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Pediatric Comat Exam Newest 2025/2026 With
Complete 150 Questions And Correct Answers
|Already Graded A+||Brand New Version!|
An infant with cleft lip and palate, wide anterior
fontanelle, distal phalange hypoplasia, microcephaly,
and cardiac anomalies was likely exposed to what in
utero? - ...ANSWER...✔✔antiepileptic medications (ex.
phenytoin, valproate)
exposure results in fetal hydantoin syndrome
How should women who take antiepileptics be
managed during pregnancy? - ...ANSWER...✔✔to
avoid fetal hydantoin syndrome, meds should be
titrated to the lowest dose prior to conception and start
them on high dose folic acid supplementation
T/F: cocaine use during pregnancy is not associated
with congenital defects - ...ANSWER...✔✔True - but it
can cause preterm delivery, placental abruption, and
fetal growth restriction
,2|Page
Use of lisinopril during pregnancy can cause what fetal
complications? - ...ANSWER...✔✔fetal renal failure
and associated oligohydramnios resulting in pulmonary
hypoplasia, growth restriction, and limb defects
T/F: fetal alcohol syndrome can present with
microcephaly, midfacial hypoplasia, and cleft lip -
...ANSWER...✔✔False - it can present with the first
two but it's not associated with cleft lip or palate
What GI infection can mimic appendicitis? What are the
two most common causative agents? -
...ANSWER...✔✔infectious ileocecitis aka
pseudoappendicitis
T/F: fever rarely occurs with an E coli 0157:H7 infection
- ...ANSWER...✔✔True
The presentation of vulvar pruritis and fusing of the
posterior labia minora is an indication for what
treatment? - ...ANSWER...✔✔topical estrogen cream
Labial adhesion is caused by low estrogen production
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In a pediatric patient with suspected acute ischemic
stroke, what test should be urgently performed? -
...ANSWER...✔✔MR with angiography
What is Todd paralysis? - ...ANSWER...✔✔Transient
focal deficits following a seizure
Infants should gain approximately [grams/oz] per day
for the first 3 months - ...ANSWER...✔✔30 grams/1 oz
per day for first 3 months
A baby should double their birth weight by [age] and
triple it by [age] - ...ANSWER...✔✔double it by 4
months, triple is by 12 months
Height increases by [%] by 12 months of age -
...ANSWER...✔✔50%
Patient presenting with bone pain and pancytopenia is
concerning for what? - ...ANSWER...✔✔acute
lymphoblastic leukemia (ALL)
the rampant growth of leukemic cells in the bone
marrow can result in bone pain, classically in the long
bones
, 4|Page
Note: leukocytes may be increased or decreased, you're
looking for at least 2 cytopenias
What is the most common malignancy in children? -
...ANSWER...✔✔acute lymphoblastic leukemia (ALL)
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
Pediatric Comat Exam Newest 2025/2026 With
Complete 150 Questions And Correct Answers
|Already Graded A+||Brand New Version!|
An infant with cleft lip and palate, wide anterior
fontanelle, distal phalange hypoplasia, microcephaly,
and cardiac anomalies was likely exposed to what in
utero? - ...ANSWER...✔✔antiepileptic medications (ex.
phenytoin, valproate)
exposure results in fetal hydantoin syndrome
How should women who take antiepileptics be
managed during pregnancy? - ...ANSWER...✔✔to
avoid fetal hydantoin syndrome, meds should be
titrated to the lowest dose prior to conception and start
them on high dose folic acid supplementation
T/F: cocaine use during pregnancy is not associated
with congenital defects - ...ANSWER...✔✔True - but it
can cause preterm delivery, placental abruption, and
fetal growth restriction
,2|Page
Use of lisinopril during pregnancy can cause what fetal
complications? - ...ANSWER...✔✔fetal renal failure
and associated oligohydramnios resulting in pulmonary
hypoplasia, growth restriction, and limb defects
T/F: fetal alcohol syndrome can present with
microcephaly, midfacial hypoplasia, and cleft lip -
...ANSWER...✔✔False - it can present with the first
two but it's not associated with cleft lip or palate
What GI infection can mimic appendicitis? What are the
two most common causative agents? -
...ANSWER...✔✔infectious ileocecitis aka
pseudoappendicitis
T/F: fever rarely occurs with an E coli 0157:H7 infection
- ...ANSWER...✔✔True
The presentation of vulvar pruritis and fusing of the
posterior labia minora is an indication for what
treatment? - ...ANSWER...✔✔topical estrogen cream
Labial adhesion is caused by low estrogen production
,3|Page
In a pediatric patient with suspected acute ischemic
stroke, what test should be urgently performed? -
...ANSWER...✔✔MR with angiography
What is Todd paralysis? - ...ANSWER...✔✔Transient
focal deficits following a seizure
Infants should gain approximately [grams/oz] per day
for the first 3 months - ...ANSWER...✔✔30 grams/1 oz
per day for first 3 months
A baby should double their birth weight by [age] and
triple it by [age] - ...ANSWER...✔✔double it by 4
months, triple is by 12 months
Height increases by [%] by 12 months of age -
...ANSWER...✔✔50%
Patient presenting with bone pain and pancytopenia is
concerning for what? - ...ANSWER...✔✔acute
lymphoblastic leukemia (ALL)
the rampant growth of leukemic cells in the bone
marrow can result in bone pain, classically in the long
bones
, 4|Page
Note: leukocytes may be increased or decreased, you're
looking for at least 2 cytopenias
What is the most common malignancy in children? -
...ANSWER...✔✔acute lymphoblastic leukemia (ALL)
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
