Just took the exam a few days ago. Here's my two cents.
Felt harder than COMSAE E. But this may have just been because the questions were worded differently. Question stems were also a little longer than the COMSAEs, so if you're short on time in COMSAE you should work on timing.
Also seemed somewhat similar to COMBANK in distribution of difficulty (really easy or very convoluted, not much in between).
Exam distribution
- Women's health was definitely heavily tested.
- Neuro/MSK were second highest tested. The neuro wasn't too bad from what I remember
- Had some biostats stuff I hadn't seen in ANY practice question but felt it could be reasoned out.
- The bacteriology wasn't super hard; however, of the micro questions I had 50/50 bacteria/fungi,parasites which I was pretty surprised about. It was your classic fungi,parasite questions though, with all your favorite buzz words. Distribution for micro as a whole was about what I expected.
- OMM was really straightforward with the exception of 2-3 questions that I hadn't reviewed (or learned ever?)
- There was a lack of renal/GI/endocrine, resp/cardio were well distributed.
- There were way more exhibits than I was expecting; audio/visual and images
- Not much biochem, thankfully.
- Edit: Pharm wasn't bad, wasn't heavy and pharm is something I continue to struggle with.
Some general advice:
Go with your gut, they seem to test the same thing multiple times in various ways. So don't be wishy washy after you're really frick'n tired in sections 7/8.
PM's welcome