"Classic," Evans muttered, rubbing his eyes. "Start with the panic attack, then hit me with the pheochromocytoma."

: Form 108 is known for having a "harsh" curve. A difference of just 5-7 questions can result in a 30-40 point swing. 3. High-Yield Topics to Review

The Comprehensive Self-Assessment for Medical Students (Comsae) Form 108 is a practice examination designed to assess the knowledge and clinical skills of medical students. It is a valuable tool for students preparing for the United States Medical Licensing Examination (USMLE) or Comprehensive Osteopathic Medical Licensing Examination (COMLEX) series.

These are practice exams offered by the NBOME designed to simulate the real COMLEX-USA Level 1. Unlike third-party exams (such as COMSAE vs. COMBANK), the COMSAE is written by the same people who write your actual board exam. Consequently, the question style, vagueness, and "osteopathic principle" emphasis are theoretically identical to the real deal.

But the question didn't ask for the diagnosis. It asked for the specific enzymatic defect associated with a genetic precursor to the condition, located on a chromosome number that Evans was suddenly unsure existed.

He was falling behind. The clock was the true antagonist of the story. He sped through a block of musculoskeletal questions, his brain auto-piloting through rotator cuff muscles and ankle ligaments. Then, he hit the wall.