I just took the exam this past monday. Not as much OB/GYN and PEDS as I suspected. Now, from what I understand, because the test is now computerized, it is random, so my test may be nothing like yours but I can at least tell you what mine focused on
1) Most peds were infants less than 2 years of age. And of course the little kids that refuse to $hit for their parents and you need to know why.
2) Lots of headache stuff, especially emergency situations
3) old farts where is what you did primary, secondary, or tertiary prevention?
4) My OMT questions all seemed to be thoracic sympathetic levels and rib techniques, I swear to you, not one sacrum question one mine
5) A lot of trick questons that are very poorly asked, but that is typical of COMLEX
6) Lots of questions where you start reading the question and you know what the patient has and what to do to treat it, but none of your multiple choice options match up or make any damn sense. Things you could perhaps do, but not really the gold standard
7) A lot of pregnant teens on mine that didn't want anybody knowing they were pregnant
For the test I studied----
1) USMLE 3 recall. Great book and has everything you need to pass this test minus OMT, just takes time to learn everything in it in detail
2) Savarese for OMT. Seemed to be all I needed to pass my test if only I actually learned the rib raising techniques
3) I watched some family practice board review DVD's and took notes. I also visited familypractice.com and took some of the sample FP board questions they made available to the general public. I am not an Fp, but these materials did provide me with a good fund of general medicine knowledge
4) Lastly, I studied some sample COMLEX exams made available my the NBOME.
As I am sure you know, no matter what you study, no matter how much you know, there is some questions you just won't get because they are poorly asked and/or vague
I wish I knew how the test was scored!! According to NBOME website, they take a linear transformation of your three digit score and somehow turn it into a two digit score. Your two digit score must be at least 75 to pass. I wish they'd explain this better instead of leaving it a mystery as to how you magically get some two digit number.
The computer test itself is nicer than pencil and paper, you have plenty of time to complete all sections of the test and brakes are appropriately placed. It just bothers me that with this new technology it now may take longer to get your scores than it did with the old "hamster on the wheel" pencil and paper exams. Don't know about you all but if I don't have a medical lisence by the end of my intern year, I get a good spanking from my program.