2025/2026 PEDIATRIC COMAT EXAM
NEWEST WITH COMPLETE 150
QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+
At what age does the USPSTF recommend screening for
depression? Correct Answer ages 12-18yrs old
21 alpha hydroxylase deficiency findings; what comes up
later in life? Correct Answer decreased:
mineralocorticoids, Na+
increased: sex hormones, K+
hypotension
virilization of females
17 hydroxyprogesterone accumulation
presents later in life with precocious puberty and normal
BP
17 a-hydroxylase deficiency findings; what comes up later
in life? Correct Answer increased: mineralocorticoids,
normal or incr Na+
decreased: sex hormones, K+
hypertension
ambiguous genitalia in males
progesterone & pregnenalone accumulation
presents later in life: with females w/ absence of
secondary sex development
,11B-hydroxylase deficiency Correct Answer increased:
mineralocorticoids, sex hormones, normal or incr Na+
decreased: K+
hypertension
virilization of females
11-deoxycorticosterone accumulation
Pt has recurrent episodes of crying accompained by
flexion of hips against their abdomen. What is the
diagnosis and what modality is used to confirm? Correct
Answer Intussusception; abdominal ultrasound will show
"target sign"
Male pt with intellectual disability, autistic like behavior,
long face, long ears, tall, preserved conversational ability,
macroorchidism, mitral valve prolaspe: what is the
diagnosis? what is the pathophys for it? Correct Answer
Fragile X syndrome; a trinucleotide repeat = CGG repeat
mostly effects males
Maple syrup disease is characterized by a blocked
degradation of what amino acids? Correct Answer
isoleucine, leucine, and valine
Maple syrup disease is characterized by: (what clinical
features) Correct Answer elevated anion gap metabolic
acidosis, poor feeding, lethargy, vomiting, CNS defects
and sweet maple syrup scent to their urine
Pt presentation: weight loss, iron def anemia, a cutaneous
vesicular blistering rash on an erythematous base with
, excoriations and superficial erosions---what is the
diagnosis? what is this specific rash called? Correct
Answer Celiac disease; dermatitis herpetiformis
Pt presentation: severe knee pain, fever, migratory
polyarthritis, tensynovitis, hx of drug abuse or hx of
irregular sexual hx, several hemorrhagic papules and
pustules on upper & lower extremities--what is the
diagnosis? Correct Answer Disseminated gonococcal
infection (caused by Neisseria gonorrhea)
MCC of neonatal sepsis within the first 24hrs of life:
Correct Answer Group B strep
Pt presentation: petechial and purpuric coalescing rash,
coagulopathy, cardiovascular collapse in the setting of
meningeoccemia. What dx is this? Correct Answer
Waterhouse Friderichsen syndrome
neonate between 0-3mo with signs of infection, you
suspect meningitis. what are the MC bugs?
what is the treatment? Correct Answer group b strep
E coli
listeria
**BELL
trx: ampicillin & gentamicin
kid older than 3mo and you suspect infxn (meningitis).
what are the MC causes? what's their treatment? Correct
Answer strep pneumo
H flu
NEWEST WITH COMPLETE 150
QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+
At what age does the USPSTF recommend screening for
depression? Correct Answer ages 12-18yrs old
21 alpha hydroxylase deficiency findings; what comes up
later in life? Correct Answer decreased:
mineralocorticoids, Na+
increased: sex hormones, K+
hypotension
virilization of females
17 hydroxyprogesterone accumulation
presents later in life with precocious puberty and normal
BP
17 a-hydroxylase deficiency findings; what comes up later
in life? Correct Answer increased: mineralocorticoids,
normal or incr Na+
decreased: sex hormones, K+
hypertension
ambiguous genitalia in males
progesterone & pregnenalone accumulation
presents later in life: with females w/ absence of
secondary sex development
,11B-hydroxylase deficiency Correct Answer increased:
mineralocorticoids, sex hormones, normal or incr Na+
decreased: K+
hypertension
virilization of females
11-deoxycorticosterone accumulation
Pt has recurrent episodes of crying accompained by
flexion of hips against their abdomen. What is the
diagnosis and what modality is used to confirm? Correct
Answer Intussusception; abdominal ultrasound will show
"target sign"
Male pt with intellectual disability, autistic like behavior,
long face, long ears, tall, preserved conversational ability,
macroorchidism, mitral valve prolaspe: what is the
diagnosis? what is the pathophys for it? Correct Answer
Fragile X syndrome; a trinucleotide repeat = CGG repeat
mostly effects males
Maple syrup disease is characterized by a blocked
degradation of what amino acids? Correct Answer
isoleucine, leucine, and valine
Maple syrup disease is characterized by: (what clinical
features) Correct Answer elevated anion gap metabolic
acidosis, poor feeding, lethargy, vomiting, CNS defects
and sweet maple syrup scent to their urine
Pt presentation: weight loss, iron def anemia, a cutaneous
vesicular blistering rash on an erythematous base with
, excoriations and superficial erosions---what is the
diagnosis? what is this specific rash called? Correct
Answer Celiac disease; dermatitis herpetiformis
Pt presentation: severe knee pain, fever, migratory
polyarthritis, tensynovitis, hx of drug abuse or hx of
irregular sexual hx, several hemorrhagic papules and
pustules on upper & lower extremities--what is the
diagnosis? Correct Answer Disseminated gonococcal
infection (caused by Neisseria gonorrhea)
MCC of neonatal sepsis within the first 24hrs of life:
Correct Answer Group B strep
Pt presentation: petechial and purpuric coalescing rash,
coagulopathy, cardiovascular collapse in the setting of
meningeoccemia. What dx is this? Correct Answer
Waterhouse Friderichsen syndrome
neonate between 0-3mo with signs of infection, you
suspect meningitis. what are the MC bugs?
what is the treatment? Correct Answer group b strep
E coli
listeria
**BELL
trx: ampicillin & gentamicin
kid older than 3mo and you suspect infxn (meningitis).
what are the MC causes? what's their treatment? Correct
Answer strep pneumo
H flu
