1|Page
PEDIATRIC COMAT EXAM NEWEST 2025 ACTUAL
EXAM TEST BANK| COMPLETE 850 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+| COMAT PEDIATRICS REVIEW
2025 (BRAND NEW!!)
what is breast milk jaundice? - ANSWER - weeks 1-2 of life in a baby
breastfeeding well
What vaccines contain egg protein in them? - ANSWER - MMR, flu
Which vaccines are given subcutaneously rather than IM? - ANSWER -
MMR, varicella
What are the four shots children need before starting kindergarten (4 @
age 4)? - ANSWER - MMR #2, varicella, DTap #5, IPV #5
What are features of a baby with congenital hypothyroidism? -
ANSWER - umbilical hernia, enlarged fontanelle, constipation, lethargy,
prolonged jaundice
What congenital heart defects are a LEFT to RIGHT shunt/ - ANSWER
- VSD, ASD, AV canal, PDA
Why may some left to right shunts go undetected at birth? - ANSWER -
pulmonary vascular resistance is still high
pg. 1
,2|Page
What is a side effect of ADHD medication? - ANSWER - decreased
growth velocity
A patient experiencing fever, urticarial rash, and arthralgia 5-10 days
after starting penicillin is likely experiencing what? - ANSWER - serum
sickness-like reaction (SSLR)
A nuclear scintigraphy with technetium 99m pertechnetate would be
used to evaluate what potential cause of iron deficiency anemia? -
ANSWER - Meckel diverticulum
What causes Meckel diverticulum? - ANSWER - failed closure of the
vitelline duct
How does tumor lysis syndrome cause acute kidney injury? - ANSWER
- excess phosphate and uric acid results in calcium phosphate stones and
uric acid stones which cause obstructions in the renal tubules
How is chronic granulomatous disease diagnosed? - ANSWER - testing
neutrophil oxidative burst on dihydrorhodamine (DHR) 123 or nitroblue
tetrazolium test
Magical thinking is a normal phase of cognitive development in children
at what age? - ANSWER - age 2-7
What two other heart defects are associated with tricuspid valve atresia?
- ANSWER - ASD and VSD
pg. 2
,3|Page
An infant with central cyanosis, peaked P waves, left axis deviation, and
a holosystolic murmur likely has what condition? - ANSWER -
Tricuspid valve atresia
peaked P waves are due to enlarged right atrium, ASD causes the left
axis deviation, and VSD can cause a holosystolic murmur
Exertional dyspnea, evidence of right-sided cardiac enlargement, and a
step up in oxygen saturation from the IVC to the right atrium suggests
what? - ANSWER - partial anomalous pulmonary venous return
some of the pulmonary veins are abnormally draining into right sided
circulation instead of into the left atrium resulting in blood mixing
A newborn who is coughing/vomiting with feeding attempts who also
develops coarse lung sounds and respiratory distress after an attempted
feeding should raise concern for what? - ANSWER - tracheoesophageal
fistula with esophageal atresia
Back pain in a pediatric patient that causes nocturnal awakening,
interferes with activity, or requires frequent analgesics is concerning for
what? - ANSWER - spinal cord tumor
Patellar tendinitis is an overuse injury due to repetitive [activity] and
presents with point tenderness at [location] - ANSWER - repetitive
jumping, tenderness at the inferior pole of the patella
Seizures in the setting of acute bacterial gastroenteritis should raise
concern for what infection? - ANSWER - shigella infection
pg. 3
, 4|Page
In patients with Osgood-Schlatter disease, examination usually reveals
tenderness over [location] and pain can be reproduced with [activity] -
ANSWER - tibial tubercle, squatting or resisted extension of the knee
Why can maternal serum AFP be elevated for a fetus with gastroschisis?
- ANSWER - herniation of the uncovered bowel allows AFP to pass
through into the amniotic fluid
Which vaccine is especially important for patients with sickle cell? -
ANSWER - S pneumoniae vaccine (conjugate capsular polysaccharide)
Twice daily administration of what prophylactic treatment should be
given to sickle cell patients until the age of 5? - ANSWER - penicillin
this population is susceptible to encapsulated bacteria (S pneumoniae, H
influenzae, N meningitidis) due to being functionally hyposplenic from
autoinfarction
A child with a history of physical abuse and neglect, social withdrawal,
lack of response to positive affirmation, and emotional outbursts likely
has what diagnosis? - ANSWER - reactive attachment disorder (RAD)
In a patient with a history of recurrent pulmonary and cutaneous
abscesses, an abscess showing organism-filled neutrophils on Gram stain
would be suggestive of what immunodeficiency syndrome? - ANSWER
- chronic granulomatous disease
impaired phagocytic respiratory burst results in impaired intracellular
killing by phagocytes
pg. 4
PEDIATRIC COMAT EXAM NEWEST 2025 ACTUAL
EXAM TEST BANK| COMPLETE 850 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+| COMAT PEDIATRICS REVIEW
2025 (BRAND NEW!!)
what is breast milk jaundice? - ANSWER - weeks 1-2 of life in a baby
breastfeeding well
What vaccines contain egg protein in them? - ANSWER - MMR, flu
Which vaccines are given subcutaneously rather than IM? - ANSWER -
MMR, varicella
What are the four shots children need before starting kindergarten (4 @
age 4)? - ANSWER - MMR #2, varicella, DTap #5, IPV #5
What are features of a baby with congenital hypothyroidism? -
ANSWER - umbilical hernia, enlarged fontanelle, constipation, lethargy,
prolonged jaundice
What congenital heart defects are a LEFT to RIGHT shunt/ - ANSWER
- VSD, ASD, AV canal, PDA
Why may some left to right shunts go undetected at birth? - ANSWER -
pulmonary vascular resistance is still high
pg. 1
,2|Page
What is a side effect of ADHD medication? - ANSWER - decreased
growth velocity
A patient experiencing fever, urticarial rash, and arthralgia 5-10 days
after starting penicillin is likely experiencing what? - ANSWER - serum
sickness-like reaction (SSLR)
A nuclear scintigraphy with technetium 99m pertechnetate would be
used to evaluate what potential cause of iron deficiency anemia? -
ANSWER - Meckel diverticulum
What causes Meckel diverticulum? - ANSWER - failed closure of the
vitelline duct
How does tumor lysis syndrome cause acute kidney injury? - ANSWER
- excess phosphate and uric acid results in calcium phosphate stones and
uric acid stones which cause obstructions in the renal tubules
How is chronic granulomatous disease diagnosed? - ANSWER - testing
neutrophil oxidative burst on dihydrorhodamine (DHR) 123 or nitroblue
tetrazolium test
Magical thinking is a normal phase of cognitive development in children
at what age? - ANSWER - age 2-7
What two other heart defects are associated with tricuspid valve atresia?
- ANSWER - ASD and VSD
pg. 2
,3|Page
An infant with central cyanosis, peaked P waves, left axis deviation, and
a holosystolic murmur likely has what condition? - ANSWER -
Tricuspid valve atresia
peaked P waves are due to enlarged right atrium, ASD causes the left
axis deviation, and VSD can cause a holosystolic murmur
Exertional dyspnea, evidence of right-sided cardiac enlargement, and a
step up in oxygen saturation from the IVC to the right atrium suggests
what? - ANSWER - partial anomalous pulmonary venous return
some of the pulmonary veins are abnormally draining into right sided
circulation instead of into the left atrium resulting in blood mixing
A newborn who is coughing/vomiting with feeding attempts who also
develops coarse lung sounds and respiratory distress after an attempted
feeding should raise concern for what? - ANSWER - tracheoesophageal
fistula with esophageal atresia
Back pain in a pediatric patient that causes nocturnal awakening,
interferes with activity, or requires frequent analgesics is concerning for
what? - ANSWER - spinal cord tumor
Patellar tendinitis is an overuse injury due to repetitive [activity] and
presents with point tenderness at [location] - ANSWER - repetitive
jumping, tenderness at the inferior pole of the patella
Seizures in the setting of acute bacterial gastroenteritis should raise
concern for what infection? - ANSWER - shigella infection
pg. 3
, 4|Page
In patients with Osgood-Schlatter disease, examination usually reveals
tenderness over [location] and pain can be reproduced with [activity] -
ANSWER - tibial tubercle, squatting or resisted extension of the knee
Why can maternal serum AFP be elevated for a fetus with gastroschisis?
- ANSWER - herniation of the uncovered bowel allows AFP to pass
through into the amniotic fluid
Which vaccine is especially important for patients with sickle cell? -
ANSWER - S pneumoniae vaccine (conjugate capsular polysaccharide)
Twice daily administration of what prophylactic treatment should be
given to sickle cell patients until the age of 5? - ANSWER - penicillin
this population is susceptible to encapsulated bacteria (S pneumoniae, H
influenzae, N meningitidis) due to being functionally hyposplenic from
autoinfarction
A child with a history of physical abuse and neglect, social withdrawal,
lack of response to positive affirmation, and emotional outbursts likely
has what diagnosis? - ANSWER - reactive attachment disorder (RAD)
In a patient with a history of recurrent pulmonary and cutaneous
abscesses, an abscess showing organism-filled neutrophils on Gram stain
would be suggestive of what immunodeficiency syndrome? - ANSWER
- chronic granulomatous disease
impaired phagocytic respiratory burst results in impaired intracellular
killing by phagocytes
pg. 4
