OBGYN COMAT EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 ALL ANSWERS 100%
CORRECT VERIFIED A COMPLETE SOLUTION RATED A+
FOR PASS
Normal cardiac findings during pregnancy? - CORRECT ANSWERS Increased Splitting of
the second heart sound with inspiration, distended neck veins and low grade ejection systolic
murmurs ( Increased blood flow across the aortic and mitral valves.
What heart findings are not normal and need to be evaluated? - CORRECT ANSWERS
Diastolic murmurs 100% are not good in pregnancy
Young Mother weeks pregnant presents with recurrent "Flu Like Symptoms", Explain this? -
CORRECT ANSWERS This could be something completely normal. Allergy, due to
mucosal hypermeia like symptoms nasal stuffiness and secretions.
Hematologic changes during pregnancy? - CORRECT ANSWERS Maternal blood volume
increases about 35% by term.
Can Cause a physiologic anemia. but all anemia needs to be treated.
Fe needs to be supplemented during pregnancy becasue the fetus will leach the Fe from the
mother.
Non-anemic women needs 60mg Fe/day.
60mg of Fe is a dosage of 325mg.
Anemia pt needs about 60 - 120 mg Fe/day
Clotting Factors are increased VII, VIII, IX and X. Inhibitors of clotting like C and S are decreased.
Oxygen carrying capacity changes? - CORRECT ANSWERS Maternal increase in Hbg and
the mild respiratory alkalosis cause a left shift in the dissociation curve meaning the maternal
Hbg has an increases affinity for O2 in the lungs but not in the tissues so more O2 is given of to
the placenta.
,OBGYN COMAT EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 ALL ANSWERS 100%
CORRECT VERIFIED A COMPLETE SOLUTION RATED A+
FOR PASS
Renal physiologic changes? - CORRECT ANSWERS There is increased renal plasma flow
and thus increased GFR.
This means that Trace amount of Glucose is normal and most likely doesn't mean glycemia
pathology. But it should be watched fro a trend.
There should not be any increase in urinary protein loss.
There is also a decrease in the Cr normal is about 0.4 to 0.8, any higher and I might get
suspicious.
Gastrointestinal Functional Changes - CORRECT ANSWERS Generalized Smooth muscle
relaxation meaning the LES tone, decreased GI motility and increased Gal Bladder tone DUE TO
PROGESTERONE.
GI Diagnostic test alterations in pregnancy - CORRECT ANSWERS ALK PHOS x 2
Cholesterol increased
Pregnancy induced Thyroid function? - CORRECT ANSWERS Overall its a Euthyroid state
despite the changes.
Glad enlarges but not goiter like
hCG in the first trimester is like Thyrotropin and stimulates T4 but hCG declines and normalizes
T4
Estrogen induces the levels of Thyroxine binding globulin which binds free t3 and t4, this could
alter the free amount of hormone.
Changes of Metabolism during pregnancy? - CORRECT ANSWERS hPL acts as a
diabetagenic that reduces the body's sensitivity to insulin, which can cause hyperglycemia after
meals.
, OBGYN COMAT EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 ALL ANSWERS 100%
CORRECT VERIFIED A COMPLETE SOLUTION RATED A+
FOR PASS
Skin changes in pregnancy? - CORRECT ANSWERS All are due to the hunge increase in
Estrogen
Palmar Erythema
Striae gravidarum
Skin darkening lina alba
Skin Nevi can also increase in size and color but should regress after pregnancy. You should still
consider removing them due to risk of malignancy.
Increased Acne due to increased Sebum production.
Loss of hair that will return to normal 6 months post delivery.
What Disease screen should always be performed on a pregnant female unless she declines? -
CORRECT ANSWERS HIV
It should also be offered to women who think they will become pregnant.
What is the best type of urine for a urine pregnancy test? - CORRECT ANSWERS Early
morning urine will have the highest hCG.
The Naegele rule - CORRECT ANSWERS Way to calculate the EDD
Add 7 days to the first day of the last normal menstrual flow and subtract 3 months
Normal fetal HR range? - CORRECT ANSWERS 110 to 160 bpm
What is the best lab test to determine premature labor, and what physical exam finding helps
determine premature labor? - CORRECT ANSWERS Fetal Fibronectin
pt with a negative fFN have less than 1% chance of going into labor within two weeks.
LATEST DOWNLOADED 2025/2026 ALL ANSWERS 100%
CORRECT VERIFIED A COMPLETE SOLUTION RATED A+
FOR PASS
Normal cardiac findings during pregnancy? - CORRECT ANSWERS Increased Splitting of
the second heart sound with inspiration, distended neck veins and low grade ejection systolic
murmurs ( Increased blood flow across the aortic and mitral valves.
What heart findings are not normal and need to be evaluated? - CORRECT ANSWERS
Diastolic murmurs 100% are not good in pregnancy
Young Mother weeks pregnant presents with recurrent "Flu Like Symptoms", Explain this? -
CORRECT ANSWERS This could be something completely normal. Allergy, due to
mucosal hypermeia like symptoms nasal stuffiness and secretions.
Hematologic changes during pregnancy? - CORRECT ANSWERS Maternal blood volume
increases about 35% by term.
Can Cause a physiologic anemia. but all anemia needs to be treated.
Fe needs to be supplemented during pregnancy becasue the fetus will leach the Fe from the
mother.
Non-anemic women needs 60mg Fe/day.
60mg of Fe is a dosage of 325mg.
Anemia pt needs about 60 - 120 mg Fe/day
Clotting Factors are increased VII, VIII, IX and X. Inhibitors of clotting like C and S are decreased.
Oxygen carrying capacity changes? - CORRECT ANSWERS Maternal increase in Hbg and
the mild respiratory alkalosis cause a left shift in the dissociation curve meaning the maternal
Hbg has an increases affinity for O2 in the lungs but not in the tissues so more O2 is given of to
the placenta.
,OBGYN COMAT EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 ALL ANSWERS 100%
CORRECT VERIFIED A COMPLETE SOLUTION RATED A+
FOR PASS
Renal physiologic changes? - CORRECT ANSWERS There is increased renal plasma flow
and thus increased GFR.
This means that Trace amount of Glucose is normal and most likely doesn't mean glycemia
pathology. But it should be watched fro a trend.
There should not be any increase in urinary protein loss.
There is also a decrease in the Cr normal is about 0.4 to 0.8, any higher and I might get
suspicious.
Gastrointestinal Functional Changes - CORRECT ANSWERS Generalized Smooth muscle
relaxation meaning the LES tone, decreased GI motility and increased Gal Bladder tone DUE TO
PROGESTERONE.
GI Diagnostic test alterations in pregnancy - CORRECT ANSWERS ALK PHOS x 2
Cholesterol increased
Pregnancy induced Thyroid function? - CORRECT ANSWERS Overall its a Euthyroid state
despite the changes.
Glad enlarges but not goiter like
hCG in the first trimester is like Thyrotropin and stimulates T4 but hCG declines and normalizes
T4
Estrogen induces the levels of Thyroxine binding globulin which binds free t3 and t4, this could
alter the free amount of hormone.
Changes of Metabolism during pregnancy? - CORRECT ANSWERS hPL acts as a
diabetagenic that reduces the body's sensitivity to insulin, which can cause hyperglycemia after
meals.
, OBGYN COMAT EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 ALL ANSWERS 100%
CORRECT VERIFIED A COMPLETE SOLUTION RATED A+
FOR PASS
Skin changes in pregnancy? - CORRECT ANSWERS All are due to the hunge increase in
Estrogen
Palmar Erythema
Striae gravidarum
Skin darkening lina alba
Skin Nevi can also increase in size and color but should regress after pregnancy. You should still
consider removing them due to risk of malignancy.
Increased Acne due to increased Sebum production.
Loss of hair that will return to normal 6 months post delivery.
What Disease screen should always be performed on a pregnant female unless she declines? -
CORRECT ANSWERS HIV
It should also be offered to women who think they will become pregnant.
What is the best type of urine for a urine pregnancy test? - CORRECT ANSWERS Early
morning urine will have the highest hCG.
The Naegele rule - CORRECT ANSWERS Way to calculate the EDD
Add 7 days to the first day of the last normal menstrual flow and subtract 3 months
Normal fetal HR range? - CORRECT ANSWERS 110 to 160 bpm
What is the best lab test to determine premature labor, and what physical exam finding helps
determine premature labor? - CORRECT ANSWERS Fetal Fibronectin
pt with a negative fFN have less than 1% chance of going into labor within two weeks.
