Ok so here is the low down...took COMLEX today and I took USMLE last Friday. Here are my thoughts:
1) MUCH more Straight forward and first order than USMLE.
MUCH easier than USMLE world, but similar topics and questions, just not as much thinking; Uworld was really spot on content wise (even had repeat questions)!! I didnt do Kaplan. COMLEX was similar to, yet better written than COMBANK. Very Similar to COMSAE. I found the COMSAE most helpful for focusing the OMM portion and seeing how they would ask the questions.
2) My exam was heavy on Viscerosomatic Reflexes, asked them OVER and over. The OMM included chapmans points, some outside of Savarese (I had to remember back to our class and the review lecture I watched the other day by our school). LOTS of LBP diagnoses, understanding the gold std imaging, PE findings, postitions that exacerbate for slipped discs, spinal stenosis, etc. KNOW those, Savarese has a good section in one of the chapters with all that. A few counterstrain treatment positions, muscle energy treatment positions. LOTS of Contraidication questions for OMT in a clincal vignette fashion. Some of everyones favorite fibular and radial head dysfxn. Not too much sacral, some scoliosis...I felt like I had a LOT of OMM.
3) Pharm was VERY first order and straight fwd. Not heavily tested, very high yeild drugs with thier MOAs or side affects. They seemed to like the Overdose and anecdotes for toxicities. I used the pharm flash cards by Lange and they were enough.
4) I was expecting the micro to be crazy per others posts, but actually it was very straight fwd. There were a few that were hard to deduce bc I didnt think they were high yeild so I didnt know them as well, but the matching was AWESOME bc you can deduce stuff..lol. I did have trouble with the Hep B/C serology bc they were pretty detailed and had similar choices. BOOO! Also, ramdom vaccine sequelae questions.
5) Pathology: Lots of Repro and endocrine path. OVER and OVER. A few paraneoplastic questions, lots of pregnancy issues. Some CV with murmurs, mixed in with Anatomy a bunch too. Had to know the anatomy to get the answer. If you listened to Goljan you are MORE than prepared. It is first order usually, only a handful where you had to really think. Also, make sure you know the differences btwn all the Hematomas, subarach vs intracerebral hemorrhage, and you can tell the difference in presentations, CT/MRI etc.
6) Hardly and biochem. Like maybe 4 out of 400 questions. ARGH. Not very much Embryo, if any, only a little Immuno. Not one biostat question thank god. I had plenty of that crap on the USMLE.
7) Physio: Very little, mostly cardiovascular and questions about Repro. No lung, hardly any renal.
8) THIS WAS RANDOM. Asking wound types like shotgun vs handgun..I was like WTF?!?! LOL. Also, lots and lots of stuff that I wouldnt have been able to answer without an MPH in epidemiology and a masters in psychology. So, I prob missed a lot of these bc I felt like I had to guess alot. MEH.
Contrary to popular belief, I felt the test was very well written, relatively straight fwd, and there were only a handful that were not clear, off the wall, or outside the scope of a step one exam. lol.
I was suprised to see the next step management showing up as much as it did...
Anyway, Im definately glad that I studied and took the USMLE first. Being prepared for that definately prepares you for COMLEX. I took the three days in between to study the OMM and I feel like that was enough, but I liked and payed attention in OMM so I didnt feel like I had to cram it. I dont feel awesome about it, but comparatively, after the USMLE I wanted pull my hair out...and after today, I just kinda shrugged my shoulders and felt much more satisfied. I hope my score doesnt suggest otherwise.
All I can say is I am exhausted, Im so excited to not go to the library for a long time, and I cannot wait to start rotations.
I hope this helps, feel free to ask me any questions if you like.
Take care and good luck!