;s&nbsp;the exam broken down?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Rather&nbsp;than just&nbsp;asking&nbsp;straightforward recall questions, topics are integrated into patient scenarios. Because of that, every question combines two dimensions:&nbsp;<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li><strong>Competency domains<\/strong>: What you should be able to do as a physician<\/li>\n\n\n\n<li><strong>Clinical presentations<\/strong>: Why the patient is seeking medical care&nbsp;<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Let&#8217;s&nbsp;start&nbsp;with&nbsp;the&nbsp;specific competency domains:<\/strong>&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"906\" height=\"963\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_1ce2bf.png\" alt=\"Osmosis.org style illustration table showing COMLEX Level 1 competency domains and their approximate exam weights, led by Application of Knowledge for Osteopathic Medical Practice at 60%, followed by OPP\/OMM at 12%, practice-based learning at 8%, patient care and procedural skills at 6%, communication and professionalism at 3% each, and systems-based practice at 2%.\" class=\"wp-image-11293\" style=\"aspect-ratio:0.9408123791102514;width:660px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_1ce2bf.png 906w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_1ce2bf.png?resize=282,300 282w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_1ce2bf.png?resize=768,816 768w\" sizes=\"auto, (max-width: 906px) 100vw, 906px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>On the other side of the blueprint are&nbsp;clinical&nbsp;presentations.<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Instead of &#8220;Here&#8217;s a pathology question,&#8221; COMLEX asks, &#8220;Here&#8217;s a patient with chest pain, now tell me&nbsp;what&#8217;s going on?&#8221; These presentations cover&nbsp;virtually every&nbsp;major body system&nbsp;and are broken down by percentile below:&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"882\" height=\"936\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_41cc27.png\" alt=\"Osmosis.org style illustration table showing COMLEX Level 1 clinical presentation categories and approximate exam weights, with musculoskeletal system at 13%, community health and wellness at 12%, nervous, gastrointestinal, circulatory and hematologic, and respiratory systems at 10% each, and the remaining categories at 5%.\" class=\"wp-image-11294\" style=\"aspect-ratio:0.9423154497781363;width:650px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_41cc27.png 882w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_41cc27.png?resize=283,300 283w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_41cc27.png?resize=768,815 768w\" sizes=\"auto, (max-width: 882px) 100vw, 882px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_medical_subjects_are_included_on_the_COMLEX\"><\/span>What medical subjects are included&nbsp;on&nbsp;the COMLEX?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The competency domains tell you how&nbsp;you\u2019ll&nbsp;be tested, so now let\u2019s look at what you\u2019ll&nbsp;actually be&nbsp;tested on.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Systems-based content&nbsp;is&nbsp;tested via clinical presentations and includes&nbsp;topics&nbsp;like:<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.osmosis.org\/blog\/what-are-the-social-determinants-of-health-and-why-are-they-important\" target=\"_blank\" rel=\"noopener\">Community Health &amp; Wellness<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/reproductive-system-and-breast\" target=\"_blank\" rel=\"noopener\">Human Development, Reproduction &amp; Sexuality<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/endocrine-system\" target=\"_blank\" rel=\"noopener\">Endocrine System &amp; Metabolism<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/nervous-system-and-special-senses\" target=\"_blank\" rel=\"noopener\">Nervous System<\/a>&nbsp;&amp;&nbsp;<a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/behavioral-health\" target=\"_blank\" rel=\"noopener\">Mental Health<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/musculoskeletal-system\" target=\"_blank\" rel=\"noopener\">Musculoskeletal System<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/renal-and-urinary-system\" target=\"_blank\" rel=\"noopener\">Genitourinary &amp; Renal System<\/a>&nbsp;<\/li>\n\n\n\n<li>Breast Disorders&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/gastrointestinal-system\" target=\"_blank\" rel=\"noopener\">Gastrointestinal System<\/a>&nbsp;&amp; Nutritional Health&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/cardiovascular-system\" target=\"_blank\" rel=\"noopener\">Circulatory<\/a>&nbsp;&amp;&nbsp;<a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/blood-and-lymphoreticular-system\" target=\"_blank\" rel=\"noopener\">Hematologic<\/a>&nbsp;Systems&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/respiratory-system\" target=\"_blank\" rel=\"noopener\">Respiratory System<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/skin-and-subcutaneous-tissue\" target=\"_blank\" rel=\"noopener\">Integumentary System (Skin)<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Foundational sciences are also tested and often integrated into clinical cases:<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/anatomy\" target=\"_blank\" rel=\"noopener\">Anatomy<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/behavioral-health\" target=\"_blank\" rel=\"noopener\">Behavioral science<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/physiology\" target=\"_blank\" rel=\"noopener\">Physiology<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/biostatistics,-epidemiology,-population-health,-and-interpretation-of-the-medical-literature\" target=\"_blank\" rel=\"noopener\">Epidemiology<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/pathology\" target=\"_blank\" rel=\"noopener\">Pathology<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Ethical_principles_and_legal_aspects_of_care\" target=\"_blank\" rel=\"noopener\">Ethics<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/pharmacology\" target=\"_blank\" rel=\"noopener\">Pharmacology<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Prevention\" target=\"_blank\" rel=\"noopener\">Preventive medicine<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/microbiology\" target=\"_blank\" rel=\"noopener\">Microbiology<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Safety_and_Comfort\" target=\"_blank\" rel=\"noopener\">Patient safety<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/organ-systems\/immune-system\" target=\"_blank\" rel=\"noopener\">Immunology<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/features\/decision-making-trees\" target=\"_blank\" rel=\"noopener\">Diagnostic reasoning<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/genetics\" target=\"_blank\" rel=\"noopener\">Genetics<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/events\/video\/learn-how-to-think-clinically-with-osmosis's-new-clinical-sciences\" target=\"_blank\" rel=\"noopener\">Clinical decision making<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/foundational-sciences\/biochemistry-and-nutrition\" target=\"_blank\" rel=\"noopener\">Biochemistry<\/a>&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>&gt;&gt;&nbsp;Need&nbsp;some&nbsp;OMM practice questions?&nbsp;<\/strong><a href=\"https:\/\/www.osmosis.org\/blog\/category\/omm\" target=\"_blank\" rel=\"noopener\"><strong>We&#8217;ve got you&nbsp;covered!<\/strong><\/a><strong>&nbsp;&lt;&lt;<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_are_osteopathic_principles_and_practices_OPP\"><\/span>What&nbsp;are&nbsp;osteopathic principles and&nbsp;practices&nbsp;(OPP)?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">One of the biggest differences between COMLEX and USMLE is the addition of&nbsp;<strong>Osteopathic Principles and&nbsp;Practice<\/strong>&nbsp;(<strong>OPP)<\/strong>&nbsp;and&nbsp;<strong>Osteopathic Manipulative Medicine&nbsp;(OMM)<\/strong>.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Think of&nbsp;<strong>OPP<\/strong>&nbsp;as the&nbsp;<em>philosophy&nbsp;<\/em>behind osteopathic medicine. It emphasizes that the body functions as one integrated&nbsp;unit;&nbsp;structure and function are closely related, and the body has&nbsp;unique&nbsp;abilities to heal and regulate itself.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>OMM<\/strong>, on the other hand, is the&nbsp;<em>hands-on clinical application<\/em>&nbsp;of those principles. It focuses on diagnosing and treating&nbsp;<strong>somatic dysfunction<\/strong>, which refers to impaired function of muscles, joints, fascia, and related structures using osteopathic manipulative techniques.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rather than memorizing every technique, COMLEX usually asks you to recognize dysfunctions, understand autonomic relationships, choose the most&nbsp;appropriate treatment, or&nbsp;identify&nbsp;when manipulation should&nbsp;<strong><em>not&nbsp;<\/em><\/strong>be performed.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Highest-Yield_OMM_Topics\"><\/span>Highest-Yield OMM Topics&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Some OMM topics appear much more&nbsp;frequently&nbsp;than others.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The highest-yield concepts include:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Viscerosomatics_and_facilitation\" target=\"_blank\" rel=\"noopener\">Viscerosomatic Reflexes<\/a>&nbsp;(~25%)&nbsp;&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Introduction_to_counterstrain\" target=\"_blank\" rel=\"noopener\">Counterstrain tender points<\/a>&nbsp;(20%)&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Chapman_points\" target=\"_blank\" rel=\"noopener\">Chapman points<\/a>&nbsp;(~20%)&nbsp;&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Introduction_to_high_velocity_low_amplitude_(HVLA)\" target=\"_blank\" rel=\"noopener\">High-Velocity Low-Amplitude, or HVLA<\/a>, indications and contraindications&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Sympathetic_nervous_system\" target=\"_blank\" rel=\"noopener\">Sympathetic<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Parasympathetic_nervous_system\" target=\"_blank\" rel=\"noopener\">parasympathetic innervation<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Introduction_to_myofascial_release\" target=\"_blank\" rel=\"noopener\">Myofascial release<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Fryette_laws\" target=\"_blank\" rel=\"noopener\">Fryette&#8217;s spinal mechanics<\/a>&nbsp;(~15%)&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Introduction_to_facilitated_positional_release\" target=\"_blank\" rel=\"noopener\">Facilitated Positional Release, or FPR<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Diagnosing_thoracic_spine_somatic_dysfunction\" target=\"_blank\" rel=\"noopener\">Type I and Type II vertebral dysfunctions<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Treatment_of_the_lymphatics\" target=\"_blank\" rel=\"noopener\">Lymphatic techniques<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Diagnosing_sacral_somatic_dysfunction\" target=\"_blank\" rel=\"noopener\">Sacral diagnosis<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Anatomy_of_the_cranial_base\" target=\"_blank\" rel=\"noopener\">Basic cranial concepts<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Approach_to_acute_pelvic_pain_(GYN):_Clinical_sciences\" target=\"_blank\" rel=\"noopener\">Pelvic diagnosis<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Diagnostic_skills\" target=\"_blank\" rel=\"noopener\">Somatic dysfunction diagnosis<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/es\/Diagnosing_rib_somatic_dysfunction\" target=\"_blank\" rel=\"noopener\">Rib dysfunctions<\/a>&nbsp;(~10%)&nbsp;<\/li>\n\n\n\n<li>Treatment&nbsp;selection&nbsp;and contraindications&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/learn\/Introduction_to_muscle_energy\" target=\"_blank\" rel=\"noopener\">Muscle Energy<\/a>&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>If&nbsp;you&#8217;re&nbsp;prioritizing your OMM review, these topics deserve the greatest attention.<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Chapman points&nbsp;(20%)<\/strong><\/li>\n\n\n\n<li><strong>Viscerosomatic&nbsp;reflexes&nbsp;(25%)<\/strong><\/li>\n\n\n\n<li><strong>Counterstrain&nbsp;(20%)<\/strong><\/li>\n\n\n\n<li><strong>Muscle energy<\/strong><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_skills_does_the_COMLEX_exam_test\"><\/span>What skills does the&nbsp;COMLEX&nbsp;exam test?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Beyond recall, Level 1 tests how you think. Expect questions that ask&nbsp;for:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Clinical&nbsp;(diagnostic)&nbsp;reasoning:&nbsp;<\/strong>move from a patient&#8217;s presentation to&nbsp;the&nbsp;most likely diagnosis&nbsp;or next step.&nbsp;<\/li>\n\n\n\n<li><strong>Data interpretation:<\/strong>&nbsp;read labs, imaging, and vital signs and decide what they mean.&nbsp;<\/li>\n\n\n\n<li><strong>Integration across medical areas:<\/strong>&nbsp;connect a mechanism in one system to findings in another;&nbsp;for example, tying a somatic dysfunction to the organ it reflects.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>&gt;&gt;&nbsp;Want to see integration in action?&nbsp;Work through this&nbsp;<\/strong><a href=\"https:\/\/www.osmosis.org\/blog\/omm-question-of-the-day-somatic-dysfunctions\" target=\"_blank\" rel=\"noopener\"><strong>somatic dysfunction question<\/strong><\/a><strong>.<\/strong>&nbsp;<strong>&lt;&lt;<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image alignleft size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"591\" height=\"495\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_c0eeda.png\" alt=\"Osmosis.org style illustration of a May 2027 calendar with a date circled and labeled \u201cCOMLEX Level 1,\u201d representing scheduling or planning for the COMLEX Level 1 exam.\" class=\"wp-image-11295\" style=\"aspect-ratio:1.1939393939393939;width:394px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_c0eeda.png 591w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_c0eeda.png?resize=300,251 300w\" sizes=\"auto, (max-width: 591px) 100vw, 591px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"When_is_the_best_time_to_take_COMLEX_Level_1\"><\/span>When is the best time to take COMLEX Level 1?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Most students take COMLEX Level 1 at the end of their second year, usually between April and June,&nbsp;right after finishing preclinical coursework and before starting clinical rotations.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A typical timeline looks&#8230;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>First and second year medical school:<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lay the groundwork by treating your coursework as board prep. While learning should be fun and preparing for boards as a first-year medical student is rough, if you start early,&nbsp;it\u2019ll&nbsp;be much easier when exam time comes.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Four to eight weeks after 2<sup>nd<\/sup>&nbsp;year:<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Dedicated study period for focused prep<\/strong>&nbsp;once classes wrap up.<\/li>\n\n\n\n<li><strong>Take a&nbsp;baseline self-assessment<\/strong>, like a&nbsp;<a href=\"https:\/\/www.nbome.org\/assessments\/comsae\/\" target=\"_blank\" rel=\"noopener\">COMSAE<\/a>, early in&nbsp;your&nbsp;dedicated&nbsp;(study)&nbsp;period,&nbsp;so you know where you&nbsp;need to&nbsp;focus&nbsp;your study time.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Test&nbsp;Scheduling:<\/strong>&nbsp;&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Choose a date toward&nbsp;the end of that dedicated window<\/strong>, when your practice scores&nbsp;are&nbsp;consistently&nbsp;in the passing range.<\/li>\n\n\n\n<li><strong>Most schools require you to take a qualifying&nbsp;COMSAE<\/strong>,&nbsp;demonstrating&nbsp;that&nbsp;you\u2019re&nbsp;likely to pass&nbsp;before being able to register&nbsp;for the exam. Use it as a guide to see your strengths and weaknesses and go from there.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_hard_is_COMLEX_Level_1\"><\/span>How hard is COMLEX Level 1?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">COMLEX Level 1 is challenging, because it&nbsp;covers two years of dense material and asks you to apply it under time pressure.&nbsp;&nbsp;What makes it&nbsp;challenging:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Amount of material:&nbsp;<\/strong>the exam spans every organ system and every foundational science, so&nbsp;there&#8217;s&nbsp;a lot to hold in your head at once.&nbsp;<\/li>\n\n\n\n<li><strong>Adding OMM to basic sciences:<\/strong>&nbsp;you&#8217;re&nbsp;expected to weave osteopathic principles into your clinical reasoning, not treat them as a separate subject.&nbsp;<\/li>\n\n\n\n<li><strong>Applied knowledge and clinical reasoning:<\/strong>&nbsp;questions rarely reward memorization alone; they ask you to connect ideas across topics.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The challenge most&nbsp;learners&nbsp;describe&nbsp;isn&#8217;t&nbsp;any single subject;&nbsp;it&#8217;s&nbsp;having the&nbsp;stamina&nbsp;to prepare&nbsp;themselves&nbsp;for&nbsp;a long exam day. The fix is practicing under realistic conditions.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Make sure to remind yourself that&nbsp;<span style=\"text-decoration: underline;\">challenging&nbsp;isn&#8217;t&nbsp;the same as impossible<\/span>.&nbsp;Thousands of&nbsp;medical&nbsp;students pass the COMLEX every year, and with a solid plan and some discipline,&nbsp;you&#8217;ll&nbsp;be one of them!&nbsp;<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image alignleft size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1138\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/c.png\" alt=\"Osmosis.org style illustration of a sample COMLEX-USA Level 1 score report displaying a passing result and explaining that Level 1 is reported as pass\/fail.\" class=\"wp-image-11304\" style=\"aspect-ratio:1.0549153306472063;width:403px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/c.png 1200w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/c.png?resize=300,285 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/c.png?resize=768,728 768w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/c.png?resize=1024,971 1024w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_is_COMLEX_Level_1_scored\"><\/span>How&nbsp;is&nbsp;COMLEX Level 1&nbsp;scored?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">As of&nbsp;May 2022, the NBOME&nbsp;no&nbsp;longer reports a three-digit&nbsp;score&nbsp;for&nbsp;COMLEX&nbsp;Level 1. You&nbsp;simply receive a result of&nbsp;pass&nbsp;or&nbsp;fail.&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pass\/fail structure<\/strong>: your raw score (the number of questions you answer correctly) is converted to a standard score, which&nbsp;determines&nbsp;whether you pass.<\/li>\n\n\n\n<li><strong>Score reporting timeline:<\/strong>&nbsp;results are&nbsp;generally available&nbsp;2-6&nbsp;weeks&nbsp;after the end of your testing window.<\/li>\n\n\n\n<li><strong>If you&nbsp;don&#8217;t&nbsp;pass:<\/strong>&nbsp;you can register to retake the exam, and your school and the NBOME can guide you on timing and next steps. <\/li>\n\n\n\n<li><strong>What your&nbsp;score report includes:<\/strong>&nbsp;a Formative Performance Profile, which is a&nbsp;visual report&nbsp;that&nbsp;compares a candidate&#8217;s strengths and weaknesses with peers across content areas, competencies, and clinical cases)&nbsp;and&nbsp;is&nbsp;in place of a numeric score.<\/li>\n\n\n\n<li><strong>Performance profiles<\/strong>: the profile compares both your overall performance and by content area against first-time test-takers who passed, so you can see your relative strengths and weak spots.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Your&nbsp;Performance Profile is&nbsp;<\/strong><strong><em>meant for you<\/em><\/strong><strong>&nbsp;and your school as a learning&nbsp;tool and&nbsp;isn&#8217;t&nbsp;shared with residency programs.<\/strong>&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_is_the_COMLEX_Level_1_pass_rate\"><\/span>What is the COMLEX Level 1 pass rate?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>First-time pass rate<\/strong>: about&nbsp;<strong>90%<\/strong>&nbsp;in the most recent testing cycle<\/li>\n\n\n\n<li><strong>Repeat test-takers:&nbsp;<\/strong>pass at a lower rate, historically around&nbsp;<strong>75%<\/strong>&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>In other words, the odds are&nbsp;very much&nbsp;in your favor when you prepare consistently.&nbsp;A&nbsp;<a href=\"https:\/\/www.osmosis.org\/features\/study-schedule\" target=\"_blank\" rel=\"noopener\">structured study plan<\/a>&nbsp;is what separates a comfortable pass from&nbsp;a close call.&nbsp;<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_should_you_study_for_COMLEX_Level_1\"><\/span>How should you&nbsp;study for&nbsp;COMLEX Level 1?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">There&#8217;s no single right way to study, but&nbsp;test takers who do&nbsp;well on the exam&nbsp;often&nbsp;share a few habits: they start&nbsp;studying&nbsp;for the exam&nbsp;early&nbsp;in their medical education,&nbsp;they&nbsp;prioritize&nbsp;using&nbsp;practice questions&nbsp;(also known as&nbsp;<a href=\"https:\/\/www.osmosis.org\/features\/quiz-builder\" target=\"_blank\" rel=\"noopener\">Qbanks<\/a>)&nbsp;to identify what areas they need to study, and they&nbsp;review their weak areas&nbsp;regularly.&nbsp;Here&#8217;s&nbsp;how to put that into action.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_do_you_create_a_COMLEX_Level_1_study_plan\"><\/span>How do you create a COMLEX Level 1 study plan?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">We\u2019ve&nbsp;got you covered.&nbsp;Our&nbsp;<a href=\"https:\/\/www.osmosis.org\/blog\/how-to-use-the-new-osmosis-study-schedule-tool\" target=\"_blank\" rel=\"noopener\">Study Schedule tool<\/a>&nbsp;builds a personalized, daily study&nbsp;plan around your exam date.&nbsp;The best part?&nbsp;It\u2019s really easy to use!&nbsp;Simply&nbsp;choose the resources you want to review&nbsp;including&nbsp;<a href=\"https:\/\/www.osmosis.org\/blog\/osmosis-product-updates-2026#February_2026_The_MD_Release_of_Osmosis_AI\" target=\"_blank\" rel=\"noopener\">Osmosis&nbsp;AI<\/a>,&nbsp;<a href=\"https:\/\/www.osmosis.org\/features\/videos\" target=\"_blank\" rel=\"noopener\">videos<\/a>,&nbsp;<a href=\"https:\/\/www.osmosis.org\/features\/flashcards\" target=\"_blank\" rel=\"noopener\">flashcards<\/a>,&nbsp;<a href=\"https:\/\/www.osmosis.org\/features\/high-yield-notes\" target=\"_blank\" rel=\"noopener\">high-yield&nbsp;notes<\/a>,&nbsp;practice&nbsp;questions,&nbsp;<a href=\"https:\/\/www.osmosis.org\/events\/video\/anatomy-made-easy:-osmosis,-complete-anatomy,-and-clinical-key-ai\" target=\"_blank\" rel=\"noopener\">Complete&nbsp;Anatomy models<\/a>,&nbsp;and&nbsp;a variety of&nbsp;additional&nbsp;resources&nbsp;that come with&nbsp;an&nbsp;Osmosis&nbsp;plan!&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Here\u2019s&nbsp;a&nbsp;quick&nbsp;example&nbsp;of how to use the Osmosis Study Schedule tool:&nbsp;<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>Pick your&nbsp;exam:&nbsp;<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"931\" height=\"366\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_d8cf40.png\" alt=\"Osmosis.org style illustration of a study-planning interface asking what the learner is studying for, with options for COMLEX Level 1, COMLEX Level 2, or an individual class exam.\" class=\"wp-image-11297\" style=\"aspect-ratio:2.5450819672131146;width:621px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_d8cf40.png 931w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_d8cf40.png?resize=300,118 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_d8cf40.png?resize=768,302 768w\" sizes=\"auto, (max-width: 931px) 100vw, 931px\" \/><\/figure>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li>Choose your resources.&nbsp;<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"691\" height=\"304\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_180361.png\" alt=\"Osmosis.org style illustration of a study-planning interface asking learners to select their preferred study resources, with options for Osmosis videos, flashcards, notes, questions, and Complete Anatomy models.\" class=\"wp-image-11298\" style=\"aspect-ratio:2.270935960591133;width:461px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_180361.png 691w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_180361.png?resize=300,132 300w\" sizes=\"auto, (max-width: 691px) 100vw, 691px\" \/><\/figure>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li>Put in the&nbsp;date you want to be finished studying, making sure to leave time for high yield review, so&nbsp;maybe 1-2 weeks before your test date, depending on your personal preferences.&nbsp;<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"936\" height=\"513\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_294b67.png\" alt=\"Osmosis.org style illustration of a study-planning interface prompting the learner to choose a completion date, with a calendar date picker open to May 2027.\" class=\"wp-image-11299\" style=\"aspect-ratio:1.8245614035087718;width:624px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_294b67.png 936w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_294b67.png?resize=300,164 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_294b67.png?resize=768,421 768w\" sizes=\"auto, (max-width: 936px) 100vw, 936px\" \/><\/figure>\n\n\n\n<ol start=\"4\" class=\"wp-block-list\">\n<li>Osmosis will calculate how many hours&nbsp;you\u2019ll&nbsp;need to make your way through the review&nbsp;process, allowing&nbsp;you&nbsp;to choose how long you want to study each day. Be sure to add heavier and lighter study days too!&nbsp;<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"936\" height=\"393\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_d5c297.png\" alt=\"Osmosis.org style illustration of a study-planning interface estimating 17 study hours per week, with adjustable daily hours set to three hours Monday through Friday and one hour each on Saturday and Sunday.\" class=\"wp-image-11300\" style=\"aspect-ratio:2.381679389312977;width:624px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_d5c297.png 936w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_d5c297.png?resize=300,126 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_d5c297.png?resize=768,322 768w\" sizes=\"auto, (max-width: 936px) 100vw, 936px\" \/><\/figure>\n\n\n\n<ol start=\"5\" class=\"wp-block-list\">\n<li>Check and follow the study schedule&nbsp;to&nbsp;easily track which topics&nbsp;you\u2019ve&nbsp;completed&nbsp;each day!&nbsp;You can add custom material, like COMBANK questions, which are added&nbsp;to your&nbsp;profile,&nbsp;so&nbsp;all&nbsp;of&nbsp;your study resources are in one concrete place.&nbsp;<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"558\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_23880d.png\" alt=\"Osmosis.org style illustration of a daily study schedule interface showing custom study material and anatomy assignments, including gross anatomy lessons on coronary circulation and heart anatomy with estimated completion times.\" class=\"wp-image-11301\" style=\"aspect-ratio:1.6129032258064515;width:600px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_23880d.png 900w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_23880d.png?resize=300,186 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_23880d.png?resize=768,476 768w\" sizes=\"auto, (max-width: 900px) 100vw, 900px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">If&nbsp;you&#8217;re&nbsp;more of a hands-on&nbsp;person,&nbsp;you can create a study schedule on your own by simply working backward from your test date. Count the weeks you have, then split your time between content review and practice questions.&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Timeline planning:<\/strong>&nbsp;map your dedicated period week-by-week, assigning organ systems or subjects to each.<\/li>\n\n\n\n<li><strong>Balancing review and practice<\/strong>: spend the first stretch on content review, then shift the balance toward practice questions as test day nears.&nbsp;<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_are_the_most_effective_study_strategies_for_acing_COMLEX_Level_1\"><\/span>What are the most effective study strategies&nbsp;for&nbsp;acing&nbsp;COMLEX&nbsp;Level 1?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A few strategies consistently outperform the rest.&nbsp;Here&#8217;s&nbsp;what works, and why:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Practice&nbsp;<\/strong><a href=\"https:\/\/www.osmosis.org\/blog\/active-recall-the-most-effective-high-yield-learning-technique\" target=\"_blank\" rel=\"noopener\"><strong>active recall<\/strong><\/a>&nbsp;by&nbsp;testing&nbsp;yourself&nbsp;(instead of rereading&nbsp;your texts or notes)&nbsp;to&nbsp;force your brain to retrieve information, strengthening your&nbsp;memory far more than&nbsp;type of&nbsp;passive review.&nbsp;<\/li>\n\n\n\n<li><strong>Use&nbsp;study&nbsp;tools that incorporate&nbsp;<\/strong><a href=\"https:\/\/www.osmosis.org\/why-osmosis\/spaced-repetition\" target=\"_blank\" rel=\"noopener\"><strong>spaced repetition;<\/strong><\/a>&nbsp;reviewing&nbsp;concepts&nbsp;at increasing&nbsp;intervals&nbsp;helps&nbsp;you fight&nbsp;the&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Spaced_repetition\" target=\"_blank\" rel=\"noopener\"><strong>forgetting curve<\/strong><\/a>&nbsp;and lock&nbsp;in&nbsp;knowledge for the long&nbsp;term.&nbsp;<\/li>\n\n\n\n<li><strong>Practice&nbsp;questions<\/strong>&nbsp;test&nbsp;you on&nbsp;COMLEX exam&nbsp;topics&nbsp;by&nbsp;applying knowledge to&nbsp;vignettes and&nbsp;exposing&nbsp;gaps you&nbsp;didn&#8217;t&nbsp;know you had.&nbsp;<\/li>\n\n\n\n<li><strong>Regularly review weak areas<\/strong>: treating&nbsp;every practice block&nbsp;and wrong answer&nbsp;as a diagnostic, then circle back and relearn the topics you miss.&nbsp;Try using the&nbsp;<strong><a href=\"https:\/\/www.osmosis.org\/blog\/unlocking-the-secrets-of-osmosis-org-an-in-depth-look\" target=\"_blank\" rel=\"noreferrer noopener\">O<\/a><\/strong><a href=\"https:\/\/www.osmosis.org\/features\/videos\" target=\"_blank\" rel=\"noopener\"><strong>smosis Learning Loop<\/strong><\/a>&nbsp;to help you&nbsp;identify&nbsp;what&nbsp;topics you need&nbsp;to&nbsp;study!&nbsp;<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_should_you_study_OMM_for_COMLEX\"><\/span>How should you study OMM for COMLEX?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">We know&nbsp;it\u2019s&nbsp;tempting, but&nbsp;<strong>don\u2019t&nbsp;save OMM for the last week<\/strong>. Because osteopathic principles are woven throughout the exam,&nbsp;<strong>the smartest approach is to fold OMM into your daily study instead of cramming it separately.<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Integrate OPP into daily study:<\/strong>&nbsp;when you review a system, review its associated osteopathic findings right alongside it.&nbsp;It\u2019ll add an additional 10-30 minutes&nbsp;regularly&nbsp;instead of&nbsp;several&nbsp;hours later on.&nbsp;<\/li>\n\n\n\n<li><strong>Practice and review<\/strong>: OMM questions build pattern recognition for techniques and reflexes quickly.&nbsp;<\/li>\n\n\n\n<li><strong>Reinforce your OMM<\/strong>&nbsp;with&nbsp;<a href=\"https:\/\/www.osmosis.org\/blog\/category\/omm\" target=\"_blank\" rel=\"noopener\">targeted practice questions<\/a>&nbsp;as you go.&nbsp;<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_are_the_best_COMLEX_Level_1_study_resources\"><\/span>What are the best COMLEX Level 1 study resources?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Many learners use combinations of question banks, video libraries, flashcards, and review books along with a variety of study tools. However,&nbsp;<strong>the best learning resources do double duty:&nbsp;they teach content&nbsp;<\/strong><strong><em>and&nbsp;<\/em><\/strong><strong>build your test-taking skills.<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Here&#8217;s&nbsp;how&nbsp;you&nbsp;can support your Level 1 prep, plus the resources&nbsp;worth&nbsp;incorporating into your study sessions:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Watch&nbsp;Videos<\/strong>:&nbsp;Osmosis&nbsp;videos&nbsp;to&nbsp;break complex topics into clear, visual explanations, so&nbsp;difficult&nbsp;concepts&nbsp;are&nbsp;finally&nbsp;clear.&nbsp;<\/li>\n\n\n\n<li>You can&nbsp;determine&nbsp;if&nbsp;the Osmosis visual&nbsp;learning style works for you by&nbsp;<a href=\"https:\/\/www.osmosis.org\/plans\/do\" target=\"_blank\" rel=\"noopener\">signing up for a free trial<\/a>&nbsp;or&nbsp;exploring&nbsp;our&nbsp;<a href=\"https:\/\/www.youtube.com\/@osmosis\/videos\" target=\"_blank\" rel=\"noopener\">YouTube channel<\/a>&nbsp;before&nbsp;subscribing.&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/acofp.org\/continuing-education\/omtotal\" target=\"_blank\" rel=\"noopener\"><strong>OMTotal<\/strong><\/a><strong>&nbsp;<\/strong>provides members with a library of&nbsp;free, step-by-step demonstrations of osteopathic manipulative treatment techniques to strengthen clinical skills.&nbsp;<\/li>\n\n\n\n<li><strong>Test Yourself with&nbsp;Practice&nbsp;Questions:<\/strong>&nbsp;Quizzing&nbsp;what you&#8217;ve learned&nbsp;using&nbsp;a&nbsp;Qbank&nbsp;is the single best, high-yield learning&nbsp;activity&nbsp;you can do, because it trains you to apply knowledge under exam conditions&nbsp;and&nbsp;helps you understand why you&nbsp;answered a question correctly&nbsp;or&nbsp;incorrectly.&nbsp;<strong>The Osmosis Q-Bank&nbsp;contains&nbsp;more than 3,000 practice questions.<\/strong><\/li>\n\n\n\n<li><strong>Practice&nbsp;Answering&nbsp;Exam-style&nbsp;Questions:&nbsp;<\/strong><strong>NBOME&nbsp;<\/strong>provides DO students with official exam-style practice questions to reinforce&nbsp;their&nbsp;clinical knowledge.&nbsp;<\/li>\n\n\n\n<li><strong>Create and Use&nbsp;Flashcards:&nbsp;<\/strong>Reinforce&nbsp;key concepts, improve long-term retention&nbsp;using&nbsp;active recall and spaced repetition&nbsp;to&nbsp;help you&nbsp;efficiently manage the large volume of information&nbsp;you need to learn.&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/features\/flashcards\" target=\"_blank\" rel=\"noopener\">Osmosis&nbsp;flashcards&nbsp;have&nbsp;spaced repetition&nbsp;built into the&nbsp;algorithm<\/a>&nbsp;to&nbsp;resurface&nbsp;key topics&nbsp;<em>right before<\/em>&nbsp;you&nbsp;forget&nbsp;them!&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/apps.ankiweb.net\/\" target=\"_blank\" rel=\"noopener\">Anki<\/a>&nbsp;also&nbsp;offers&nbsp;a free flashcard tool to help medical students efficiently learn,&nbsp;retain, and recall complex medical knowledge.&nbsp;<\/li>\n\n\n\n<li><strong>Review&nbsp;Books and&nbsp;Notes:<\/strong>&nbsp;concise references&nbsp;keep your content review focused instead of sprawling.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">We suggest sticking with one or two core learning resources rather than using a&nbsp;bunch of&nbsp;different tools, as the consistent use of select, trusted resources&nbsp;reinforce&nbsp;concepts more effectively and reduce the time lost switching between different formats and teaching styles.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_does_a_COMLEX_Level_1_study_schedule_look_like\"><\/span>What&nbsp;does a&nbsp;COMLEX Level 1 study schedule&nbsp;look like?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<figure class=\"wp-block-image alignleft size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"864\" height=\"556\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_b71f24.png\" alt=\"Osmosis.org style illustration table outlining a sample six-week dedicated study schedule: content review in weeks 1\u20132, timed mixed-topic question integration in weeks 3\u20134, and full-length practice exams, weak-area review, and a final COMSAE in weeks 5\u20136.\" class=\"wp-image-11302\" style=\"aspect-ratio:1.5525606469002695;width:590px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_b71f24.png 864w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_b71f24.png?resize=300,193 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_b71f24.png?resize=768,494 768w\" sizes=\"auto, (max-width: 864px) 100vw, 864px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Everyone&#8217;s schedule looks a little different, but a strong plan&nbsp;generally moves&nbsp;through three phases: content review, mixed practice, and final simulation.&nbsp;Here&#8217;s&nbsp;a sample built around a dedicated study period.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A realistic daily breakdown during the middle weeks:<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Morning:<\/strong>&nbsp;one to two timed question blocks of&nbsp;approximately&nbsp;40 questions each.&nbsp;<\/li>\n\n\n\n<li><strong>Midday:<\/strong>&nbsp;review every question you missed and log the concepts to revisit.&nbsp;<\/li>\n\n\n\n<li><strong>Afternoon:<\/strong>&nbsp;targeted content review on your weakest topics, plus OMM.&nbsp;<\/li>\n\n\n\n<li><strong>Evening:<\/strong>&nbsp;flashcards&nbsp;powered by&nbsp;spaced repetition, then rest.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>&gt;&gt;&nbsp;Learn&nbsp;<\/strong><a href=\"https:\/\/www.osmosis.org\/blog\/how-med-students-use-the-osmosis-study-schedule-for-usmle-step-1-and-comlex-usa-level-1\" target=\"_blank\" rel=\"noopener\"><strong>how med students use the Osmosis Study Schedule<\/strong><\/a><strong>&nbsp;to build a&nbsp;study&nbsp;plan.&nbsp;&lt;&lt;<\/strong>&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_do_you_study_throughout_the_school_year\"><\/span>How do you study&nbsp;throughout&nbsp;the&nbsp;school year?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">You&nbsp;don&#8217;t&nbsp;have to wait for your dedicated period to start preparing. Studying during the school year,&nbsp;also known as&nbsp;the non-dedicated approach,&nbsp;builds a foundation that makes your dedicated weeks far less stressful.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A sustainable non-dedicated&nbsp;study&nbsp;routine:<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Tie board prep to class<\/strong>: as you cover a topic in coursework, do a handful of board-style questions on it.&nbsp;<\/li>\n\n\n\n<li><strong>Keep it small:<\/strong>&nbsp;30-60 minutes a day of&nbsp;practice&nbsp;questions&nbsp;(Qbank)&nbsp;and flashcards is plenty.&nbsp;<\/li>\n\n\n\n<li><strong>Stay consistent:<\/strong>&nbsp;a little every day beats a cram&nbsp;session, thanks to spaced repetition&nbsp;identifying&nbsp;the areas you need to focus on.&nbsp;<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_is_Osmosis_AI_and_what_does_it_do\"><\/span>What is&nbsp;Osmosis AI and what does&nbsp;it&nbsp;do?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.osmosis.org\/blog\/how-to-go-from-question-to-clarity-in-seconds-with-osmosis-ai\">Osmosis AI<\/a> is a conversational study companion built into the Osmosis platform to help students review medical and health-related topics by providing explanations, answering follow-up questions, linking to relevant Osmosis videos and trusted Elsevier content, and creating summaries, flashcards, and&nbsp;Qbank-style practice questions.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Available on both the web and mobile apps,&nbsp;you&nbsp;can also use&nbsp;Osmosis AI&nbsp;to deepen&nbsp;your&nbsp;understanding&nbsp;of a topic&nbsp;using&nbsp;Tutor&nbsp;(Socratic)&nbsp;Mode, which guides&nbsp;you&nbsp;step-by-step with questions instead of&nbsp;simply&nbsp;revealing the answer, and&nbsp;includes citations so&nbsp;you&nbsp;can verify&nbsp;and trust&nbsp;the information!&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_can_Osmosis_AI_help_you_prepare_for_COMLEX_Level_1\"><\/span>How can Osmosis AI help you prepare for COMLEX Level 1?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Think of Osmosis AI as your on-demand study partner.&nbsp;Osmosis AI is grounded in trusted Osmosis and Elsevier medical education content. That means&nbsp;that unlike more general AI tools,&nbsp;Osmosis AI&#8217;s&nbsp;responses are designed&nbsp;<em>specifically for healthcare learners<\/em>&nbsp;and point you to relevant Osmosis videos and learning resources for deeper study.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Whether&nbsp;you&#8217;re&nbsp;learning a topic for the first time or reviewing before test day, you can use it to:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Break down tough concepts<\/strong>&nbsp;into clear, easy-to-understand explanations.&nbsp;<\/li>\n\n\n\n<li><strong>Compare diseases, treatments, and medications<\/strong>&nbsp;to better understand key differences.&nbsp;<\/li>\n\n\n\n<li><strong>Generate practice questions<\/strong>&nbsp;to test your knowledge and&nbsp;identify&nbsp;weak spots.&nbsp;<\/li>\n\n\n\n<li><strong>Create flashcards and mnemonics<\/strong>&nbsp;to make memorizing high-yield facts easier.&nbsp;<\/li>\n\n\n\n<li><strong>Summarize long topics<\/strong>&nbsp;into concise, board-focused reviews.&nbsp;<\/li>\n\n\n\n<li><strong>Find related Osmosis videos and learning resources<\/strong>&nbsp;to reinforce what&nbsp;you&#8217;re&nbsp;studying.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Use&nbsp;Osmosis AI&nbsp;whenever you get stuck, want to quiz yourself,&nbsp;need a new deck of flashcards,&nbsp;or&nbsp;want&nbsp;a quick refresher;&nbsp;it can help you study more efficiently and stay focused on the concepts that matter most for COMLEX Level 1.&nbsp;<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>>>\u00a0<\/strong><a href=\"https:\/\/www.osmosis.org\/blog\/osmosis-product-updates-2026\" target=\"_blank\" rel=\"noopener\"><strong>Learn more about Osmosis AI\u00a0along with\u00a0product\u00a0releases and\u00a0updates<\/strong><\/a>\u00a0<strong>&lt;&lt;<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Should_osteopathic_med_students_take_both_the_COMLEX_and_USMLE%C2%AE\"><\/span>Should&nbsp;osteopathic med students take&nbsp;both&nbsp;the&nbsp;COMLEX and&nbsp;USMLE\u00ae?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">One of the biggest questions&nbsp;you might be asking yourself is&nbsp;whether&nbsp;you&nbsp;should take&nbsp;<strong>both COMLEX-USA and&nbsp;the&nbsp;USMLE<\/strong>, or just COMLEX.&nbsp;And the answer depends on your career goals, the&nbsp;residency&nbsp;programs&nbsp;you&#8217;re&nbsp;interested in, and how much&nbsp;additional&nbsp;time and expense&nbsp;you&#8217;re&nbsp;willing to invest.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">First, remember that&nbsp;<strong>COMLEX is&nbsp;required&nbsp;for graduation and licensure as a DO physician<\/strong>.&nbsp;<strong>Every osteopathic medical student must pass the COMLEX-USA&nbsp;<\/strong>sequence.&nbsp;The&nbsp;<strong>USMLE&nbsp;is optional<\/strong>&nbsp;for DO students&nbsp;<em>unless your medical school specifically&nbsp;requires&nbsp;it.<\/em>&nbsp;&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_are_the_COMLEX_and_USMLE_exams_different\"><\/span>How are&nbsp;the&nbsp;COMLEX and USMLE&nbsp;exams&nbsp;different?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Although the two exams cover much of the same foundational medical knowledge, there are several\u00a0important differences, the COMLEX includes osteopathic principles and manipulative medicine, while the USMLE follows an allopathic framework. The exams also differ in their testing formats, content emphasis, and score-reporting systems. These differences can affect how students prepare based on which exam best aligns with their training and future licensure plans.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_do_the_exam_structures_compare\"><\/span>How do the exam structures compare?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>USMLE Step 1<\/strong>&nbsp;focuses&nbsp;almost entirely&nbsp;on applying basic science concepts to clinical medicine.&nbsp;<\/li>\n\n\n\n<li><strong>COMLEX Level 1<\/strong>&nbsp;tests those same foundational sciences but also emphasizes the osteopathic approach to patient care and clinical reasoning.&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"OMM_and_OPP\"><\/span>OMM and OPP<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">The biggest difference&nbsp;between the USMLE exam and the&nbsp;COMLEX&nbsp;exam&nbsp;is&nbsp;that the COMLEX&nbsp;includes&nbsp;<strong>Osteopathic Principles and Practice (OPP)<\/strong>&nbsp;and&nbsp;<strong>Osteopathic Manipulative Medicine (OMM)<\/strong>&nbsp;throughout the exam.&nbsp;MDs&nbsp;are not required to&nbsp;learn osteopathic&nbsp;medicine,&nbsp;and the&nbsp;<strong>USMLE does&nbsp;not&nbsp;test OMM.<\/strong>&nbsp;&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Scoring\"><\/span>Scoring&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Today, both&nbsp;<strong>COMLEX Level 1 and USMLE Step 1 are reported as Pass\/Fail<\/strong>, so neither exam provides a numeric score at the Level 1 stage. However, residency programs will later look closely at&nbsp;<strong>Level 2-CE<\/strong>&nbsp;and&nbsp;<strong>Step 2 CK<\/strong>, which&nbsp;is still&nbsp;numerically scored.&nbsp;&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Question_Styles\"><\/span>Question&nbsp;Styles&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">The overall medical content&nbsp;overlaps substantially, but&nbsp;the exams feel different.&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>USMLE<\/strong>&nbsp;questions tend to be straightforward, emphasizing pathophysiology, mechanisms of disease, and interpretation of laboratory and imaging findings.&nbsp;<\/li>\n\n\n\n<li><strong>COMLEX<\/strong>&nbsp;questions often include an osteopathic perspective, integrate OMM into otherwise standard clinical cases, and may use a slightly different wording style that requires careful reading.&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>&gt;&gt;&nbsp;Learn&nbsp;more about the&nbsp;<\/strong><a href=\"https:\/\/www.osmosis.org\/blog\/md-vs-do-what-are-the-key-differences\" target=\"_blank\" rel=\"noopener\"><strong>differences&nbsp;between the COMLEX Level 1 and USMLE Step 1<\/strong><\/a><strong>&nbsp;&lt;&lt;<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"When_is_taking_both_the_COMLEX_Level_1_and_USMLE_Step_1_helpful\"><\/span>When is taking both&nbsp;the COMLEX Level 1 and USMLE Step 1&nbsp;helpful?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">While most residency programs now accept COMLEX scores,&nbsp;<strong>for many students, the&nbsp;COMLEX alone is enough<\/strong>,&nbsp;especially in specialties such as:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/clerkships\/family-medicine\" target=\"_blank\" rel=\"noopener\">Family Medicine<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/clerkships\/internal-medicine\" target=\"_blank\" rel=\"noopener\">Internal Medicine<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/clerkships\/pediatrics\" target=\"_blank\" rel=\"noopener\">Pediatrics<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/clerkships\/psychiatry\" target=\"_blank\" rel=\"noopener\">Psychiatry<\/a>&nbsp;<\/li>\n\n\n\n<li>Preventative Medicine&nbsp;<\/li>\n\n\n\n<li>Neuromusculoskeletal Medicine<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/clerkships\/emergency-medicine\" target=\"_blank\" rel=\"noopener\">Emergency Medicine<\/a>&nbsp;(many programs)<\/li>\n\n\n\n<li>Community-based&nbsp;residency programs&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">However, taking the&nbsp;<strong>USMLE may strengthen your application&nbsp;<\/strong>if&nbsp;you&#8217;re&nbsp;interested in programs that are university-based or historically MD-focused, such as:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Anesthesiology&nbsp;<\/li>\n\n\n\n<li>Radiology (diagnostic or interventional)&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/clerkships\/emergency-medicine\" target=\"_blank\" rel=\"noopener\">Emergency Medicine<\/a>&nbsp;(some programs)&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/clerkships\/obstetrics-and-gynecology\" target=\"_blank\" rel=\"noopener\">Obstetrics and Gynecology<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/clerkships\/neurology\" target=\"_blank\" rel=\"noopener\">Neurology<\/a>&nbsp;<\/li>\n\n\n\n<li>Physical Medicine and Rehabilitation (PM&amp;R)&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Additionally,&nbsp;<strong>taking&nbsp;the&nbsp;USMLE&nbsp;exam&nbsp;is&nbsp;highly recommended&nbsp;for certain competitive&nbsp;specialties<\/strong>, like:&nbsp;&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Orthopedic Surgery&nbsp;<\/li>\n\n\n\n<li>Neurosurgery&nbsp;<\/li>\n\n\n\n<li>Dermatology&nbsp;<\/li>\n\n\n\n<li>Plastic Surgery&nbsp;<\/li>\n\n\n\n<li>Otolaryngology (ENT)&nbsp;<\/li>\n\n\n\n<li>Urology&nbsp;<\/li>\n\n\n\n<li>Ophthalmology&nbsp;<\/li>\n\n\n\n<li>Radiology Oncology&nbsp;<\/li>\n\n\n\n<li>Vascular Surgery<\/li>\n\n\n\n<li>Thoracic surgery<\/li>\n\n\n\n<li><a href=\"https:\/\/www.osmosis.org\/library\/oh\/clerkships\/surgery\" target=\"_blank\" rel=\"noopener\">General Surgery<\/a>&nbsp;(at highly academic programs)&nbsp;<\/li>\n\n\n\n<li>Highly competitive academic residency programs<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The reality is that&nbsp;some&nbsp;residency directors are&nbsp;simply&nbsp;<strong>more familiar with USMLE performance<\/strong>, making it easier to compare applicants from MD and DO schools.&nbsp;<strong>Taking both exams may increase the number of programs willing to review your application or make comparisons with allopathic applicants.<\/strong>&nbsp;&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Other_Factors_to_Consider_About_Taking_Both_Exams\"><\/span>Other&nbsp;Factors to&nbsp;Consider&nbsp;About Taking Both Exams&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Before deciding to take both exams,&nbsp;consider:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Your&nbsp;specialty interests:<\/strong>&nbsp;If&nbsp;you&#8217;re&nbsp;leaning toward a highly competitive specialty, taking both exams may provide more&nbsp;flexibility.&nbsp;<\/li>\n\n\n\n<li><strong>Program requirements:<\/strong>&nbsp;Always check&nbsp;with&nbsp;residency&nbsp;programs&nbsp;you&#8217;re&nbsp;interested in, since expectations vary.&nbsp;<\/li>\n\n\n\n<li><strong>Cost:<\/strong>&nbsp;Registering for another licensing exam and&nbsp;purchasing&nbsp;additional&nbsp;study resources can be expensive.&nbsp;<\/li>\n\n\n\n<li><strong>Time commitment:&nbsp;<\/strong>Preparing for two exams requires extra planning, especially to review COMLEX-specific OMM content.&nbsp;<\/li>\n\n\n\n<li><strong>Your testing confidence:&nbsp;<\/strong>It&#8217;s&nbsp;generally better&nbsp;to perform well on one exam than to&nbsp;perform poorly on two.&nbsp;<\/li>\n\n\n\n<li><strong>Desired location for residency.<\/strong>&nbsp;Highly desired locations, like big cities or major&nbsp;coastlines, are typically more competitive, and&nbsp;<strong>taking both exams can be the factor that gives you a&nbsp;leg&nbsp;up in the&nbsp;<\/strong><a href=\"https:\/\/www.osmosis.org\/blog\/residency-interviewing-tips-how-to-prepare-and-impress-program-directors\" target=\"_blank\" rel=\"noopener\"><strong>residency interview process<\/strong><\/a>.&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Happily, the&nbsp;<strong>majority of the medical content overlaps<\/strong>&nbsp;<strong>between COMLEX and USMLE.&nbsp;If&nbsp;you&#8217;ve&nbsp;prepared well for one,&nbsp;you&#8217;ve&nbsp;already covered most of the material for the other. <\/strong>The biggest&nbsp;additional&nbsp;study area for COMLEX is OPP and OMM, while USMLE preparation often focuses on practicing its unique question style.&nbsp;&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Want_to_learn_more_about_the_USMLE_Step_1_exam\"><\/span>Want to learn more about&nbsp;the&nbsp;USMLE&nbsp;Step 1 exam?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">If&nbsp;you&#8217;re&nbsp;planning to take both exams,&nbsp;or&nbsp;you&#8217;re&nbsp;still deciding,&nbsp;be sure to check out our&nbsp;<a href=\"https:\/\/www.osmosis.org\/blog\/all-your-usmle-step-1-questions-answered-the-osmosis-ultimate-guide\" target=\"_blank\" rel=\"noopener\">Ultimate Guide to USMLE\u00ae Step 1<\/a>,&nbsp;where we cover the exam format,&nbsp;academic&nbsp;blueprint, study timeline, high-yield resources, and proven&nbsp;study&nbsp;strategies to&nbsp;efficiently&nbsp;prepare.&nbsp;<strong>Because the two exams overlap so much, many students build a single study plan that prepares them for both while adding dedicated OMM review before COMLEX.<\/strong>&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_are_some_common_COMLEX_Level_1_mistakes_to_avoid\"><\/span>What are&nbsp;some&nbsp;common COMLEX Level 1 mistakes to avoid?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most setbacks come down to a handful of avoidable habits.&nbsp;Here&#8217;s&nbsp;each one, along with a better&nbsp;choice:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Using too many&nbsp;study tools<\/strong>:&nbsp;Pick one or two core resources and go deep!&nbsp;Juggling&nbsp;a dozen&nbsp;resources&nbsp;spreads you thin&nbsp;and will burden you with having to learn multiple tools.&nbsp;<\/li>\n\n\n\n<li><strong>Not doing enough practice&nbsp;questions:<\/strong>&nbsp;Instead,&nbsp;make&nbsp;Qbank&nbsp;(practice)&nbsp;questions&nbsp;the backbone of your prep, not an afterthought;&nbsp;they&#8217;re&nbsp;the closest thing to&nbsp;the&nbsp;real exam.&nbsp;<\/li>\n\n\n\n<li><strong>Ignoring OMM&nbsp;until the last minute:&nbsp;<\/strong>Fold osteopathic principles into your daily study.&nbsp;OMM runs throughout&nbsp;the&nbsp;COMLEX&nbsp;exams&nbsp;and&nbsp;can be&nbsp;a reliable source of&nbsp;points when&nbsp;you&#8217;re&nbsp;prepared.&nbsp;<\/li>\n\n\n\n<li><strong>Poor time management:<\/strong>&nbsp;Instead, practice in timed blocks so pacing becomes second nature well before test day.&nbsp;(<a href=\"https:\/\/www.osmosis.org\/blog\/time-management-101-how-to-get-and-stay-organized-while-youre-in-school\" target=\"_blank\" rel=\"noopener\">We can help with that.<\/a>)&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong>&gt;&gt; Need&nbsp;a mental break while you study? Our roundup of&nbsp;the&nbsp;<a href=\"https:\/\/www.osmosis.org\/blog\/the-best-do-podcasts\" target=\"_blank\" rel=\"noopener\">best DO podcasts<\/a>&nbsp;is&nbsp;a great place&nbsp;to start.&nbsp;You&#8217;ve&nbsp;got this! &lt;&lt;<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image alignright size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"759\" height=\"579\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_3ad214.png\" alt=\"Osmosis.org style illustration of a person relaxing on a couch with a cup while petting a dog lying beside them, representing rest, relaxation, and taking a break.\" class=\"wp-image-11303\" style=\"aspect-ratio:1.310880829015544;width:506px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_3ad214.png 759w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_3ad214.png?resize=300,229 300w\" sizes=\"auto, (max-width: 759px) 100vw, 759px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_do_you_stay_healthy_while_studying_for_COMLEX_Level_1\"><\/span>How do you stay healthy while studying for COMLEX Level 1?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Your brain performs best when you&nbsp;take&nbsp;care of&nbsp;yourself!&nbsp;Protecting your health during a dedicated study block&nbsp;isn&#8217;t&nbsp;a luxury,&nbsp;it&#8217;s&nbsp;part of the strategy:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Take real breaks<\/strong>:&nbsp;taking&nbsp;regular&nbsp;study&nbsp;breaks keeps&nbsp;your focus sharp&nbsp;and prevents burnout.&nbsp;<\/li>\n\n\n\n<li><strong>Move your body:<\/strong>&nbsp;even a short daily walk, stretching,&nbsp;or&nbsp;a quick&nbsp;workout clears your head and supports retention.&nbsp;<\/li>\n\n\n\n<li><strong>Eat well and hydrate<\/strong>: steady fuel beats a caffeine-and-snacks&nbsp;spiral.&nbsp;<\/li>\n\n\n\n<li><strong>Protect your sleep<\/strong>:&nbsp;trading sleep for cram time&nbsp;usually backfires;&nbsp;a consistent sleep schedule&nbsp;helps your mind&nbsp;retain&nbsp;what you&nbsp;study.&nbsp;<\/li>\n\n\n\n<li><strong>Lean on your people:<\/strong>&nbsp;friends, family, and classmates keep you grounded when the pressure builds.&nbsp;<\/li>\n\n\n\n<li><strong>Celebrate milestones:<\/strong>&nbsp;finish a tough system or hit a practice-score goal? Mark the win!&nbsp;<\/li>\n\n\n\n<li><strong>Rest the day before<\/strong>: step away from studying the day before your exam so you walk in&nbsp;fresh. Use this time for lunch with a friend or&nbsp;maybe treat&nbsp;yourself to a relaxing massage? Whatever you choose, make it low key and fun!&nbsp;<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image alignleft size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"918\" height=\"769\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_8384b4.png\" alt=\"Osmosis.org style illustration of a student holding the Osmosis Ultimate Guide to COMLEX-USA Level 1, surrounded by key exam-preparation steps: registration, creating a study plan, reviewing OMM, completing practice questions, and preparing for test day.\" class=\"wp-image-11285\" style=\"aspect-ratio:1.1929824561403508;width:346px;height:auto\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_8384b4.png 918w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_8384b4.png?resize=300,251 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/image_8384b4.png?resize=768,643 768w\" sizes=\"auto, (max-width: 918px) 100vw, 918px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"COMLEX_Level_1_FAQs\"><\/span>COMLEX Level 1 FAQs&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_long_should_you_study_for_COMLEX_Level_1\"><\/span>How long should you study for COMLEX Level 1?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Most students&nbsp;dedicate 4 to&nbsp;8 weeks&nbsp;of&nbsp;focused&nbsp;study&nbsp;on top of the foundation they build doing coursework.&nbsp;The right length&nbsp;of time&nbsp;depends on&nbsp;your&nbsp;baseline and your&nbsp;school&#8217;s&nbsp;schedule. Let your&nbsp;practice exam&nbsp;scores&nbsp;(not the calendar)&nbsp;tell&nbsp;you when&nbsp;you&#8217;re&nbsp;ready.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Is_COMLEX_harder_than_USMLE_Step_1\"><\/span>Is COMLEX harder than USMLE Step 1?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Neither exam is objectively harder;&nbsp;they&#8217;re&nbsp;just different. COMLEX adds osteopathic principles and OMM, which the USMLE&nbsp;doesn&#8217;t&nbsp;test, and it leans a little more on primary-care and musculoskeletal content. If&nbsp;you&#8217;ve&nbsp;studied OMM alongside your basic sciences, COMLEX plays to your strengths.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_is_a_passing_score_for_COMLEX_Level_1\"><\/span>What is a passing score for COMLEX Level 1?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Level 1 is pass\/fail, so&nbsp;there&#8217;s&nbsp;no numeric target to hit.&nbsp;The exam is simply reported as pass or fail. Behind the scenes, your raw score is converted to a standard score that must clear the NBOME&#8217;s passing threshold.&nbsp;You&#8217;ll&nbsp;receive only the pass\/fail result, along with a Performance Profile.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Can_you_pass_COMLEX_without_a_question_bank\"><\/span>Can you pass COMLEX without a question bank?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It&#8217;s&nbsp;possible, but we&nbsp;don&#8217;t&nbsp;recommend it. Practice questions are&nbsp;the single most effective way to&nbsp;prepare, because&nbsp;they train&nbsp;you for&nbsp;the exact&nbsp;skill&nbsp;the exam tests. A question bank also&nbsp;exposes&nbsp;your weak spots far faster than passive reading ever will.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_resources_are_most_helpful_for_COMLEX_Level_1\"><\/span>What resources are most helpful for COMLEX Level 1?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The most helpful resources combine a strong question bank, clear video lessons, and&nbsp;spaced-repetition flashcards. Osmosis helps&nbsp;DO students study efficiently. Whatever&nbsp;tools&nbsp;you choose,&nbsp;focus on one or two&nbsp;tools&nbsp;and use&nbsp;them&nbsp;consistently.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Final_Thoughts_How_to_succeed_on_the_COMLEX_Level_1_Exam\"><\/span>Final&nbsp;Thoughts: How to succeed on the COMLEX Level 1 Exam&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Here&#8217;s&nbsp;the bottom line: <strong>COMLEX Level 1 is a big exam, but&nbsp;it&#8217;s&nbsp;a very passable one when you approach it with a plan.<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Start early and treat your coursework as board prep&nbsp;<\/strong><\/li>\n\n\n\n<li><strong>Make practice questions the center of your study&nbsp;<\/strong><\/li>\n\n\n\n<li><strong>Integrate OMM from day one instead of saving it for the end&nbsp;<\/strong><\/li>\n\n\n\n<li><strong>Simulate real test conditions before the big day so nothing feels new<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nine out of ten&nbsp;first-time test-takers pass, and with steady, structured preparation<\/strong>,&nbsp;so there&#8217;s&nbsp;every reason to expect&nbsp;you&#8217;ll&nbsp;be one of them.&nbsp;You&#8217;ve&nbsp;made it this far in medical&nbsp;school;&nbsp;you have exactly what it takes to do this, too!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Key_Takeaways\"><\/span><strong>Key Takeaways<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>COMLEX-USA Level 1 is a one-day, computer-based examination covering foundational medical knowledge while integrating Osteopathic Principles and Practice and Osteopathic Manipulative Medicine.<\/strong><\/li>\n\n\n\n<li><strong>The 2026 exam includes 320 questions divided into eight blocks of 40 questions, with eight hours of total testing time and one hour of break time.<\/strong><\/li>\n\n\n\n<li><strong>COMLEX emphasizes applied knowledge and clinical reasoning, integrating competency domains with patient presentations rather than relying solely on straightforward recall.<\/strong><\/li>\n\n\n\n<li><strong>Effective preparation includes active recall, spaced repetition, practice questions, regular review of weak areas, and integrating OMM throughout the study period rather than leaving it until the end.<\/strong><\/li>\n\n\n\n<li><strong>A structured study plan can progress from content review to mixed question practice and full-length simulation, while consistent preparation during the school year can make the dedicated study period more manageable.<\/strong><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"References\"><\/span>References&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>National Board of Osteopathic Medical Examiners (NBOME).&nbsp;<em>COMLEX-USA&nbsp;Bulletin of&nbsp;Information.<\/em>&nbsp;<a href=\"https:\/\/www.nbome.org\/assessments\/comlex-usa\/bulletin-of-information\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nbome.org\/assessments\/comlex-usa\/bulletin-of-information\/<\/a>&nbsp;<\/li>\n\n\n\n<li>National Board of Osteopathic Medical Examiners (NBOME).&nbsp;<em>COMLEX-USA Eligibility Requirements.<\/em>&nbsp;<a href=\"https:\/\/www.nbome.org\/assessments\/comlex-usa\/bulletin-of-information\/eligibility\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nbome.org\/assessments\/comlex-usa\/bulletin-of-information\/eligibility\/<\/a>&nbsp;<\/li>\n\n\n\n<li>National Board of Osteopathic Medical Examiners (NBOME).&nbsp;<em>Frequently Asked Questions: What is COMLEX-USA?<\/em>&nbsp;<a href=\"https:\/\/www.nbome.org\/frequently-asked-questions\/#what-is-comlex-usa\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nbome.org\/frequently-asked-questions\/#what-is-comlex-usa<\/a>&nbsp;<\/li>\n\n\n\n<li>National Board of Osteopathic Medical Examiners (NBOME).&nbsp;<em>COMLEX-USA Scoring and Reporting.<\/em>&nbsp;<a href=\"https:\/\/www.nbome.org\/assessments\/comlex-usa\/scoring-and-reporting\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nbome.org\/assessments\/comlex-usa\/scoring-and-reporting\/<\/a>&nbsp;<\/li>\n\n\n\n<li>National Board of Osteopathic Medical Examiners.&nbsp;<em>Foundational Osteopathic Medical Competency Domains (FOMCD), 2026.<\/em>&nbsp;<a href=\"https:\/\/www.nbome.org\/app\/uploads\/2026\/01\/FOMCD-2026_Web.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nbome.org\/app\/uploads\/2026\/01\/FOMCD-2026_Web.pdf<\/a>&nbsp;<\/li>\n\n\n\n<li>National Board of Osteopathic Medical Examiners.&nbsp;<em>COMLEX-USA Level 1 Formative Performance Profile.<\/em>&nbsp;<a href=\"https:\/\/www.nbome.org\/app\/uploads\/2024\/09\/L1-Formative-Performance-Profile.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nbome.org\/app\/uploads\/2024\/09\/L1-Formative-Performance-Profile.pdf<\/a>&nbsp;<\/li>\n\n\n\n<li>National Board of Osteopathic Medical Examiners.&nbsp;<em>COMLEX-USA Level 1&nbsp;Score&nbsp;Report Sample.<\/em>&nbsp;<a href=\"https:\/\/www.nbome.org\/app\/uploads\/2024\/09\/L1-Score-Report.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nbome.org\/app\/uploads\/2024\/09\/L1-Score-Report.pdf<\/a>&nbsp;<\/li>\n\n\n\n<li>National Board of Osteopathic Medical Examiners (NBOME).&nbsp;<em>COMLEX-USA Blueprint (2025).<\/em>&nbsp;<a href=\"https:\/\/www.nbome.org\/app\/uploads\/2025\/05\/COMLEX-USA-Blueprint-2025.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nbome.org\/app\/uploads\/2025\/05\/COMLEX-USA-Blueprint-2025.pdf<\/a>&nbsp;<\/li>\n\n\n\n<li>Pearson VUE.&nbsp;<em>NBOME Testing Information.<\/em>&nbsp;<a href=\"https:\/\/www.pearsonvue.com\/us\/en\/nbome.html\" target=\"_blank\" rel=\"noopener\">https:\/\/www.pearsonvue.com\/us\/en\/nbome.html<\/a>&nbsp;<\/li>\n\n\n\n<li>Pearson VUE.&nbsp;<em>COMLEX-USA Level 1 &amp; Level 2 Exam Format Guide.<\/em>&nbsp;<a href=\"https:\/\/www.pearsonvue.com\/content\/dam\/VUE\/vue\/en\/documents\/publications\/Level-1-and-2-Exam-Format.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.pearsonvue.com\/content\/dam\/VUE\/vue\/en\/documents\/publications\/Level-1-and-2-Exam-Format.pdf<\/a>&nbsp;<\/li>\n\n\n\n<li>Pearson VUE.&nbsp;<em>COMLEX-USA Level 1 &amp; Level 2 Exam Day Guide.<\/em>&nbsp;<a href=\"https:\/\/www.pearsonvue.com\/content\/dam\/VUE\/vue\/en\/documents\/publications\/Level-1-and-2-Exam-Day.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.pearsonvue.com\/content\/dam\/VUE\/vue\/en\/documents\/publications\/Level-1-and-2-Exam-Day.pdf<\/a>&nbsp;<\/li>\n\n\n\n<li>Pearson VUE.&nbsp;<em>Professional Test Center Check-In Process.<\/em>&nbsp;<a href=\"https:\/\/www.pearsonvue.com\/content\/dam\/VUE\/vue\/en\/documents\/pearson-professional-center-exam-check-in-process.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.pearsonvue.com\/content\/dam\/VUE\/vue\/en\/documents\/pearson-professional-center-exam-check-in-process.pdf<\/a>&nbsp;<\/li>\n\n\n\n<li>Pearson VUE.&nbsp;<em>Test Taker Resources.<\/em>&nbsp;<a href=\"https:\/\/www.pearsonvue.com\/us\/en\/test-takers\/resources.html\" target=\"_blank\" rel=\"noopener\">https:\/\/www.pearsonvue.com\/us\/en\/test-takers\/resources.html<\/a>&nbsp;<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\/do\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2020\/09\/Blog_Display_Ads_MD1_2023.png?w=700\" alt=\"\" class=\"wp-image-5904\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2020\/09\/Blog_Display_Ads_MD1_2023.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2020\/09\/Blog_Display_Ads_MD1_2023.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em><strong>Get&nbsp;your&nbsp;<a href=\"https:\/\/osmosis.org\/plans\/do\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>&nbsp;now to&nbsp;discover why millions of clinicians and caregivers love learning by Osmosis.<\/strong><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Preparing for COMLEX-USA Level 1 requires more than mastering foundational sciences. This comprehensive guide covers the 2026 exam format, OMM and OPP, study strategies, practice questions, scheduling, and test-day preparation.<\/p>\n","protected":false},"author":320,"featured_media":11316,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[11,20,21,34,16,47],"tags":[2967,489,3400,3465,3399,84,645,3466,462,2745,3401,644,463,1389,192],"class_list":["post-11283","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-comlex","category-exam-prep","category-guides","category-omm","category-do","category-study-tips-and-techniques","tag-board-exam-prep","tag-clinical-reasoning","tag-comlex-level-1","tag-comlex-study-guide","tag-comlex-usa","tag-medical-education","tag-omm","tag-opp","tag-osmosis","tag-osmosis-ai","tag-osteopathic-medical-students","tag-osteopathic-medicine","tag-practice-questions","tag-study-schedule","tag-study-strategies"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Osmosis Ultimate Guide to COMLEX-USA\u00ae Level 1\u00a0 - Osmosis Blog<\/title>\n<meta name=\"description\" content=\"Prepare for COMLEX-USA Level 1 with this comprehensive guide to the exam format, OMM, OPP, study strategies, practice questions, and test-day planning.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Osmosis Ultimate Guide to COMLEX-USA\u00ae Level 1\u00a0 - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Prepare for COMLEX-USA Level 1 with this comprehensive guide to the exam format, OMM, OPP, study strategies, practice questions, and test-day planning.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.osmosis.org\/blog\/the-osmosis-ultimate-guide-to-comlex-usa-level-1\" \/>\n<meta property=\"og:site_name\" content=\"Osmosis Blog\" \/>\n<meta property=\"article:published_time\" content=\"2026-09-24T08:01:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-09-24T16:54:28+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2026\/09\/Ultimate-Guide-to-COMLEX-USA-Level-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1080\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Jessica Geida, DO &amp; 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