Pediatric Emergency Medicine Board Review Course
#1 PEM Board Review Course & Medical Education Solution
From the leader in online medical education, Med-Challenger
Our pass-guaranteed Pediatric Emergency Medicine board review course gets you prepared for PEM exams fast – plus our online board review courses and practice questions keep serving you after exams too. Certification or maintenance of certification – PEM board review has never been so easy, effective, or efficient.
Proven exam success. Lifelong benefits. Nothing beats Med-Challenger’s Pediatric Emergency Medicine board review course.
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Pediatric Emergency Medicine Board Review Questions
Based on the American Board of Pediatrics and the American Board of Emergency Medicine formats.
A 3 yo female is seen in the ED after swallowing a shiny small foreign body yesterday. Her parents think it might have been a dime or nickel when they attempted to take it out of her mouth. She has not had any choking, difficulty breathing or drooling. Today she is complaining of abdominal pain with decreased fluid and solid intake. Her urine output is normal and she has not had a bowel movement since the ingestion. There is no history of fever, vomiting or diarrhea. Her T is 37.5ºC, HR 126, RR 28, BP 124/68, and pOx 100% on RA. On her abdominal exam, she is moderately tender to palpation in the epigastric and LUQ. Her abdominal radiograph is shown and shows a foreign body likely 20 mm in size.
What is the next best step in management?
Challenging distractors are one of the most important features of a high quality PEM question.
Give syrup of ipecac
Give IV metoclopramide
Give oral magnesium citrate
Obtain Gastroenterology consult
Discharge home with repeat KUB in 3 days
Understanding why an answer choice is incorrect is just as important as knowing why it is correct for a truly effective Pediatric Emergency Medicine board review course.
Obtain Gastroenterology consult
Obtain Gastroenterology consult. The abdominal radiograph reveals the child ingested a disc (button) battery, which has a distinctive double-rim appearance on plain radiographs, and it appears to be lodged in the stomach. Management of disc battery ingestions have changed over the past several years, with revised guidelines put forth from the National Battery Ingestion Hotline in 2010 and again in 2015. For the symptomatic patient in the vignette, the foreign body should be removed as quickly as possible by endoscopy. For disc batteries found in the stomach of asymptomatic patients, these can be watched and removed only if the foreign body persists 10-14 days post-ingestion or if the patient develops symptoms. However, patients with gastric batteries less than 5 years old and with a battery >20mm in diameter need removal within 24-48 hours. All disc batteries lodged in the esophagus should be removed immediately, regardless of symptoms. Syrup of ipecac is contraindicated in ingestions due to the risk of aspiration. GI motility agents, such as metoclopramide and magnesium citrate, have not been shown to be effective. Discharging home with a repeat KUB in 3 days would be considered for an asymptomatic patient younger than 6 years old with a battery < 15 mm in the stomach.
Kramer RE, Lerner DG, et al. Management of Ingested Foreign Bodies in Children: a clinical report of NASPGHAN endoscopy committee. J. Ped. Gastroenterol. Nutr. 2015;60(4):562-74.
Kurowski, JA and Kay, M. Caustic Ingestions and Foreign Bodies Ingestions in Pediatric Patients. Ped. Clinics of North America. 2017;64(3): 507-524.
Our PEM Board Review Gives You More Ways To Study
Enhanced uptake and retention
Programmed learning - the self-study progression of Practice > Review > Assess - is an educational methodology scientifically proven to enhance information uptake and retention. Our topic-based review segments provide this progression, so you can absorb content faster - and remember it for a longer time.
Multimedia From Real Cases Strengthens Pediatric EM Education
Integrated audio and visual media for enhanced learning.
PEM Board Review Options You Won’t Find Anywhere Else
Use our "out-of-the-box" content & exams - or build your own. Your call.
It's important to know, Med-Challenger courses require NO exam building labor on your part - unlike other board review QBanks. Our courses come with pre-built, exam-mapped, adaptive self-assessments so there's no set up required - you can just dive in. However, we also include custom build tools, so if you DO want to build something special - you can.
Custom Exam Builder
Build custom exams that dynamically issue selected content based on your specifications and create a personal review solution that fits your study preferences and lifestyle.
Themes and Settings
Select from light and dark themes and customize your experience within your account profile.
Custom CME Certificates
Review completed work, batch claim CME credits, and produce printable CME certificate PDFs. Review, reproduce & email CME certificates anytime.
More authoring tools for program directors
Our program director suite also includes custom question authoring, custom assignment creation, scheduling and more.
Each Pediatric Emergency Medicine Board Review Question Has A Detailed Answer
Receive targeted self-remediation in detected "weak areas"
Every board simulation self-assessment analyzes missed questions and issues both full answer keys and a post-assessment self-remediation prescription to targeted review content so you can address any and all "weak areas" of knowledge on the spot - and save valuable time.
Know If You’re Ready For The Pediatric Emergency Medicine Boards
Know what you've done, how well, and where you're headed.
Med-Challenger provides you with key statistics and robust analytics to create an efficient and effective learning strategy - and predict outcomes.
Quickly see what's complete and what's left to review.
See how you're performing and improve your knowledge in problem areas.
See the likelihood of you passing your exam at any time.
"Outstanding board review & continuing education with lasting value. Web-based system is fantastic and easy to use. Makes exam review and CME super easy. Best investment I've ever made for my career."
Don Hill, MD
Pediatric Emergency Medicine Board Review Topics
Pediatric Emergency Medicine Courses
Emergency Medicine PRO Bundle
Everything in Emergency Medicine.
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$3372 in value for only $1999. You save over 40%.
One-time purchase. One year of initial access.
Includes low cost Premium renewal option.
Course Assets Included:
+ Emergency Medicine Board Review with CME
+ LLSA Subscription: Yearly Articles, Summaries & Review
+ Pediatric EM Board Review
+ State CME Requirements Course
+ Trauma Center CME
+ Stroke Center CME
+ Cardiac Center CME
+ Risk Management Review
+ 646 AMA PRA Category 1 CME Credits
+ 60 ACEP-approved CME Credits
+ 53 AAP Category 1 CME Credits
+ 53 ABP MOC Part II CME Credits
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