Many medical schools set a higher internal bar, often requiring a to be cleared for the boards. Research indicates that a score of 450 correlates to a roughly 97% predicted probability of passing Level 1.

Anatomy is often cited as being unexpectedly dense on this form, alongside cardiovascular rhythms and types of anemia.

Students who have recently taken BSA 107 frequently report a heavy emphasis on specific clinical areas:

Developmental milestones, vaccine schedules, and pregnancy-related complications are staples of this form.

A score of 400 is generally considered the minimum "average" performance and is associated with a high likelihood of passing the actual COMLEX-USA Level 1. Performance Levels: < 400: Low performance (potential risk of failing COMLEX). 400 – 649: Average performance. > 649: High performance.