Pediatric Comat Exam With Complete Verified
Questions And Correct Answers 2025
Congenital Umbilical Hernias - (ANSWER)Resolve spontaneously by 5 years of age
- Surgery only required for the management of complications (eg. incarceration)
Constitutional Growth Delay - (ANSWER)Delayed puberty or delayed bone age.
Normal variant. Adult height ends up in normal range
- normal levels of LH, FSH, and testosterone but have short stature and growth
drops below 3rd percentile in ages 10-11
Allergic Rhinitis Treatment - (ANSWER)Intranasal corticosteroids (eg, fluticasone)
are the most effective single treatment for allergic rhinitis.
- you can try oral antihistamines and or intranasal decongestants as combination
therapy
Sicke-Cell Anemia Patient with Diarrhea - (ANSWER)Concern for Salmonella
Gastroenteritis
- Prescribe IV ceftriaxone
, 2
High-risk pediatric patients with immune suppression, including patients with
malignancies, immunosuppressive therapy, sickle cell anemia, immunodeficiency
states and HIV must receive appropriate antimicrobial therapy in the setting of
Salmonella gastroenteritis. Empiric therapy should begin with IV ceftriaxone in ill
patients, although antimicrobial therapy should be directed by culture results and
organism sensitivities when available.
Obstructive Sleep Apnea in Kids - (ANSWER)Presents as daytime sleepiness,
learning problems, enuresis, parasomnias, and loud snoring
- In children, obstructive sleep apnea typically occurs as a result of adenotonsillar
hypertrophy, not obesity. Clinical manifestations are variable and can include a
combination of daytime sleepiness, learning problems, enuresis, parasomnias,
and loud snoring. If left untreated, patients can develop cardiovascular
complications, such as systemic hypertension and structural heart changes.
Leukocyte Adhesion Defiency (LAD) - (ANSWER)recurrent bacterial infections of
the skin and mucosa, absent pus formation (seroanguinous), and delayed
separation of the umbilical cord.
- Leukocyte adhesion deficiency is an autosomal recessive primary
immunodeficiency disorder caused by defective integrins on the surface of
leukocytes. It is characterized by recurrent bacterial infections of the skin and
mucosa (eg, omphalitis, gingivitis/periodontitis), absent pus formation, and
delayed separation of the umbilical cord.
Most common neck mass in the pediatric population - (ANSWER)asymptomatic
benign lymphadenopathy