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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, adaptive learning features, and hundreds of CME credits, Med-Challenger's pediatrics exam review is the best way to prepare for the pediatrics board exam.

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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

A 16-year-old girl presents with an irresistible urge to keep moving her legs. The urges are most commonly felt during periods of rest or during the evening hours. The motions of her legs are often described as "jerking movements." She can minimize these jerking movements if she walks, stretches, or rubs her legs. Her mother has noticed these movements during sleep. She is now having a hard time falling asleep due to these movements.

What study would best help diagnose this condition?

polysomnography with anterior tibialis electromyography leads
polysomnography with multiple sleep latency testing
polysomnography with extended electroencephalography
polysomnography alone

Educational Objective:

Describe the clinical presentation and diagnosis of restless leg syndrome.

Explanation:

This patient is presenting with symptoms typical of restless legs syndrome (RLS), a sleep-related movement disorder. The syndrome is described as being of early onset if it occurs prior to 35 years of age. RLS is characterized by brief (0.5-10 seconds) and limb-jerking movement lasting 20 to 40 seconds. These movements most often occur during sleep but can be noticed during time points of rest and during the evening hours. It can be related to low serum iron levels, and multiple genetic loci have been isolated. Medical conditions, such as diabetes, end-stage renal disease, rheumatoid arthritis, hypothyroidism, and pregnancy, may be associated with RLS, as is certain medication use (diphenhydramine, antidepressants, cimetidine).

The diagnosis of RLS requires an overnight polysomnogram to demonstrate the limb movements with anterior tibialis electromyography leads.

Polysomnography with multiple sleep latency testing assists with the diagnosis of narcolepsy. Polysomnography with extended electroencephalography may assist with a neurologic contribution to paroxysmal nighttime awakenings.

Reference:

Owens J. Sleep medicine. In: Kliegman RM, et al. Nelson Textbook of Pediatrics. 20th ed., 2015:111-123.

Sample Question 2

A 14-year-old girl presents to you with shortness of breath. She denies any past medical history, but she has recently recovered from the flu. Her vital signs are: temperature 98.2 °F; respiratory rate 24 breaths/minute; heart rate 110 beats/minute blood pressure 96/62 mm Hg; and oxygen saturation 90% on room air.

Physical examination is noted for rales on chest auscultation, as well as an S3 gallop on cardiac exam.. Radiography of the chest shows cardiac enlargement.

You diagnose her with myocarditis and hospitalize her for further management.

What is the MOST LIKELY complication of her condition?

anaphylaxis
septicemia
cardiogenic shock
myocardial infarction (MI)

Educational Objective:

Recognize potential causes of cardiogenic shock.

Key Point:

Cardiogenic shock can be caused by myocarditis.

Explanation:

Due to her diagnosis of myocarditis, cardiogenic shock is the most likely complication. Cardiogenic shock is characterized by low cardiac output and hypotension, which leads to poor end-organ perfusion. Cardiogenic shock may be caused by numerous disorders, including cardiac dysfunction after cardiac surgery, sepsis, burns, anaphylaxis, cardiomyopathy, MI, and myocarditis. This patient is exhibiting signs of shock, as demonstrated by tachycardia and hypotension. In most cases, patients with myocarditis recover completely; however, cardiomyopathy can occur in some cases.

Reference:

Kliegman RM, et al, eds. Nelson Textbook of Pediatrics. 20th ed., 2016.

Sample Question 3

Acute hydrocele is most likely associated with which of the following?

Testicular carcinoma
Renal cell carcinoma
Inferior vena cava thrombosis
Diabetes mellitus
Leukemia

A reactive hydrocele may be seen in 7% to 25% of patients with testicular cancer.

Sample Question 4

A 14-year-old, previously healthy boy has been diagnosed with dilated cardiomyopathy after numerous syncopal episodes, gradual onset of fatigue, and decreased activity. He is currently awaiting cardiac transplantation. What is the most common cause of dilated cardiomyopathy in children?

genetic causes
idiopathic
ischemic heart disease
muscular dystrophy

Educational Objective:

Identify common causes of dilated cardiomyopathy.

Key Point:

Most cases of dilated cardiomyopathy are idiopathic in origin.

Explanation:

Dilated cardiomyopathy is the most common cause of cardiomyopathy in children, and the most common cause of dilated cardiomyopathy is idiopathic. However, other etiologies should be considered in the diagnosis, including neuromuscular diseases (eg, muscular dystrophies), inborn errors of metabolism (eg, fatty acid oxidation disorders), and genetic mutations and syndromes. Ischemic heart disease can also cause dilated cardiomyopathy in children, but the disease is more common in adults.

Reference:

Spicer R, Ware S. Diseases of the myocardium (chapter 439). In: Kliegman R, et al, eds. Nelson Textbook of Pediatrics. 20th ed., 2016:2271-2279.

Sample Question 5

You are caring for a 6-month-old female infant with bronchiolitis. Her mother asks you whether the child will have asthma.

Which of the following most accurately describes the relationship between infant bronchiolitis and asthma?

Although bronchiolitis and asthma both present with wheezing, they are distinct entities and are not related.
If the infant’s wheezing responds to bronchodilator treatments, then this finding indicates with certainty that she will develop asthma.
There is a potential link between bronchiolitis and asthma, although the pathway is not well understood.
If the infant is otherwise healthy, then she has no increased risk of wheezing later in life compared with other infants.

Viral infections are important causes of asthma exacerbations in children, and lower respiratory tract infections caused by viruses (eg, respiratory syncytial virus [RSV], rhinovirus [RV]). Infants hospitalized with bronchiolitis are at significantly increased risk for both recurrent wheezing and childhood asthma. Whether RSV or RV infection early in life directly causes asthma or simply identifies infants who are genetically predisposed to develop subsequent wheezing is debatable. It is unknown whether viral bronchiolitis directly contributes to asthma causation or simply identifies infants at risk for subsequent wheezing, as from an atopic predisposition or pre-existing abnormal lung function. Alternatively, the properties of the infecting virus may be important. Thus, many possible determinants exist that may contribute to the severity of bronchiolitis and the subsequent development of asthma. A key area of interest is the interaction of genetic and viral mediators in those who go on to develop asthma.

Although a minority of infants respond to beta-agonist treatment in the setting of bronchiolitis, it has not been shown that these infants are particularly more likely to develop asthma.

References:

Bont L, Ramilo O. The relationship between RSV bronchiolitis and recurrent wheeze: the chicken and the egg. Earl Hum Dev. 2011;(87 suppl 1):S51-SS54.

Dawson-Caswell M, Muncie H Jr. Respiratory syncytial virus infection in children. Am Fam Physician. 2011;83(2):141-146.

Singh AM, Moore PE, Gern JE, Lemanske RF Jr, Hartert TV. Bronchiolitis to asthma: a review and call for studies of gene-virus interactions in asthma causation. Am J Respir Crit Care Med. 2007;175(2):108-119.

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
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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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