Test or postpone COMLEX Level 1 or Level 2-CE?

An honest answer in about 2 minutes, built from a tutor's checklist instead of a single COMSAE score. Your full picture goes in. COMSAEs, UWSA, TrueLearn, COMQUEST, AMBOSS, qbank percentile, trend, and a quick gut-check. One COMSAE score is not the whole picture.

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Frequently asked questions

When should I postpone my COMLEX Level 1 or Level 2?

Postpone if your last two COMSAEs are below 400, or your trend is flat or declining. Also postpone if you've had a major life event, or your confidence is 1 or 2 out of 5.

What COMSAE score predicts a COMLEX pass?

In one 2025 NBOME study of first-time Level 1 takers, a first COMSAE of 400 or 450 predicted about a 94% or 97% chance of passing. That estimate assumed the exam came about 67 days later. NBOME cautions against using COMSAE to predict COMLEX results. For Level 1 we aim for two scores in a row above 400 with an upward trend, ideally 450 or higher. For Level 2-CE we aim for 500 or higher, since your real exam score can come in lower than your practice scores.

How long should I postpone COMLEX if I do?

In our tutoring, we usually recommend 4 weeks. We use 2 weeks when you're on the green and yellow border with a clear upward trend. Two-week steps let you check again without committing to a full month.

How do TrueLearn, COMQUEST, and UWSA compare to COMSAE?

TrueLearn and COMQUEST self-assessments use percentile scores that track with COMLEX results, but they are not built by NBOME the way COMSAE is. UWSA uses a 3-digit scale closer to USMLE. Use them as extra signals. We weigh COMSAE most heavily.

Does failing COMAT shelves predict COMLEX Level 2 trouble?

It can. A 2019 study linked higher COMAT scores with higher Level 2-CE scores. In our tutoring, more than one shelf failure means strategy help before you test is worth a call.

I have testing anxiety. Should I postpone COMLEX?

Postponing alone does not fix anxiety. We have seen strong students struggle on test day because of anxiety. If anxiety is affecting your sleep, studying, or daily life, talk with a doctor or counselor. We also aim for higher COMSAE scores to give you a buffer.

What if my school has a COMLEX deadline?

Check your school's deadline and the NBOME rescheduling fees before you move your date. A postpone should fit inside that deadline. Schools sometimes grant extensions if you document your test-prep work. A leave of absence (LOA) is a real option many students do not know about.