Pediatric Comat Exam
Pediatric Comat Exam Test Bank 2025-2026
With Complete Verified Questions And Correct
Answers with Detailed Rationales |Already
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A child's resting heart rate can be expected to be between 60 and 100 beats per minute once he
reaches:
4 years of age.
6 years of age.
10 years of age.
12 years of age.
- Correct Answer :10 years of age.
Explanation:
Normal heart rate varies with age. Generally, as the heart becomes more efficient, the rate
begins to decrease. This occurs with age. Four and six year-old children can be expected to have
normal heart rates between 60 and 140 beats per minute. By age 10 years, the usual heart rate
more closely approximates that of an adult, 60-100 beats per minute.
Which reflexes might a one month-old infant be expected to exhibit?
Moro, stepping, rooting
Stepping, rooting, tonic neck
Babinski, Moro only
Fencing, stepping, rooting –
Correct Answer :Moro, stepping, rooting
Explanation:
A one month old infant would be expected to exhibit the Moro, stepping, rooting, and Babinski
reflexes. The tonic neck, or "fencing" reflex isn't exhibited until about 2-3 months of age. This is
assessed by lying the baby on his back and turning his head to one side. If the reflex is present,
he should extend his arm on the side that his head is turned. The opposite arm assumes a flexed
position. This pose mimics a fencer and thus, the name.
A sexually active adolescent male has a warty growth on the shaft of his penis. It is painless. This
is likely:
trichomonas.
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, Pediatric Comat Exam
syphilis.
herpes.
human papilloma virus.
- Correct Answer :human papilloma virus
Explanation:
This is not a clinical presentation of trichomonas because this produces a discharge. Syphilis
produces a painless lesion but it presents as an ulceration with a hard edge and clean, yellow
base. Herpes produces lesions, but these are painful and produce burning. HPV, human
papilloma virus, produces warty growths as described above
What is the earliest age that an average child would be able to copy a triangle, know his colors,
and count on his fingers?
3 years
4 years
5 years
6 years
- Correct Answer :5 years
Explanation:
Common developmental tasks for a 5 year-old include: ability to draw a person with a body,
head, arms, and legs, recognize most letters and can print some, know his address and phone
number, dress self without help, able to skip and tiptoe, and play cooperatively and enjoy a
playmate's company.
Which infant has feeding behavior is least likely related to congenital heart disease?
Feedings associated with persistent cough
Feedings that take "a long time" to complete
Feedings that are interrupted by choking
Infants that burp frequently when feeding
- Correct Answer :Infants that burp frequently when feeding
Explanation:
Infants who burp frequently probably are swallowing too much air with feeding. This is likely not
related to congenital heart disease. Some red flags associated with feeding that should prompt
the examiner to assess for congenital heart disease include feedings that are interrupted by
choking, gagging, or vomiting. Some infants have rapid breathing with feeding or a persistent
cough or wheeze. These should be assessed and CHD should be considered.
Which statement below best characterizes scoliosis in an adolescent?
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It is more common in males and is idiopathic.
There can be unequal rib prominences or shoulder heights.
The diagnosis can be made when the curvature is 8? or more.
There is a strong familial component to this condition.
- Correct Answer :There can be unequal rib prominences or shoulder heights
explanation:
Scoliosis is diagnosed when the degree of curvature is 10? or more. It is more common in girls
because they have more rapid vertical growth than boys. There is not a strong familial
component to this disease. Rather, it is idiopathic. It is assessed using the Adams Forward Bend
test. There can be unequal scapula prominences and heights, waist angles, and chest
asymmetry.
The most common cause of acute pharyngitis in children is:
S. pyogenes.
H. influenzae.
M. pneumoniae.
respiratory viruses.
- Correct Answer :respiratory viruses.
A patient has suspected scarlet fever. He likely has a sandpaper rash and:
negative throat swab.
a positive rapid strept test.
diarrhea with abdominal cramps.
petechiae on the trunk.
- Correct Answer :a positive rapid strept test.
Explanation:
A patient with scarlet fever (scarlatina) has a common childhood disease that is characterized by
sore throat, fever, and a scarlet "sandpaper" rash. The causative organism is Group A beta
hemolytic Streptococcus pyogenes. The patient's rapid strept test will likely be positive. If the
rapid Strept test is negative, the throat swab should be positive. Diarrhea with abdominal cramps
is not specific to scarlet fever. Petechiae represent an extravasation of blood under the skin and
are not present with scarlet fever unless some other disease process is present. Petechiae
should be considered to be a very serious finding.
A positive Trendelenburg's test could be used to identify a child with:
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, Pediatric Comat Exam
scoliosis.
Osgood-Schlatter disease.
nursemaid's elbow.
slipped capital femoral epiphysis.
- Correct Answer :slipped capital femoral epiphysis.
Explanation:
Asking a child with a complaint of hip pain to stand on the affected side is how the
Trendelenburg test is assessed. A positive Trendelenburg test occurs when standing on the
affected leg causes a pelvic tilt, such that the unaffected hip is lower. This can be assessed and
observed in children with slipped capital femoral epiphysis, Legg-Calve-Perthes disease, or
developmental dysplasia of the hip. Nursemaid's elbow is a common ligamentous injury in young
children. The radial head becomes subluxed. Displacement is usually easy to reduce.
A two year-old with sickle cell anemia (SCA) should receive which immunizations?
All routine childhood immunizations at an accelerated rate
All routine childhood immunizations at a decelerated rate
All routine childhood immunizations at the usual time
Immunizations should be limited in this group
- Correct Answer :All routine childhood immunizations at the usual time
Explanation:
Children with sickle cell anemia should receive all the routine childhood immunizations at the
usual time for administration, including annual flu immunization. Sickle cell crises arise when
children become ill. Unfortunately, children with SCA are more prone to sickle cell crises when
illness occurs, so, decreasing the likelihood of illness by immunization decreases the likelihood of
sickle cell crises.
What is the usual age for vision screening in young children?
2 years
3 years
4 years
5 years
- Correct Answer :3 years
Explanation:
Initial vision screening should take place at 3 years of age. If the child is not cooperative,
screening should be attempted 6 months later. If the child is still not cooperative at 3.5 years, it
should be attempted at 4 years. Generally, children are cooperative at 4 years of age. The usual
vision of a 3 year-old is 20/50.
A+ TEST BANK 4
Pediatric Comat Exam Test Bank 2025-2026
With Complete Verified Questions And Correct
Answers with Detailed Rationales |Already
Graded A+||Brand New Guaranteed Pass
A child's resting heart rate can be expected to be between 60 and 100 beats per minute once he
reaches:
4 years of age.
6 years of age.
10 years of age.
12 years of age.
- Correct Answer :10 years of age.
Explanation:
Normal heart rate varies with age. Generally, as the heart becomes more efficient, the rate
begins to decrease. This occurs with age. Four and six year-old children can be expected to have
normal heart rates between 60 and 140 beats per minute. By age 10 years, the usual heart rate
more closely approximates that of an adult, 60-100 beats per minute.
Which reflexes might a one month-old infant be expected to exhibit?
Moro, stepping, rooting
Stepping, rooting, tonic neck
Babinski, Moro only
Fencing, stepping, rooting –
Correct Answer :Moro, stepping, rooting
Explanation:
A one month old infant would be expected to exhibit the Moro, stepping, rooting, and Babinski
reflexes. The tonic neck, or "fencing" reflex isn't exhibited until about 2-3 months of age. This is
assessed by lying the baby on his back and turning his head to one side. If the reflex is present,
he should extend his arm on the side that his head is turned. The opposite arm assumes a flexed
position. This pose mimics a fencer and thus, the name.
A sexually active adolescent male has a warty growth on the shaft of his penis. It is painless. This
is likely:
trichomonas.
A+ TEST BANK 1
, Pediatric Comat Exam
syphilis.
herpes.
human papilloma virus.
- Correct Answer :human papilloma virus
Explanation:
This is not a clinical presentation of trichomonas because this produces a discharge. Syphilis
produces a painless lesion but it presents as an ulceration with a hard edge and clean, yellow
base. Herpes produces lesions, but these are painful and produce burning. HPV, human
papilloma virus, produces warty growths as described above
What is the earliest age that an average child would be able to copy a triangle, know his colors,
and count on his fingers?
3 years
4 years
5 years
6 years
- Correct Answer :5 years
Explanation:
Common developmental tasks for a 5 year-old include: ability to draw a person with a body,
head, arms, and legs, recognize most letters and can print some, know his address and phone
number, dress self without help, able to skip and tiptoe, and play cooperatively and enjoy a
playmate's company.
Which infant has feeding behavior is least likely related to congenital heart disease?
Feedings associated with persistent cough
Feedings that take "a long time" to complete
Feedings that are interrupted by choking
Infants that burp frequently when feeding
- Correct Answer :Infants that burp frequently when feeding
Explanation:
Infants who burp frequently probably are swallowing too much air with feeding. This is likely not
related to congenital heart disease. Some red flags associated with feeding that should prompt
the examiner to assess for congenital heart disease include feedings that are interrupted by
choking, gagging, or vomiting. Some infants have rapid breathing with feeding or a persistent
cough or wheeze. These should be assessed and CHD should be considered.
Which statement below best characterizes scoliosis in an adolescent?
A+ TEST BANK 2
, Pediatric Comat Exam
It is more common in males and is idiopathic.
There can be unequal rib prominences or shoulder heights.
The diagnosis can be made when the curvature is 8? or more.
There is a strong familial component to this condition.
- Correct Answer :There can be unequal rib prominences or shoulder heights
explanation:
Scoliosis is diagnosed when the degree of curvature is 10? or more. It is more common in girls
because they have more rapid vertical growth than boys. There is not a strong familial
component to this disease. Rather, it is idiopathic. It is assessed using the Adams Forward Bend
test. There can be unequal scapula prominences and heights, waist angles, and chest
asymmetry.
The most common cause of acute pharyngitis in children is:
S. pyogenes.
H. influenzae.
M. pneumoniae.
respiratory viruses.
- Correct Answer :respiratory viruses.
A patient has suspected scarlet fever. He likely has a sandpaper rash and:
negative throat swab.
a positive rapid strept test.
diarrhea with abdominal cramps.
petechiae on the trunk.
- Correct Answer :a positive rapid strept test.
Explanation:
A patient with scarlet fever (scarlatina) has a common childhood disease that is characterized by
sore throat, fever, and a scarlet "sandpaper" rash. The causative organism is Group A beta
hemolytic Streptococcus pyogenes. The patient's rapid strept test will likely be positive. If the
rapid Strept test is negative, the throat swab should be positive. Diarrhea with abdominal cramps
is not specific to scarlet fever. Petechiae represent an extravasation of blood under the skin and
are not present with scarlet fever unless some other disease process is present. Petechiae
should be considered to be a very serious finding.
A positive Trendelenburg's test could be used to identify a child with:
A+ TEST BANK 3
, Pediatric Comat Exam
scoliosis.
Osgood-Schlatter disease.
nursemaid's elbow.
slipped capital femoral epiphysis.
- Correct Answer :slipped capital femoral epiphysis.
Explanation:
Asking a child with a complaint of hip pain to stand on the affected side is how the
Trendelenburg test is assessed. A positive Trendelenburg test occurs when standing on the
affected leg causes a pelvic tilt, such that the unaffected hip is lower. This can be assessed and
observed in children with slipped capital femoral epiphysis, Legg-Calve-Perthes disease, or
developmental dysplasia of the hip. Nursemaid's elbow is a common ligamentous injury in young
children. The radial head becomes subluxed. Displacement is usually easy to reduce.
A two year-old with sickle cell anemia (SCA) should receive which immunizations?
All routine childhood immunizations at an accelerated rate
All routine childhood immunizations at a decelerated rate
All routine childhood immunizations at the usual time
Immunizations should be limited in this group
- Correct Answer :All routine childhood immunizations at the usual time
Explanation:
Children with sickle cell anemia should receive all the routine childhood immunizations at the
usual time for administration, including annual flu immunization. Sickle cell crises arise when
children become ill. Unfortunately, children with SCA are more prone to sickle cell crises when
illness occurs, so, decreasing the likelihood of illness by immunization decreases the likelihood of
sickle cell crises.
What is the usual age for vision screening in young children?
2 years
3 years
4 years
5 years
- Correct Answer :3 years
Explanation:
Initial vision screening should take place at 3 years of age. If the child is not cooperative,
screening should be attempted 6 months later. If the child is still not cooperative at 3.5 years, it
should be attempted at 4 years. Generally, children are cooperative at 4 years of age. The usual
vision of a 3 year-old is 20/50.
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