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

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Med-Challenger is the most effective, easiest to use Pediatric Medicine certification review question bank for the American Board of Pediatrics certification examination. Med-Challenger's pediatrics qualifying exam review with intelligent ABP self-assessment provides everything you need to pass the ABP certification exam and fulfill other pediatrics certification requirements such as AMA PRA Category 1, ABP MOC Part II CME credits, and AAP-approved CME, all in one powerful, effective, and convenient access point online.

Our pass-guaranteed Pediatrics certification 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 certification exam review course keeps serving you after exams too. Preparing for the pediatrics certification exam 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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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 4-year-old boy with severe hemophilia A presents with persistent nose bleeding that has not responded to aminocaproic acid. You are considering factor VIII replacement. His parents say his most recent level was very low.

How many units of factor VIII concentrate would you need to order for a boy weighing 35 pounds (16 kg) to increase the level of factor to approximately 50%?

Educational Objective:

Calculate the dose for factor replacement.

Key Point:

The calculation for the dose of factor VIII is: % increase of factor VIII × body weight × 0.5

Explanation:

In a patient with hemophilia and a life-threatening injury or major hemorrhage, factors should be replaced to increase the factor level to 100% activity. For mild to moderate bleeding, factors levels should be replaced to aim for a level between 35% and 50%.

A total of 400 IU would be needed in this case. To calculate the dose, use the following formula:

Dose of factor VIII (IU) = % desired increase of factor VIII × body weight (kg) × 0.5

Hemophilia is a coagulopathy caused by factor VIII deficiency (hemophilia A) or factor IX deficiency (hemophilia B). They are X-linked recessive disorders, and patients present with prolonged partial thromboplastin time.

Hemophilia A and B are the most common severe inherited bleeding disorders. Hemophilia A is due to a deficiency of factor VIII and hemophilia B to a deficiency of factor IX.

Standard care for the treatment of children with hemophilia includes early treatment for injuries and regular prophylaxis for severe cases.

Reference:

Scott JP, Flood VH. Hereditary clotting factor deficiencies (bleeding disorders). In: Kliegman RM, et al, eds. Nelson Textbook of Pediatrics. 20th ed., 2016:2384-2389.

Sample Question 2

A mother of a female newborn tells you that her child passed the hearing screen in the hospital, but she is presenting to you today because is concerned about her child's vision. She explains that everyone in her family wears glasses.

At what age will this infant receive her first routine vision screen in the office?

3 years
6 months
4 years
1 years
2 years

Vision screening should be performed annually at physical examinations for children 3 to 6 years of age and less frequently thereafter. Risk assessments should be performed at the visits when screening is not required.

If there are any concerns about eye appearance or vision, or if the family history includes a close relative with a significant vision or pertinent medical disorder, then an infant or child should be referred to a pediatric ophthalmologist at a younger age.

Reference:

American Association for Pediatric Ophthalmology and Strabismus; American Academy of Ophthalmology. Eye examination in infants, children, and young adults by pediatricians. Pediatrics. 2003;111(4 pt 1):902-907.

Sample Question 3

A new mother finds a “wedge” device at a baby store that advertises that it helps babies sleep on their sides so that they are happy and safe. She asks you if she should purchase this device for her new baby. What should you tell her?

No, babies are happier sleeping on their backs.
Yes, babies are often happier on their sides than flat on their backs.
Yes, many babies have gastroesophageal reflux and this device will help.
Yes, babies sleeping on their sides are less likely to die of sudden infant death syndrome (SIDS).
No, babies should lie on their backs to sleep.

Correct!

The American Academy of Pediatrics recommends babies lying on their backs to sleep to reduce the risk of SIDS.

The rare exception to this rule is in infants for whom the risk of death from gastroesophageal reflux is greater than the risk of SIDS. This small number of infants has upper airway disorders with impaired airway protective mechanisms.

Reference:
Task Force on Sudden Infant Death Syndrome, Moon RY. SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment. Pediatrics. 2011;128(5):1030-1039.

Sample Question 4

A child presents with a rash but with no other symptoms (see Figure).

Vital signs are obtained, and they are normal for the child's age.

Which of the following is true regarding the suspected diagnosis?

Lesions are nonpruritic.
Scales are absent.
It typically presents as an annular erythematous plaque with a raised leading edge and scale.
Clearance occurs in the periphery of the lesion.

Educational Objective:

Differentiate the clinical findings of tinea corporis from those of granuloma annulare.

Explanation:

Tinea corporis, also called ringworm, is a dermatophyte infection that typically manifests on the trunk and extremities. Tinea is generally limited to the stratum corneum.

Typically, tinea corporis manifests as an annular erythematous plaque with a raised leading edge and scale. Clearance occurs in the center of the lesion, which creates the characteristic annular plaque, as observed in this case.

Topical azole creams, such as clotrimazole or miconazole, are first-line therapy for tinea corporis.

Granuloma annulare is a benign inflammation that usually has 1 or more indurated, erythematous, or violaceous annular plaques on the extremities. Unlike tinea corporis, scaling is absent and the lesion may or may not be pruritic.

References:

Goodwin B. Differentiating common annular lesions: tinea corporis vs granuloma annulare. Published January 19, 2012. Accessed December 19, 2016.

Sample Question 5

A 4-year-old boy is hospitalized for acute kidney injury (AKI) after being diagnosed with hemolytic uremic syndrome. Which of the following metabolic derangements is most often associated with AKI?

hypercalcemia
hypernatremia
metabolic alkalosis
hyperkalemia

Educational Objective:

Identify metabolic derangements associated with acute kidney injury.

Key Point:

Hyperkalemia is commonly associated with AKI and can lead to cardiac arrhythmia, cardiac arrest, or even death.

Explanation:

AKI is associated with various metabolic derangements including hyperkalemia, hypocalcemia, metabolic acidosis, and hyponatremia. Hyponatremia is commonly due to dilution of serum electrolytes due to fluid overload. It can be corrected by fluid restriction. Metabolic acidosis occurs due to retention of hydrogen ions, phosphorus, and sulfate. It is usually mild and does not usually require treatment. Elevation of serum potassium can result in electrocardiographic changes and result in cardiac arrhythmias. It can be treated with sodium polystyrene sulfonate resin. Other treatments for hyperkalemia associated with renal disease include calcium gluconate, sodium bicarbonate, and insulin.

Reference:

Kliegman RM, et al. Renal failure (chapter 535). In: Kliegman RM, et al, eds. Nelson Textbook of Pediatrics. 20th ed., 2016:2539-2547.

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.

ABP Certifying Exam Dates

When is the American Board of Pediatrics Initial Certification Exam?

2020 ABP Certifying Exam Dates

ABP Certifying Exam Dates for Initial Certification 2020

ABP Exam Dates:
October 13, 14, or 15, 2020

(Candidates will take the examination on a single day in the 3–day examination period)

Registration Deadline:
Jan. 15, 2020, until 3 p.m. ET on March 31, 2020
$2265 - registration fee

Late Registration:
April 1, 2020, until 3 p.m. ET on May 15, 2020
$2610 - registration and late fee

* Exam fees & deadlines subject to change.

Information about the
ABP Qualifying Examination

Pass your ABEM boards with Med-Challenger

The American Board of Pediatrics (ABP) certifies general pediatricians and pediatric subspecialists based on standards of excellence that lead to high quality health care during infancy, childhood, adolescence, and the transition into adulthood. The ABP certification provides assurance to the public that a general pediatrician or pediatric subspecialist has successfully completed accredited training and fulfills the continuous evaluation requirements that encompass the six core competencies: patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice.

The ABP’s quest for excellence is evidenced in its rigorous evaluation process and in new initiatives undertaken that not only continually improve the standards of its certification but also advance the science, education, study, and practice of pediatrics. The ABP regards the evaluation of trainee competency as a continuum that begins during training and concludes with the certifying examination following formal training.

What's on the ABP Qualifying Exam

What's covered on the ABP Initial Certification Exam?

ABP publishes a GP content blueprint of the material that will appear on the exam. Each general pediatrics examination adheres to a blueprint, also known as a content outline. The outline, which is developed by a committee of pediatricians and educators, defines the categories - and the percentage of questions assigned to each category - contained in each certification exam. The primary purpose of the GP Content Outline is to serve as the blueprint for the initial certification, maintenance of certification, and in-training exams. The universal tasks reflect the primary ways in which pediatric knowledge can be applied in clinical practice.

Content Domain	Exam Weight
1. Preventive Pediatrics/Well-Child Care	8%
2. Fetal and Neonatal Care	5%
3. Adolescent Care	5%
4. Genetics, Dysmorphology, and Metabolic Disorders	3%
5. Mental and Behavioral Health	5%
6. Child Abuse and Neglect	4%
7. Emergency and Critical Care	4%
8. Infectious Diseases	7%
9. Oncology	2%
10. Hematology	4%
11. Allergy and Immunology	4%
12. Endocrinology	4%
13. Orthopedics and Sports Medicine	4%
14. Rheumatology	2%
15. Neurology	5%
16. Eye, Ear, Nose, and Throat	4%
17. Cardiology	4%
18. Pulmonology	5%
19. Gastroenterology	4%
20. Nephrology, Fluids, and Electrolytes	4%
21. Urology and Genital Disorders	3%
22. Skin/Dermatology	4%
23. Psychosocial Issues	2%
24. Ethics	2%
25. Research Methods, Patient Safety, and Quality Improvement	2%
Total	100%

Universal Task	Exam Weight
1. Basic Science and Pathophysiology	20%
2. Epidemiology and Risk Assessment	10%
3. Diagnosis	35%
4. Management and Treatment	35%
Total	100%

All exam questions are written and reviewed by committees comprised of board–certified academicians and practitioners. Questions are written to be in alignment with one of the content subdomains and one of the universal tasks.

Please Note: The exam content distributions for the In-Training Exam are the same as the Qualifying Exam. The ITE is a 3-hour exam consisting of approximately 150 multiple-choice questions and is administered on designated days July 10-17, 2019. Registration is open from February 1 - April 26, 2019.

What is the format of the Qualifying Exam?

What's the ABP Qualifying Exam format?

The examination consists of four sessions, with optional scheduled breaks between each section. The examination is seven hours in length; additional examination appointment time is necessary for registration, review of an examination tutorial and optional scheduled breaks. The General Pediatrics Certifying Exam will consist of approximately 330-350 multiple-choice questions.

Exam questions are written in a single-best-answer multiple-choice format. This is the most widely used format in the testing industry as it allows for greatest coverage of content within a specified amount of time. Most exam questions are preceded by a clinical stem that provides information about a patient (including laboratory and diagnostic findings). Each question is typically followed by 5 answer options, 1 of which is the correct answer. Part of the question review process is to ensure that the designated answer is clearly correct, uncontroversial, evidence-based, and a better choice than any of the other options. The other options ("distracters") are designed to reflect plausible responses likely to be selected by less knowledgeable candidates.

Graphical illustrations, such as x-ray studies and photographs, are used in approximately 5 to 10% of questions; some specialty exams use graphics more frequently.

To ensure exam security and currency of content, the exams are different every time. After the exam is administered, questions and their responses are analyzed and teams of pediatricians and pediatric subspecialists review the exams and remove poorly performing questions before exams are scored.

Important information regarding what candidates can expect on examination day can be found on the ABP website. The examination consists of single best answer, multiple-choice questions. Candidates are urged to visit the ABP website to review the information, including the examination schedule in the Prometric Testing Center Regulations” document and the ABP Online Tutorial for important policies regarding the examination administration

ABP exam sample questions...

You can get free ABP board review questions when you subscribe to Med-Challenger's Medical Education Blog - or when you start a free trial of Med-Challenger ABP Initial Certification Board Review.

ABP Certifying Exam Requirements

An applicant requesting admission to a certifying examination must meet the general admission requirements, including graduating from medical school, satisfactorily completing 3 years of pediatric training in programs accredited by the Accreditation Council for Graduate Medical Education (ACGME) on the advice of the Review Committee for Pediatrics (RC) and holding a valid, unrestricted license to practice medicine.

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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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Retinal Disease – Clinical Patient Case of the Week

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