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Ace the American Board of Pediatrics Exam with Med-Challenger's proven Pediatrics Board Review for ABP exam preparation. Featuring over 2,100 Pediatrics Board Exam Review questions with detailed explanations and rationales following the ABP Exam Blueprint, board exam simulation, and adaptive learning features, Med-Challenger's pediatrics exam review is the best way to prepare for the pediatrics board exam.

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Our pass-guaranteed Pediatrics board review course gets you prepared for Pediatric boards fast, thanks to our constantly updated Pediatric Medicine review questions, detailed answer explanations, and intelligent pediatrics board exam simulators. Plus, our online ABP board review course keeps serving you after exams too. Certification or recertification – Pediatrics Medicine board review has never been so easy, effective, or efficient. It's more than just the best pediatrics question bank, it's lifelong pediatrician education and ABP MOC convenience.

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1700+ Pediatrics Review Questions

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167

AMA Category 1 CME Credits

167

AAP-approved CME Credits

167

ABP MOC Part II CME Credits

Produce CME certificates whenever you need annually. Useful year after year.

Pediatrics Course Information

Pediatrics Review Course Information

Growth and Development

Development Milestones
Failure to Thrive
Normal Growth
Obesity

Preventive Pediatrics

Anticipatory Guidance
Childhood Immunizations
Disease Prevention
Periodic Health Examination / Screening

Poisoning and Environmental Exposure to Hazardous Substances

Acetaminophen Toxicity
Anticholinergics Toxicity
Anticonvulsant Toxicity
Antidepressants Toxicity (incl. Serotonin Syndrome)
Aspirin and NSAIDs Toxicity
Cardiovascular Drug Toxicity
Caustic Ingestion
Cocaine and Other Sympathomimetics Toxicity
Hallucinogen Toxicity
Heavy Metal Toxicity
Hydrocarbon Toxicity
Inhaled Toxins
Lithium Toxicity
Opiate Toxicity
Pesticide Toxicity (incl. Organophosphates)
Sedatives and Hypnotics Toxicity (incl. Barbiturates, Benzodiazepines)
Toxic Alcohols
Toxic Plant Ingestions (incl. Mushrooms)

Fetus and Newborn Infant

Delivery Room
Effects of Maternal Conditions, Medications, and Substance Abuse
Jaundice in Newborn Infants
Newborn Conditions and Diseases
Newborn Respiratory Distress and Cyanosis
Routine Care of the Newborn Infant

Genetics and Dysmorphology

Inheritance
Gene Syndromes and Associations
Diagnostic Testing and Counseling
Chromosome Abnormalities
Gene Abnormalities

Allergic and Immunologic Disorders

Allergic Reactions
Allergic Rhinitis
Allergy-Induced Asthma
Immunodeficiency Disorders
Allergy Testing & Immunotherapy

Infectious Diseases

Bacterial Infections
HIV/AIDS
Infections in Immunocompromised Hosts
MRSA in the Pediatric Population
Parasitic Infections
Prevention of Infectious Disease
Soft Tissue Infections
Systemic Fungal Infections
Viral Infections

Endocrinology, Metabolism, and Nutrition

Adrenal Insufficiency
Diabetes
Disorders of Calcium
Metabolism Fluids and Electrolytes
Hypoglycemia
Inborn Errors of Metabolism
Infant Feeding
Lactic Acidosis
Normal Nutritional Requirements
Thyroid Disease

Gastrointestinal Disorders

Acute and Chronic Abdominal Pain
Constipation
Diarrhea
Esophageal Disorders and Foreign Bodies
Gastrointestinal Bleeding
Gastrointestinal Disorders in Newborn Infants
Inflammatory Bowel Disease
Jaundice
Malabsorption
Vomiting

Respiratory Disorders

Parenchyma
Asthma
Extrapulmonary / Heart Failure
Infant and Ciliary Conditions
Lower Airway
Pneumonia
Signs and Symptoms
Sleep Apnea / Respiratory Diagnostic Testing
Upper Airway SIDS and Brief Resolved Unexplained Events (BRUE)

Cardiovascular Disorders

Clinical Presentations of Cardiovascular Disorders
Congestive Heart Failure
Congenital Heart Disease
Acquired Heart Disease
Myocarditis and Pericarditis
Rate and Rhythm Disorders
Systemic Diseases Affecting the Heart
Cardiomyopathies
Hypertension
Valvular Heart Disease

Blood and Neoplastic Disorders

Erythrocyte Disorders
Coagulation Disorders
Leukocyte Disorders
General Aspects of Blood and Neoplastic Disorders
Neoplastic Disorders
Platelet Disorders
Pancytopenia

Renal and Urologic Disorders

General Renal and Urologic Disorders
Infections of the Urinary Tract
Renal Failure

Neurologic Disorders

Altered Levels of Consciousness and Neurodegenerative Disorders
Cerebrovascular Disease
Headaches & Intracranial Pressure
Infectious Causes of Neurologic Disorders
Movement Disorders (incl. Ataxia)
Peripheral Nerve and Neuromuscular Junction Disorders
Seizures
Spinal Cord Disease and Dysraphism
Weakness and Muscle Disease (incl. Hypotonia and Cerebral Palsy)

Musculoskeletal Disorders, Orthopedics, and Sports Medicine

Evaluation for Sports Participation
Musculoskeletal Disorders
Orthopedic Injuries

Skin Disorders

Acne
Dermatitis
Infectious Rashes
Other Dermatologic Disorders
Pigmented Lesions
Skin Disorders in Newborn Infants

Collagen Vascular and Other Multisystem Disorders

Arthritis
Systemic Lupus Erythematosus
Vasculitis Syndromes

Eye, Ear, Nose and Throat Disorders

Dental and Oral Disorders
EENT Infections
External Disorders of the Eye
Internal Disorders of the Eye
Miscellaneous Disorders of the Eye
Nasal Disorders
Throat Disorders

Adolescent Medicine and Gynecology

Female Pubertal Development
Gynecologic Health Care
Male Pubertal Development
Pregnancy and Contraception
Self-Identity and Family Influence
Sexuality and Emotional Development
Sexually Transmitted Infections

Behavioral and Mental Health Issues

Autism Spectrum Disorders
Child Abuse
Disorders of Attention and Impulse Control
Eating Disorders
Mood and Affect Disorders
Suicidal Behavior, Psychotic Behavior, Thought Disorders
Pediatric Substance Abuse

Critical and Emergency Care

Abdominal, Chest, and Multisystem Trauma
Burns and Fractures
Common Conditions Requiring Life Support
Emergency Life Support
Emergent Fever and Seizure Care
Head and CNS Trauma
Impending Systemic Failure
Wounds

Pharmacology and Pain Management

ADHD: Non-Stimulant Medications
ADHD: Stimulant Medications
Pain Management
Pharmacology
Procedural Sedation

Ethics, Patient Safety, and Quality Improvement

Communication, Family, and Cultural Issues
End-of-Life Care
Medical Error Prevention
Medical Ethics

Sample Question 1

Which of the following statements regarding tricyclic antidepressants is true:

TCA overdose peaks in the teens.
Children consistently account for 12-13% of TCA overdose.
Tricyclic antidepressant(TCA) poisoning has been increasing since the early 1990s.
TCAs have a wider therapeutic index than SSRIs.
Tricyclic antidepressant overdose is less common in psychiatric patients than chronic pain patients.

Correct!

Despite changing indications and newer anti-depressants, children consistently account for 12-13% of TCA poisonings.

TCA overdose peaks in the 40s and has been decreasing or holding steady since the early 1990s when the SSRI class, which has a much larger therapeutic index, was introduced.

Reference:
Goldfrank's Toxicologic Emergencies, Eighth Ed., Ch. 71 McGraw-Hill, 2006

Suicidal antidepressant overdoses: a comparative analysis by antidepressant type. White N - J Med Toxicol - 01-DEC-2008; 4(4): 238-50

Sample Question 2

A 6-year-old patient presents with dyspnea on exertion. Echocardiography reveals valvular aortic stenosis. Results from electrocardiography would be expected to indicate which of the following?

left atrial enlargement
prolonged QT interval
right ventricular hypertrophy
left ventricular hypertrophy
right atrial enlargement

Educational Objective:

Know which EKG abnormality may be caused by a valvular aortic stenosis.

Key Point:

Valvular aortic stenosis may cause left ventricular hypertrophy.

Explanation:

A stenotic aortic valve will cause increasing left ventricular end diastolic pressures and subsequent hypertrophy of the left ventricle. This is a compensatory mechanism to increase contractility, which allows the pump to effectively work against a high afterload. Ultimately, the left ventricle will be unable handle these increased demands; therefore, cardiac output will decrease.

Reference:

Kliegman RM, et al, eds. Nelson Textbook of Pediatrics. 19th ed., 2011:1565.

Sample Question 3

A 10-month-old presents to you after turning blue in the face and chest for 20 seconds. No cardiopulmonary resuscitation (CPR) was provided. He was born at 40 weeks of gestation.

The parents report that he has never had a previous event such as this before. An extensive past medical history was unremarkable. His vitals are: respiratory rate 24 breaths/minute, heart rate 105 beats/minute, blood pressure 78/44 mm Hg, and oxygen saturation 99% on room air. His physical examination findings are unremarkable.

A diagnosis of brief, resolved unexplained event (BRUE) was designated. You plan to discharge him home from the emergency department.

The parents appear to be anxious and concerned that further episodes will occur when they return home. What would you recommend on discharge planning?

outpatient echocardiography
outpatient follow-up with their primary care physician in 24 hours
home cardiorespiratory monitoring
home pulse oximetry alone

A BRUE, which was formerly known as an apparent life-threatening event, describes an event occurring in an infant younger than 1 year of age. Such an event is defined as a BRUE when an observer reports a sudden, brief, and now resolved episode of at least 1 of the following:

Cyanosis or pallor
Absent, decreased, or irregular breathing
Marked change in tone (hypertonia or hypotonia)
Altered level of responsiveness

To be designated lower risk, the following criteria should be met:

Age > 60 days
Prematurity: gestational age ≥ 32 weeks and postconceptional age ≥ 45 weeks
First BRUE (no previous BRUE ever and not occurring in clusters)
Event duration < 1 minute
No CPR required by a trained medical professional
No concerning historical features
No concerning physical examination findings

Infants presenting with a lower-risk BRUE should not be initiated on home cardiorespiratory monitoring. Infant monitors are prone to artifact and have not been shown to improve outcomes or prevent sudden infant death syndrome. Monitoring has been shown to increase caregiver anxiety without providing significant diagnostic cardiorespiratory findings.

Cardiomyopathy (hypertrophic and dilated cardiomyopathy) and myocarditis could rarely present as a lower-risk BRUE and can be identified with echocardiography. Echocardiography is not recommended for patients with lower-risk BRUE, unless there are findings in the history or on the physical examination that would indicate its necessity.

Infants presenting with a lower-risk BRUE may not be required to be admitted for further diagnostic workup, and close outpatient follow-up is recommended. Outpatient follow-up within 24 hours should include a repeat history and physical examination after the initial evaluation to identify infants with ongoing medical concerns that would indicate further evaluation and treatment.

References:

Fu LY, Moon RY. Apparent life-threatening events (ALTEs) and the role of home monitors. Pediatr Rev. 2007;28(6):203-208.

Tieder JS, Bonkowsky JL, Etzel RA, et al. Brief resolved unexplained events (formerly apparent life-threatening events) and evaluation of lower-risk Infants. Pediatrics. 2016;137(5):e20160590.

Sample Question 4

A 16-year-old athlete presents with fever to 103°. His mother relates that he had fever and a sore throat 10 days ago and improved briefly before becoming increasingly ill. His speech is garbled, and he has had poor oral intake for the past day due to limited ability to open his mouth. His oral exam is photographed below. What is the most curative step in the treatment of this patient?

IV hydration
IV antibiotics
IV antivirals
incision and drainage
observation and oral antibiotics

Without incision and drainage, this peritonsillar abscess will likely rupture, causing unnecessary pain, emesis, and airway occlusion. Although hydration and IV antibiotics are indicated and necessary, incision and drainage is most curative for this patient.

Peritonsillar Abscess

Right-sided peritonsillar abscess in a patient with trismus and dysphonia. Note bulging of the right-sided abscess across the midline, with deviation of the uvula to the left.

Sample Question 5

Which of the following best describes a "do not attempt resuscitation" order?

No medication
Withhold cardiopulmonary resuscitation (CPR)
Withhold hyperalimentation
Withhold hydration
No cardioconversion

In general, DNAR means no cardiopulmonary resuscitation. CPR can include chest compressions and breathing assistance by mouth-to-mouth. CPR is a set of specific medical procedures designed to establish circulation and breathing. Advanced CPR may involve cardioversion, intubation, medications, and open heart massage.

Target Audience

Med-Challenger PEDS is intended for practitioners of acute and primary care or clinicians otherwise involved in the diagnosis and treatment of acute, emergent, or chronic medical problems.

Educational Objectives

After completing this activity, the participant should be better able to:

Manage the broad spectrum of acute and chronic medical problems encountered in the practice of pediatric medicine.
Formulate appropriate differential diagnoses for patients presenting with acute and chronic medical problems of uncertain etiology.
initiate therapeutic and diagnostic procedures for patients presenting with acute and chronic medical disorders.
Manage the initial treatment of acute and chronic disorders effectively.
Diagnose and treat the spectrum of common pediatric disorders involving all organ systems.
Demonstrate mastery of the knowledge and cognitive skills required to achieve objectives 1-5 by scoring at least 80% on all topics studied for CME credit.

Faculty

Kathleen K. Aiello, MD, FAAP
Pediatrician
Ambler Pediatrics
Ambler, PA

Joint Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and Challenger Corporation. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Designation Statement

AMA Credit - The Postgraduate Institute for Medicine designates this enduring material for a maximum of 167.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ANCC Credit - The maximum number of hours awarded for this Continuing Nursing Education activity is 167.0 contact hours.

ABP MOC Points - Successful completion of this CME activity, which includes participation in the activity and individual assessment of and feedback to the learner, enables the learner to earn up to 167 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

AAP Credit - This continuing medical education activity has been reviewed by the American Academy of Pediatrics and is acceptable for a maximum of 167.00 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics.

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Pediatrics Board Review
Product Comparison

Take a look at premiere Pediatrics knowledge products from leading vendors.

FEATURE	MED-C PEDS	Pass Machine	True Learn	Board Vitals
Questions	1700+	600	1000	1500
AMA Cat 1 CME	167	54.75	No CME	45
AAP CME	167	0	No CME	0
ABP MOC Part 2 Points	167	No Points	No Points	30
Ongoing Updates	Yes	No	No	No
Exam Simulator	Yes	No	No	No
Learning Rx	Yes	No	No	No
Low-Cost Renewal	Yes	No	No	No

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