# COMQUEST > COMQUEST is a respected test preparation resource in the osteopathic education community, helping prepare osteopathic medical students and residents for the COMLEX & COMAT exams. Our question banks are written by DOs, for DOs — focusing exclusively on high yield content for COMLEX exams. ## Pages - [Blog](https://comquestmed.com/blog/) - [Sign Up Now](https://comquestmed.com/subscribe/) - [COMAT](https://comquestmed.com/exams/comat/): COMAT Shelf Exam Question Preparation - [COMLEX](https://comquestmed.com/exams/comlex/): COMLEX Preparation Questions by COMQUEST - [Exams](https://comquestmed.com/exams/): Our Exams COMQUEST is comprised of a team of physician educators who wanted higher quality preparation material that wasn’t available. COMQUEST... - [Terms & Conditions](https://comquestmed.com/terms-and-conditions/): Terms & Conditions Last Updated: April 6, 2026 Acceptance of These Terms of Use TrueLearn, LLC (collectively, “TrueLearn,” the “Company”,... - [Become an Ambassador](https://comquestmed.com/ambassabor-sign-up/) - [Contact Us](https://comquestmed.com/contact-us/) - [Why COMQUEST?](https://comquestmed.com/why-comquest/) - [FAQ](https://comquestmed.com/faq/): Frequently Asked Questions Below are answers to some commonly asked questions that you might have. If you can’t find an answer... - [COMLEX and COMAT](https://comquestmed.com/) - [Privacy Policy](https://comquestmed.com/privacy-policy/): Privacy Policy COMQUEST Osteopathic Specialists, LLC Last Updated: August 2, 2025This Privacy Policy describes the privacy practices of TrueLearn, LLC (“TrueLearn,”... ## Posts - [OBGYN COMAT Study Guide](https://comquestmed.com/blog/obgyn-comat-study-guide/): Students going into the OBGYN COMAT often feel reasonably prepared on labor and delivery — and then discover the exam... - [How to Study for the Family Medicine COMAT](https://comquestmed.com/blog/how-to-study-for-the-family-medicine-comat/): The Family Medicine COMAT doesn’t test deep expertise in any one area — it tests how well you can move... - [Psychiatry COMAT Exam Study Guide](https://comquestmed.com/blog/psychiatry-comat-exam-study-guide/): Most students find the Psychiatry COMAT feels manageable — right up until they’re in the middle of it and suddenly... - [How to Study for the OMM COMAT: High-Yield Strategy and Topics](https://comquestmed.com/blog/how-to-study-for-the-omm-comat-high-yield-strategy-and-topics/): Most students assume the OMM COMAT (also known as the Osteopathic Principles & Practice [OPP] COMAT) is going to be... - [Your COMAT Score Explained: Scale, Percentiles, and What it Actually Means](https://comquestmed.com/blog/your-comat-score-explained-scale-percentiles-and-what-it-actually-means/): Getting your COMAT score back for the first time can feel oddly disorienting. You’re staring at a number like 104... - [Internal Medicine COMAT Study Guide: High-Yield Tips and Strategy](https://comquestmed.com/blog/internal-medicine-comat-study-guide-high-yield-tips-and-strategy/): If there’s one clerkship exam that has a reputation for humbling even well-prepared students, it’s the IM (Internal Medicine) COMAT.... - [COMQUEST + TrueLearn Integration: What Changed and What It Means for Your COMLEX Prep](https://comquestmed.com/blog/comquest-truelearn-integration-what-changed-and-what-it-means-for-your-comlex-prep/): If you’ve recently logged into COMQUEST and noticed some changes, it’s because COMQUEST is now powered by TrueLearn, which means... - [Tips for Surviving PGY-1 and Residency](https://comquestmed.com/blog/tips-for-surviving-pgy-1-and-residency/): Residency will be one of the most demanding periods of your career. It’s alos a time when many of your... - [The COMSAE structure and its predictiveness](https://comquestmed.com/blog/comsae-score-predictions/): Don’t let the COMSAE frustrate you. It’s meant to help! According to the NBOME, the COMSAE is not meant to... - [Test Anxiety in Medical Students: When Exam Stress Helps - and When It Hurts](https://comquestmed.com/blog/test-anxiety-strength-weakness-medical-student/): It’s 11p. m. the night before the final exam and your eyelids would have set long before the sun if... - [A Guide to Getting the Highest Scores on the COMLEX and COMAT by Maximizing the Platform](https://comquestmed.com/blog/highest-scores-comlex-comat/): Please note:This article references features available within the legacy COMQUEST platform. Users who purchase subscriptions after January 1, 2026 will... - [What Are CDM Cases And Why Do I Care?](https://comquestmed.com/blog/what-are-cdm-cases-and-why-do-i-care/): Clinical Decision-Making (CDM) cases have been a core component of the COMLEX-USA Level 3 exam since 2018. These cases are... - [CDM Cases Now Available for COMLEX Level 3 Preparation](https://comquestmed.com/blog/cdm-cases-now-available/): CDM cases (Clinical Decision-Making cases) are now available for COMLEX Level 3 preparation, giving students the opportunity to practice the... - [6 Tips to Help You Prepare for the COMAT](https://comquestmed.com/blog/6-tips-to-help-you-prepare-for-the-comat/): The Comprehensive Osteopathic Medical Achievement Test (COMAT) is something many schools now require students to take, and the mere thought... ## Products - [Osteopathic Manipulative Medicine COMAT Exam](https://comquestmed.com/exams/comat/omm/): The OMM COMAT tests many aspects of osteopathic principles and practice in a variety of ways. It is essential to... - [Surgery COMAT Exam](https://comquestmed.com/exams/comat/surgery/): While you’re not expected to know many procedures, you will be expected to know which conditions require surgical management versus... - [Psychiatry COMAT Exam](https://comquestmed.com/exams/comat/psychiatry/): The Psychiatry COMAT will test you using DSM-5 criteria. Our question bank will also have some differences explained in case... - [Pediatrics COMAT Exam](https://comquestmed.com/exams/comat/pediatrics/): Our pediatrics COMAT author, a board-certified academic Pediatrician and director of a Pediatrics clerkship, has authored over 317 questions to... - [Ob/Gyn COMAT Exam](https://comquestmed.com/exams/comat/obgyn/): Our director of content, a board certified obstetrician/gynecologist, has overseen over 369+ questions that have been authored for this COMAT.... - [Internal Medicine COMAT Exam](https://comquestmed.com/exams/comat/internal-medicine/): The IM COMAT will cover mostly general internal medicine but will also test you on some high-yield subspecialties (cardiology, dermatology,... - [Family Medicine COMAT Exam](https://comquestmed.com/exams/comat/family-medicine/): Family medicine is considered one of the tougher COMATs because it is so broad. Historically, osteopathic students were forced to... - [Emergency Medicine COMAT Exam](https://comquestmed.com/exams/comat/emergency-medicine/): The emergency medicine COMAT covers cases that a third or fourth year medical student may encounter on their emergency medicine... - [COMLEX Level 3](https://comquestmed.com/exams/comlex/level3/): It’s time for your last COMLEX! We realize that your time is extremely limited during internship. Study efficiently with COMLEX-style... - [COMLEX Level 2](https://comquestmed.com/exams/comlex/level2/): Get immediate access to newly published, high quality COMLEX Level 2 practice questions with explanations that cover everything that is... - [COMLEX Level 1](https://comquestmed.com/exams/comlex/level1/): Get immediate access to newly published, high quality COMLEX-style Level 1 practice questions with explanations that cover everything that is... # # Detailed Content ## Pages - Published: 2025-12-11 - Modified: 2026-06-26 - URL: https://comquestmed.com/exams/comat/ COMAT Shelf Exam Question Preparation - Published: 2025-12-11 - Modified: 2026-06-19 - URL: https://comquestmed.com/exams/comlex/ COMLEX Preparation Questions by COMQUEST - Published: 2025-12-11 - Modified: 2026-02-27 - URL: https://comquestmed.com/exams/ Our Exams COMQUEST is comprised of a team of physician educators who wanted higher quality preparation material that wasn’t available. COMQUEST currently focuses on the core COMAT/Clerkship exams and COMLEX Level 1, 2-CE, and 3. If you have a request for another exam, please let us know. - Published: 2025-12-08 - Modified: 2026-04-07 - URL: https://comquestmed.com/terms-and-conditions/ Terms & Conditions Last Updated: April 6, 2026 Acceptance of These Terms of Use TrueLearn, LLC (collectively, “TrueLearn,” the “Company”, “we,” “us,” or “our”) provides our services (described below) and related content to you through our websites located at truelearn. com, truelearn. net, picmonic. com, apexanesthesia. com, medality. com, mrionline. com, comquestmed. com and any other website address from time to time used by Company to deliver such services (collectively, the “Site”) and related technologies, which may include mobile applications (“Mobile Apps”, and collectively, such Mobile Apps, related technologies and the Site, including any updated or new features, functionality and technology, the “Service”). The Service may also include in-person and virtual presentations and review sessions. All access and use of the Service is subject to the terms and conditions contained in these Terms of Use for End Users, including any Service-Specific Terms (collectively, as amended from time to time, these “Terms of Use”). By accessing, browsing, or otherwise using the Site, Mobile Apps, or any other aspect of the Service, you acknowledge that you have read, understood, and agree to be bound by these Terms of Use. If you do not agree with these Terms of Use, you must not accept these Terms of Use and may not use the Service. If you do not accept the terms and conditions of these Terms of Use, you will not access, browse, or otherwise use the Service. We reserve the right, at our sole discretion, to change or modify portions of these Terms of Use at any time. If we... - Published: 2025-12-01 - Modified: 2026-02-06 - URL: https://comquestmed.com/contact-us/ Contact Us | COMQUEST Skip to content Blog FAQ Why COMQUEST? Login Exams COMLEX COMLEX – Level 1 COMLEX – Level 2 COMLEX – Level 3 COMAT COMAT – Emergency Medicine COMAT – Family Medicine COMAT – Internal Medicine COMAT – Ob/Gyn COMAT – OMM COMAT – Pediatrics COMAT – Psychiatry COMAT – Surgery Testimonials Spread the Word, Earn Rewards! Become a Class Ambassador Become an Affiliate Contact Us Buy Now Contact Us Home / Contact Us Contact Us Get in touch We are always looking for ways to deliver an even better experience. Please feel encouraged to share your thoughts. Notice: JavaScript is required for this content. COMQUEST is everything you need to pass your COMLEX and COMAT exams! Follow Us Facebook Instagram Copyright © 2026 TrueLearn, LLC. COMQUEST is in no way affiliated with the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA™), Comprehensive Osteopathic Medical Achievement Test (COMAT ®), National Board of Osteopathic Medical Examiners, (NBOME ®), or The American Osteopathic Association (AOA ®).   The NBOME™ does not review, manage, or endorse any product of COMQUEST. All exam names and other trademarks are the property of the respective trademark owners. FAQ’s Terms & Conditions Privacy Contact Privacy Choices Login Email Address We’re in the process of making some exciting new changes. During this transition period, your login will be redirected based on whether you purchased your subscription before or after Feb 26, 2026. You have access to both COMQUEST and TrueLearn via your COMQUEST subscription. Please select which portal... - Published: 2025-11-27 - Modified: 2026-02-12 - URL: https://comquestmed.com/faq/ Frequently Asked Questions Below are answers to some commonly asked questions that you might have. If you can’t find an answer here, please feel free to contact us and we’ll promptly answer your question, too. - Published: 2025-11-26 - Modified: 2026-09-09 - URL: https://comquestmed.com/ COMLEX and COMAT | COMQUEST Skip to content Blog FAQ Why COMQUEST? Login Exams COMLEX COMLEX – Level 1 COMLEX – Level 2 COMLEX – Level 3 COMAT COMAT – Emergency Medicine COMAT – Family Medicine COMAT – Internal Medicine COMAT – Ob/Gyn COMAT – OMM COMAT – Pediatrics COMAT – Psychiatry COMAT – Surgery Testimonials Spread the Word, Earn Rewards! Become a Class Ambassador Become an Affiliate Contact Us Buy Now The fastest way to guarantee you’ll Pass Your Exams! PASS YOUR COMLEX AND COMAT EXAMS, GUARANTEED! COMQUEST ensures that you’re getting the most relevant content for the COMLEX and COMAT by regularly updating the practice questions. Our goal is for you to get higher scores with less preparation time, less anxiety, and while receiving amazing support along the way. We want to see more osteopathic physicians matching at top residency programs. Progress Tracking Customized Exams Mobile & Tablet Pass! Our Features High Quality, High-Yield You’re busy. We won’t waste your time teaching minutia that is unlikely to show up on test day. You’ll learn important material through high quality questions and detailed explanations. Build Answer Confidence Previously called ChoiceTRAX™, TrueLearn tracks your answer changes, showing how often you switch right to wrong (and vice versa) so you can know when to trust your first instinct. Optimize Your Pace Previously called TimeTRAX™, within test summaries you’ll see exactly how much time you spend per question, for both correct and incorrect answers, helping you optimize your pacing and performance. Peer Benchmarking... - Published: 2025-11-26 - Modified: 2026-02-27 - URL: https://comquestmed.com/privacy-policy/ Privacy Policy COMQUEST Osteopathic Specialists, LLC Last Updated: August 2, 2025This Privacy Policy describes the privacy practices of TrueLearn, LLC (“TrueLearn,” “we,” “us,” or “our”) in relation to personal information we collect about you when you use our websites and related services. This includes truelearn. com, truelearn. net, picmonic. com, apexanesthesia. com, medality. com, mrionline. com, comquestmed. com and any other websites, mobile applications or other technology that we own or control and that link to this Privacy Policy (collectively, the “Service” or “Services”). The Service is designed to provide curricular support, test preparation, job search, continuing education and related services. Any capitalized terms that are not defined in this Privacy Policy have the meaning assigned to them in our Terms of Use. Please see our California Notice at Collection below for an overview of our privacy practices. Personal Information We Collect Information you provide to us.  We collect information that you provide to us in connection with your use of the Service. This data may include the following: Contact details, such as your first and last name, email and mailing addresses, phone number, and title. Demographic information, such as age, race and ethnicity, gender, disability, arrest or conviction history, and LGBTQ+ community membership, and any similar information which you may include in your resume when you apply to a job through TrueLearn’s Job Board services. Account information, such as the username and password you use to access our Service. Application information, such as your resume and other materials you upload or otherwise share when you apply to... ## Posts - Published: 2026-09-10 - Modified: 2026-09-10 - URL: https://comquestmed.com/blog/obgyn-comat-study-guide/ Students going into the OBGYN COMAT often feel reasonably prepared on labor and delivery — and then discover the exam weighs abnormal obstetrics more heavily than normal obstetrics. Add in gynecologic oncology, reproductive endocrinology, postpartum mental health, and an osteopathic component, and it becomes clear that narrow preparation simply doesn't hold up. This OBGYN COMAT study guide covers the full scope of the exam, starting with the content weighting most students never see. What Is the OBGYN COMAT? Format and What to Expect The OBGYN COMAT comprises 120 questions administered over 2. 5 hours, offered through the NBOME at the end of your OB/GYN clerkship. The exam covers two clinical dimensions: patient presentations, ranging from routine wellness visits to obstetric emergencies, and physician tasks — history-taking, diagnosis, diagnostic workup, and management. One key difference from the NBME OB/GYN shelf: the COMAT includes an osteopathic component. Expect questions on somatic dysfunction and viscerosomatic reflexes in the context of OB/GYN patients, which MD-oriented resources won't prepare you for. OBGYN COMAT Content Breakdown: What the Exam Actually Covers The NBOME publishes a blueprint for this exam, and most students don't know it exists. Here's how the content actually breaks down: Topic AreaExam WeightAbnormal Obstetrics15–16%Normal Obstetrics12–14%Circulatory, Hematologic Systems, and Oncology10–12%Human Development, Reproduction, and Sexuality8–10%Genitourinary/Renal System and Breasts8–10%Endocrine System and Metabolism7–10%Community Health and Wellness5–8%Nervous System and Mental Health5–8%Musculoskeletal System5–8%Respiratory System5–7%Gastrointestinal System5–6%Integumentary System5–6% The key insight: abnormal obstetrics outweighs every other single category on the exam. Students who prep primarily for normal labor and delivery are... - Published: 2026-09-09 - Modified: 2026-09-08 - URL: https://comquestmed.com/blog/how-to-study-for-the-family-medicine-comat/ The Family Medicine COMAT doesn't test deep expertise in any one area — it tests how well you can move across an enormous range of clinical presentations, from newborn screening protocols to end-of-life care conversations. That breadth is exactly what gives this exam its reputation as one of the tougher COMATs, and it's why figuring out how to study for the Family Medicine COMAT matters more than raw study hours. Here's a practical approach built around what the exam actually emphasizes, along with the high-yield topics that come up again and again. What Is the Family Medicine COMAT? Format and What to Expect The Family Medicine COMAT comprises 120 questions administered over 2. 5 hours, offered through the NBOME at the end of your Family Medicine clerkship. Like the other COMAT shelf exams, it's built around clinical vignettes that test diagnosis, workup, and management. The exam averages out to be about 75 seconds per question, so pacing matters as much as knowledge. The NBOME blueprint organizes content around two dimensions: Patient/Clinical Presentations: the “who”: age group and care setting (pediatric, adult, geriatric, ambulatory, etc) Physician Tasks: the “what”: history, diagnosis, workup, management, and patient education Dimension 1 (Patient Clinical Presentations) Topic Breakdown TopicPercentageCommunity Health and Patient Wellness8-10%Human Development, Reproduction, Breasts, and Sexuality6-9%Endocrine System and Metabolism8-10%Nervous System and Mental Health9-12%Musculoskeletal System8-12%Genitourinary/Renal System8-10%Gastrointestinal System and Nutritional Health9-12%Cardiovascular and Circulatory Systems9-12%Hematology, Oncology, and Immunology5-8%Respiratory System8-10%Integumentary System7-10%HEENT5-10% *information directly from NBOME Dimension 2 (Physician Tasks) Topic Breakdown TopicPercentageHealth Promotion/Disease Prevention/Health Care Delivery10-20%History and Physical... - Published: 2026-09-08 - Modified: 2026-09-08 - URL: https://comquestmed.com/blog/psychiatry-comat-exam-study-guide/ Most students find the Psychiatry COMAT feels manageable — right up until they're in the middle of it and suddenly can't remember whether a patient needs two weeks of symptoms or four to meet criteria, or whether the vignette in front of them is adjustment disorder or MDD. The content isn't esoteric. The precision is. This Psychiatry COMAT study guide targets that exact challenge: the high-yield content areas, the DSM-5 details that actually separate right answers from close-but-wrong ones, and how to build the kind of pattern recognition that holds up under exam conditions. What Is the Psychiatry COMAT? Format and What to Expect The Psychiatry COMAT comprises 120 questions administered over 2. 5 hours, offered through the NBOME during your psychiatry clerkship. Like the other COMAT shelf exams, it's vignette-based — but the psych COMAT has a few features worth knowing going in. First, the exam uses DSM-5 criteria exclusively. If your preclinical materials were built on DSM-IV or older resources, some of the differences matter on test day. Second, the exam assesses two core competencies: diagnosing psychiatric conditions accurately and selecting the appropriate treatment, both pharmacologic and non-pharmacologic. Third — and this is the one that surprises students — normal vs. abnormal distinctions are frequently tested. Not every grieving patient has MDD, and not every anxious patient has an anxiety disorder. The exam regularly presents patients in difficult circumstances and asks whether they have a diagnosis or are having a normal human response. Psychiatry COMAT High-Yield Topics Mood... - Published: 2026-06-25 - Modified: 2026-06-25 - URL: https://comquestmed.com/blog/how-to-study-for-the-omm-comat-high-yield-strategy-and-topics/ Most students assume the OMM COMAT (also known as the Osteopathic Principles & Practice [OPP] COMAT) is going to be rough. OMM content gets taught in the first two years, practiced in labs, and then largely shelved once clinical rotations begin. By the time the COMAT rolls around, it can feel like you're relearning a foreign language on a deadline. Here's the thing, though: the OMM COMAT is actually one of the more learnable shelf exams you'll face. Not because the content is easy, but because it's finite. The exam tests the same 15 to 20 core concepts over and over, just wrapped in different clinical scenarios. Once you learn to recognize those patterns, the right answer starts to become obvious. The students who struggle aren't usually the ones who don't know enough OMM. They're the ones who studied it passively, reading through notes and hoping it sticks, instead of practicing the kind of active clinical reasoning the exam actually tests. What Is the OMM COMAT? The OMM COMAT is a 120-question, 2. 5-hour exam administered by the NBOME during your OMM clerkship. Unlike other COMATs that range across broad clinical territory, this one is tightly focused on osteopathic principles and manipulation techniques. Everything on the exam maps back to a defined set of concepts, which is exactly what makes it so coachable. If you build the right foundation and practice with the right questions, comprehensive preparation is genuinely achievable here. The High-Yield Topics You Need to Know Not all... - Published: 2026-06-25 - Modified: 2026-06-25 - URL: https://comquestmed.com/blog/your-comat-score-explained-scale-percentiles-and-what-it-actually-means/ Getting your COMAT score back for the first time can feel oddly disorienting. You're staring at a number like 104 or 91, and it's not immediately obvious whether that's something to be relieved about or concerned by. You search online for context and find very little that actually helps. You're unsure of how COMAT exams are scored. It's a weirdly common experience for DO students, and it doesn't need to be. This post breaks down exactly how COMAT exams are scored, what the scale is built on, how percentiles work, and what your number actually means in terms of your rotation grade and your bigger academic picture. The COMAT Scoring Scale, Explained COMAT exams use a standard score scale with a mean of 100 and a standard deviation (SD) of 10. Most scores fall between 70 and 130. That's the whole scale. There's no 200–800 range like COMLEX, and no three-digit score like the pre-2022 USMLE Step 1. It's a clean, normally distributed scale centered at 100. Here's what that looks like in practice: Standard ScoreWhat It MeansApproximate Percentile130+Exceptional performance99. 9th1202 standard deviations above mean~98th1151. 5 SD above mean~93rd1101 SD above mean~84th1050. 5 SD above mean~69th100National average50th950. 5 SD below mean~31st901 SD below mean~16th802 SD below mean~2nd70 or below3+ SD below mean0. 1st A score of 100 means exactly half of all students who took that exam scored above you, and half scored below. If you scored 108, you outperformed roughly 79% of national test-takers. If you scored 92, you're... - Published: 2026-06-23 - Modified: 2026-06-23 - URL: https://comquestmed.com/blog/internal-medicine-comat-study-guide-high-yield-tips-and-strategy/ If there's one clerkship exam that has a reputation for humbling even well-prepared students, it's the IM (Internal Medicine) COMAT. It covers more organ systems, more subspecialties, and more clinical scenarios than almost any other COMAT on your schedule. And yet, some of the most common complaints you'll hear from students who struggled aren't about the content itself. They're about walking in with the wrong game plan. We’re sharing a practical approach to the IM COMAT that's grounded in what students who've already taken it say actually works. What to Expect on the Internal Medicine COMAT The IM COMAT is comprised of 120 questions and administered over 2. 5 hours, offered through the NBOME at the end of your Internal Medicine clerkship. What sets it apart from NBME shelf exams is its COMLEX-style formatting. The clinical vignettes are framed within an osteopathic context, which means resources built for USMLE prep don't always translate the way you'd hope. According to the NBOME blueprint for the IM COMAT, the content spans both inpatient and outpatient medicine, and the subject coverage is genuinely broad: SystemWhat Gets TestedExam WeightCardiovascular and Circulatory SystemsHeart attacks, rhythm abnormalities, heart failure, blood pressure management, valve disorders, and vascular disease16-22%Respiratory SystemAsthma and COPD management, respiratory infections, lung clots, and acute respiratory failure16-22%Hematology, Oncology, and ImmunologyBlood cell disorders, clotting abnormalities, blood cancers, solid tumors, HIV, and severe allergic reactions13-18%Gastrointestinal System and Nutritional HealthDisorders of the esophagus, stomach, intestines, liver, gallbladder, and pancreas, plus nutritional deficiencies12-16%Nervous System and Mental HealthStroke recognition... - Published: 2026-03-30 - Modified: 2026-07-23 - URL: https://comquestmed.com/blog/comquest-truelearn-integration-what-changed-and-what-it-means-for-your-comlex-prep/ If you’ve recently logged into COMQUEST and noticed some changes, it’s because COMQUEST is now powered by TrueLearn, which means the platform may look and feel a little different. The most important thing to know is this: your COMQUEST question bank hasn’t changed. The same questions and explanations you rely on are still there - written by DOs for DOs. Now supported by a more advanced platform designed to give you better insights into your performance. Why You’re Seeing Changes in COMQUEST If things look different, you’re not alone. These updates are part of COMQUEST moving to a TrueLearn-powered platform. This is not a content change, it’s a platform upgrade. Many osteopathic learners already use both COMQUEST and TrueLearn as part of their study plan. Bringing COMQUEST onto the same platform creates a more streamlined experience, allowing you to access powerful tools, improved analytics, and enhanced features, all in one place. The goal here is simple: combine COMQUEST’s trusted content with a more advanced learning platform.   Is COMQUEST Still the Same Question Bank? Yes - COMQUEST remains the same at its core. COMQUEST questions are still independently written The content is still distinctly Osteopathic.   There has been no merging of practice questions  COMQUEST and TrueLearn are completely separate. If you purchase a COMLEX question bank through TrueLearn, that is a different bank with its own set of questions. COMQUEST continues to offer its own distinct question bank, written by a separate team and designed specifically for COMLEX preparation.... - Published: 2019-08-13 - Modified: 2026-03-09 - URL: https://comquestmed.com/blog/tips-for-surviving-pgy-1-and-residency/ Residency will be one of the most demanding periods of your career. It's alos a time when many of your long-term professional and personal habits take shape. To help you navigate this phase, we've put together several practical tips for surviving PGY-1 and residency. These tips are based on the collective experience of the COMQUEST team. The more of these you can incorporate into your routine, the better positioned you'll be to succeed. Sleep? Yes, You Need Sleep. Get adequate sleep! This is, by far, the most important tip to surviving residency. Start first by admitting you are not a superhuman. No human being can perform well with little sleep, no matter what your colleagues say. Second, know the time you need to wake up in the morning and select the appropriate bed time so that you are getting 7-8 hours of sleep. Third, make sure to turn off your pager and cell phone when you go to bed unless you are on home call. Fourth, when you are post-call and at home, don’t stay up. Take a nap. You need it. Have down time on your days off? Take advantage of that and fit in a nap to catch up on sleep. Remember, if you are chronically sleep-deprives, it will catch up to you quickly. On-Call Prepare for being on-call. You should be well-versed on the most common calls and admissions you will get in your specialty. If you perform well on-call and do a good job taking care... - Published: 2019-07-06 - Modified: 2026-03-09 - URL: https://comquestmed.com/blog/comsae-score-predictions/ Don't let the COMSAE frustrate you. It's meant to help! According to the NBOME, the COMSAE is not meant to be used to predict your COMLEX score but most osteopathic medical students use it for just that. It really depends on how far apart you take the COMSAE from the COMLEX. If you score average on the COMSAE Phase 1 in January and your COMLEX Level 1 date is in July, you can be fairly confident that you'll score well above average if you plan to study for the next six months. Scoring average on the COMSAE a couple of weeks before your COMLEX is scheduled is considered high-risk. In summary, it's a good way to gauge your base of knowledge - but not so much to predict your actual score. How is it structured? COMSAE Phase 1 Currently, the COMSAE Phase 1 consists of 176 questions which are divided into four sections of 44 questions each. Each question follows a single-best-answer, multiple-choice format with some items including images or visual exhibits. COMSAE Phase 2 Starting in February 2026, the COMSAE Phase 2 will consist of 160 questions (changed from the previous 176 question amount). Like Phase 1, all COMSAE Phase 2 questions follow a single-best-answer, multiple-choice format with select items supported by images or visual exhibits. COMSAE Phase 3 COMSAE Phase 3 inludes 200 questions, organized into four testing blocks. Questions are primarily single-best-answer and may be supported by multimedia elements such as images, video clips, or audio to... - Published: 2017-07-11 - Modified: 2026-02-13 - URL: https://comquestmed.com/blog/test-anxiety-strength-weakness-medical-student/ It’s 11p. m. the night before the final exam and your eyelids would have set long before the sun if it wasn't for the caffeine forcing them open. What do I need to pass this test? What do I need to pass this module? What happens if I fail this one test, block, year... the thoughts go on. Sound familiar? Test anxiety is all too common among medical students, and really among learners at all levels. It comes in a variety of flavors some more severe than others, but one thing is for sure, each and every person has their own form of test anxiety. Some learn to deal with the anxiety and stress, and others allow it to break them down. Before I go on, I should clarify that I am not addressing “General Anxiety Disorder” or “Panic Disorder” today, but rather the laymen term of “test anxiety”, or the normal stress and fear surrounding exams. So lets start out easy, why do we have test anxiety? Exams carry a lot of stress, they are markers of progress and knowledge. They carry grades which determine future opportunities, and most of all they are often high risk and seem to act as barriers to progressing forwards. This applies to classroom block exams all the way to boards exams. In my time working as a tutor in medical school, I helped many students through test anxiety, and myself learned to work past my test anxiety along the way. The most common... - Published: 2016-10-26 - Modified: 2026-02-13 - URL: https://comquestmed.com/blog/highest-scores-comlex-comat/ Please note:This article references features available within the legacy COMQUEST platform. Users who purchase subscriptions after January 1, 2026 will access their COMQUEST subscription through the TrueLearn platform, where functionality and feature presentation may vary. Any additional platform updates or changes will be communicated as they become available. We have created this informational guide to give you a better understanding of how to utilize the platform and question bank to get the most out of it. Split into 4 sections, we will discuss the many features and tools that you may use to effectively study and succeed on the COMLEX and COMAT. Each of the following are included in your subscription to ensure that you pass the COMLEX and COMAT with the highest score possible! Section 1: User Account Once you have a COMLEX or COMAT subscription, you will see a dashboard when you first log in. On this panel, you will see various statistics, charts and graphs to help track your progress and bring to attention subject areas that you need to study more thoroughly. What you'll find at the top of your dashboard are: your overall average score on questions, how many questions you have left to complete, the average time it takes you to answer a question, how your peers are performing on the questions that you took, and an exam date countdown. You'll also see your guessed score, which reflects your average on questions that you marked as guessed. You may also switch the dashboard using... - Published: 2016-10-25 - Modified: 2026-02-13 - URL: https://comquestmed.com/blog/what-are-cdm-cases-and-why-do-i-care/ Clinical Decision-Making (CDM) cases have been a core component of the COMLEX-USA Level 3 exam since 2018. These cases are designed to evaluate how well you apply clinical knowledge in real-world patient management scenarios which is an essential skill for osteopathic physicians preparing to practice independently. CDM cases emphasize clinical judgment rather than memorization. They assess your ability to gather relevant patient information, interpret findings, and determine appropriate next steps in care. This focus is especially important on Level 3, which serves as the final pathway to licensure for osteopathic physicians practicing in an unsupervised setting as outlined in the NBOME's overview of CDM cases for COMLEX Level 3. What Skills do CDM Cases Assess? CDM cases are built to evaluate clinical judgment at key decision points in patient care. You'll be asked to demonstrate your ability to: Gather and prioritize relevant clinical data Interpret findings to develop a working diagnosis Select appropriate management, treatment, and follow-up steps This structure mirrors how physicians make decisions in real clinical, settings, reinforcing applied knowledge over recall. How CDM Cases Are Structured on COMLEX-USA Level 3 On the current COMLEX Level 3 exam, CDM cases are presented across two dedicated sections, with 13 cases per section, for a total of 26 cases. Each case is based on a clinical scenario and typically includes multiple related questions. These questions may appear in either a short-answer format or an extended multiple-choice format, where more than one response may be appropriate. Navigating CDM Cases on Exam... - Published: 2016-09-14 - Modified: 2026-02-13 - URL: https://comquestmed.com/blog/cdm-cases-now-available/ Clinical Decision-Making cases are a core part of the COMLEX Level 3 exam and assess clinical reasoning and patient management. Practicing CDM cases using COMQUEST content on the TrueLearn platform helps students prepare for how these scenarios are structured and evaluated on exam day. CDM cases (Clinical Decision-Making cases) are now available for COMLEX Level 3 preparation, giving students the opportunity to practice the same patient-management style questions they'll see on exam day. CDM cases are a key component of the COMLEX Level 3 exam and are designed to assess how well you apply clinical reasoning, prioritize care, and make real-world medical decisions. With CDM cases available through the TrueLearn platform, COMQUEST users can practice these scenarios in an environment built to mirror the way COMLEX Level 3 tests clinical judgment - an approach that aligns with how CDM cases are structured and assessed on exam day. Practicing CDM Cases Using the TrueLearn Platform COMQUEST CDM cases are delivered through the TrueLearn platform, allowing you to practice in a format aligned with how you'll encounter these cases on exam day. When using TrueLearn for COMLEX Level 3 preparation, you can: include CDM cases in custom practice exams work through realistic patient scenarios submit short-answer clinical management responses review detailed explanations aligned with learning objectives This experience helps reinforce how clinical information connects across an entire case, rather than approaching questions as isolated facts. Preparing for COMLEX Level 3 with Confidence CDM cases are an essential part of COMLEX Level 3,... - Published: 2016-05-17 - Modified: 2026-03-09 - URL: https://comquestmed.com/blog/6-tips-to-help-you-prepare-for-the-comat/ The Comprehensive Osteopathic Medical Achievement Test (COMAT) is something many schools now require students to take, and the mere thought of this lengthy exam is enough to stress out even the most poised individual. With that being said, you don’t have to fear the COMAT. By preparing well in advance and understanding as much as you possibly can about the exams, you won’t just survive... you’ll thrive! 6 Tips for COMAT Exam Success While the COMAT shelf exams are extremely important, there’s unfortunately very little information in circulation about how to adequately prepare. This disconnect causes many students to be unprepared and prevents them from achieving the results they desire. In order to ensure you’re sufficiently prepared, review the following COMAT exam preparation tips: 1. Study Well in Advance Whether it’s the COMAT or any other test you encounter during osteopathic medical school, the biggest mistake students make is procrastinating. While you may feel confident in your ability to study under pressure, there’s simply no way to pass the COMAT if you wait until the last few days leading up to the exam. It’s imperative that you study well in advance. The key is to break up your studying into small digestible parts. An hour per day for 60 days is exponentially more valuable than 12 hours per day for the five days leading up to the exam. You’ll retain more of the knowledge and have ample time to review concepts you haven’t yet mastered. 2. Use Question Banks and... ## Products - Published: 2025-12-11 - Modified: 2026-01-30 - URL: https://comquestmed.com/exams/comat/omm/ The OMM COMAT tests many aspects of osteopathic principles and practice in a variety of ways. It is essential to focus on studying the high yield OMM topics because it can otherwise become quite a burden. This OMM question bank covers those important topics in detail through high yield questions and thorough explanations to get you prepared to honor the OMM COMAT efficiently and effectively. One of the important topics is the principles of OMM and why OMM works. This includes the mechanisms of somatic dysfunctions (e. g. , Fryette’s Laws and craniosacral motion) and the mechanisms of the techniques that are used to treat somatic dysfunctions. You’ll also cover the high yield findings during the physical examination which are important to identify in the question stems and answer choices. Examples of this include standing and seated flexion tests, viscerosomatic reflexes, somatovisceral reflexes, and Chapman reflex points. Management is another high yield section that you’ll want to master before you take the test. You’ll learn how to choose the appropriate osteopathic medicine techniques based on different patient presentations, indications and contraindications of the techniques, proper patient and physician positioning, and the important points for each direct and indirect osteopathic treatment. This includes facilitated positional release, muscle energy, HVLA, articulatory, counterstrain, soft tissue, and cranial OMM, just to name a few. Spend your time efficiently and effectively by doing high yield questions with thorough explanations specifically designed to prepare you for the COMAT. Questions: 127 Contributors: 3 physicians Most Recent Addition: 2025 - Published: 2025-12-11 - Modified: 2026-06-19 - URL: https://comquestmed.com/exams/comat/surgery/ While you’re not expected to know many procedures, you will be expected to know which conditions require surgical management versus medical management. A lot of the questions will be based on proper pre-op, post-op, and stabilizing patients. Our authors have written over 336 questions to cover everything that is likely to show up on the surgery COMAT. The surgery COMAT question bank will cover the most common traumas and management of surgical patients. Many third year medical students share that the felt as if the surgery COMAT felt like an IM COMAT. This is because question writers are not testing your ability to operate, but are testing your ability to identify when surgery is indicated and to ensure that patients are properly stabilized. Our explanations will go in depth about this so that you can answer these questions on test day. Questions: 336 Contributors: over 6 physicians Most Recent Addition: < 2 weeks ago - Published: 2025-12-11 - Modified: 2026-06-19 - URL: https://comquestmed.com/exams/comat/psychiatry/ The Psychiatry COMAT will test you using DSM-5 criteria. Our question bank will also have some differences explained in case you prepared using DSM-IV. Be sure to know the differences before you take the COMAT. Our authors have includes all of the high-yield psychiatric conditions that are likely to show up on the COMAT. It’s also important to know what is normal vs. abnormal in many instances like grieving. Memorizing differences in time will make the difference between choosing the right and wrong answers. We’ve included everything you need in our highly detailed explanations so that you’re fully prepared. Questions: 381 Contributors: over 6 physicians Most Recent Addition: < 2 weeks ago - Published: 2025-12-11 - Modified: 2026-06-19 - URL: https://comquestmed.com/exams/comat/pediatrics/ Our pediatrics COMAT author, a board-certified academic Pediatrician and director of a Pediatrics clerkship, has authored over 317 questions to prepare you for the questions that you’ll likely encounter on the COMAT. Similar to IM, you’ll be tested on all of the various systems on the Pediatrics COMAT. You’ll be expected to work up, diagnose, and treat a variety of conditions and be able to decide what is normal versus abnormal development. The questions and detailed explanations in our COMAT question bank will prepare you for everything that you’ll likely see. Questions: 317 Contributors: over 2 physicians Most Recent Addition: < 2 weeks ago - Published: 2025-12-11 - Modified: 2026-06-19 - URL: https://comquestmed.com/exams/comat/obgyn/ Our director of content, a board certified obstetrician/gynecologist, has overseen over 369+ questions that have been authored for this COMAT. You’ll encounter all of the high-yield conditions that are most likely to show up on the Ob/Gyn COMAT. The Ob/Gyn COMAT question bank will prepare you to answer questions about working up, diagnosing, and treating all of the various high-yield conditions that you’ll encounter on your exam. This includes conditions arising from preconception to postpartum, gynecologic oncology, normal development, and much more that you’ll see in over 369 questions with detailed explanations. Questions: 369 Contributors: over 4 physicians Most Recent Addition: < 2 weeks ago - Published: 2025-12-11 - Modified: 2026-06-19 - URL: https://comquestmed.com/exams/comat/internal-medicine/ The IM COMAT will cover mostly general internal medicine but will also test you on some high-yield subspecialties (cardiology, dermatology, endocrine, gastroenterology, rheumatology, nephrology, and more). The 400+ questions we’ve written will reflect all of the topics that are likely to show up on test day. The IM COMAT question writers will expect you to be able to work-up, diagnose, and treat patients in both outpatient and inpatient settings from all sub-specialties. Be sure that you’re using a question bank that covers all of these different scenarios so that you’re prepared on test day. Questions: 400 Contributors: over 12 physicians Most Recent Addition: < 2 weeks ago - Published: 2025-12-11 - Modified: 2026-06-19 - URL: https://comquestmed.com/exams/comat/family-medicine/ Family medicine is considered one of the tougher COMATs because it is so broad. Historically, osteopathic students were forced to use some less relevant practice questions that were created for family medicine board certification (AAFP questions) and other less targeted question banks. Our question bank is made specifically for the third-year shelf exams and will prepare you for what’s likely to show up on the family medicine COMAT. While the majority of questions you’ll get on the family medicine COMAT are on adult medicine (i. e. , management of hypertension, diabetes, and hypercholesterolemia), this COMAT entails everything from pediatrics through geriatrics. Make sure that you’re studying a source that covers this broad subject in detail. Questions: 361 Contributors: over 9 physicians Most Recent Addition: < 2 weeks ago - Published: 2025-12-11 - Modified: 2026-06-19 - URL: https://comquestmed.com/exams/comat/emergency-medicine/ The emergency medicine COMAT covers cases that a third or fourth year medical student may encounter on their emergency medicine rotation. The number and types of cases that you personally see will be heavily dependent on where you do your EM rotation. Therefore, it is important that you use a question bank that sufficiently covers all high-yield emergency medicine topics. This question bank is written specifically with the COMAT in mind. The emergency medicine COMAT tests your ability to recognize and work up a multitude of presentations, including acute abdomen, altered mental status, chest pain, headaches, GI bleeding, psychiatric and substance overdose, shortness of breath, trauma, obstetrics and gynecology - pretty much anything that can end up in the ER. Based on the (sometimes limited) history and physical examination, you’ll need to choose the next best diagnostic step, the most likely diagnosis, the most appropriate acute and long-term treatment, prevention, and more. Make sure to use a question bank designed to be comprehensive with thorough explanations so that you’re well prepared on test day. Questions: 294 Contributors: 4 physicians Most Recent Addition: 2025 - Published: 2025-12-11 - Modified: 2026-06-26 - URL: https://comquestmed.com/exams/comlex/level3/ It’s time for your last COMLEX! We realize that your time is extremely limited during internship. Study efficiently with COMLEX-style questions with explanations that cover everything that is most likely to be asked on the COMLEX Level 3. Nothing more. Nothing less. Expect to see new material to the question bank regularly as our authors keep the content consistent with current testing standards at no extra charge to you. The COMLEX Level 3 is extremely similar to COMLEX Level 2-CE, which benefits the test-taker. The exams do have some notable differences: like the COMLEX Level 2-CE, questions on the COMLEX Level 3 will include a clinical scenario. Within the Dimension II category of the NBOME, the Management category has the largest portion of questions for the COMLEX Level 3. This is followed by Diagnostic Technologies, Health Promotion & Disease Prevention, and History and Physical. These are also the top four tested in Level 2-CE, with a slightly different focus. You will therefore have the benefit of already preparing for these questions. There will therefore be overlap between the two examinations (and, as a result, our question bank) but with more focus on management. This is your final exam required for licensure as an osteopathic physician and surgeon. Thorough preparation is very important, and will determine your access to opportunities such as moonlighting and obtaining a DEA # as a resident. Contributors: over 20 physicians Most Recent Addition: < 2 weeks ago Level 3 Practice Questions 1,665+ - Published: 2025-12-11 - Modified: 2026-06-26 - URL: https://comquestmed.com/exams/comlex/level2/ Get immediate access to newly published, high quality COMLEX Level 2 practice questions with explanations that cover everything that is most likely to be asked on the COMLEX Level 2-CE. Expect to see new material to the question bank regularly as our authors keep the content consistent with current testing standards at no extra charge to you. A high score on the COMLEX Level 2-CE has gained importance for many residency program directors – often requiring submission of the score prior to inviting you to an interview or ranking you for residency. You need to be fully prepared for the exam. We understand how challenging it is to find time between rotations to study for the COMLEX. We’ve been there. Our practice questions and explanations are authored/edited exclusively by osteopathic physicians and focus only on high-yield material in order to ensure that you are using your time efficiently. Unlike COMLEX Level 1, the NBOME’s Level 2-CE focus is on the History and Physical Dimension II categorization. This is reflected in the preparation that you’ll receive through the COMLEX Level 2-CE subscription. Contributors: over 20 physicians Most Recent Addition: < 2 weeks ago Level 2 Practice Questions 2,035+ - Published: 2025-12-11 - Modified: 2026-06-26 - URL: https://comquestmed.com/exams/comlex/level1/ Get immediate access to newly published, high quality COMLEX-style Level 1 practice questions with explanations that cover everything that is most likely to be asked on test day. We will be adding new material to the question bank regularly to keep the content consistent with current testing standards at no extra charge to you. Up to 85% of the questions on the COMLEX Level 1 come from the Scientific Understanding and Mechanisms category on the NBOME’s Dimension II categorization. COMQUEST’s Level 1 practice questions place extra emphasis on this section to help prepare you for test day. COMQUEST focuses exclusively on helping you master the unique challenges presented by the COMLEX Level 1, including those vague clinical scenarios and high-yield OMT, medical jurisprudence, and ethics questions that the COMLEX will present. Contributors: over 15 physicians Most Recent Addition: < 2 weeks ago Level 1 Practice Questions 2,040+ > ##Key Facts COMQUEST was founded in 2008 and acquired by TrueLearn in 2025.