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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.

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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

You are caring for a newborn little girl after her uneventful vaginal delivery at term. The child's birth weight is measured at 2900 g and her APGAR scores were 8 at 1 minute and 9 at 5 minutes. The child's initial physical examination is completely within normal limits. At 90 minutes of life the child becomes jittery, tremulous, mildly cyanotic, and hypothermic. A bedside capillary glucose is measured at 25 mg/dL. Which of the following represents the most accurate statement with regard to this infant?

It is most likely that this child will be diagnosed with an isolated growth hormone deficiency.
This infant is likely becoming septic.
It is most likely that this child will be diagnosed with glycogen storage disease.
This infant's hypoglycemia is most likely neonatal transient hypoglycemia associated with inadequate substrate or immature enzyme function in otherwise normal neonates.
This infant's hypoglycemia is most likely hyperinsulinemic hypoglycemia associated with hyperinsulinism and hormonal disorders of infancy.

This infant's symptoms are most consistent with neonatal transient hypoglycemia, a common finding in newborns. With the loss of constant glucose from the mother and prior to the establishment of adequate intake, all infants are at risk for hypoglycemia. The most common presenting symptoms are jitteriness and tremulousness. The hypoglycemia is quickly reversible with oral feedings of breast milk or formula. All of the other answers are less common causes of hypoglycemia in infancy. It is possible that the child is becoming septic, and this possibility can be investigated in tandem with correcting the child's hypoglycemia; however, transient neonatal hypoglycemia is the far more common cause of this set of symptoms.

Reference:

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

Sample Question 2

A 5-year-old male is brought to the Emergency Department after a major car accident where he experienced a profound blood loss. The clinical presentation and laboratory findings which would suggest a lactic acidosis include:

All of the above
Impaired mental status
Compensatory hyperventilation (Kussmaul respirations)
Elevated lactate levels and anion gap
Insulin resistance

When patients have a metabolic acidosis, generally the underlying cause produces many of the clinical manifestations. In the case of shock, from acute blood loss, there may be hypotension, weak pulse, cold extremities, decreased or no urine output, and change in mental status. The normal respiratory response to metabolic acidosis is is hyperventilation, known as Kussmaul respirations. Acidemia can also cause insulin resistance, reduced ATP synthesis and electrolyte derangement. Severe acidemia can result in lethargy and coma.

References:

Nelson Textbook of Pediatrics. 18th ed. Elsevier.

Yudkoff. Lactic Acidosis in Children – Pathophysiology, Diagnosis and Treatment: A Workbook Exercise. Pediatr. Rev. 1983; 4; 225-230.

Sample Question 3

An 8-year-old girl presents complaining of a rash, abdominal pain, and sore joints. She is afebrile. The rash covers her lower legs and consists of pink macules and petechiae. Her mother says she is very active, but she does not remember a recent accident with leg bruising.

You order laboratory studies, the results of which reveal:
White blood cell count: 17,400/μL
Hemoglobin: 11 g/dL
Erythrocyte sedimentation rate: Elevated
Urine protein: +2

What is the most likely diagnosis?

idiopathic thrombocytopenia purpura (ITP)
Neisseria meningitidis infection
Henoch-Schönlein purpura (HSP)
thrombotic thrombocytopenia purpura (TTP)

Educational Objective:

Recognize the signs and symptoms of Henoch-Schönlein purpura.

Key Point:

Children with HSP can have a characteristic rash on their lower extremities, leukocytosis, anemia, proteinuria, and thrombocytosis.

Explanation:

HSP is a vasculitis with immunoglobulin A deposition in the walls of the small vessels of the skin, kidney, joints, and gastrointestinal tract. It is the most common vasculitis in children and may follow an upper respiratory infection.

Symptoms include palpable purpura of the legs and buttocks, arthritis, abdominal pain, hematuria, and proteinuria. Complications may include intussusception, renal failure, and intracerebral hemorrhage.

Laboratory values may include leukocytosis, thrombocytosis, and anemia, with elevated erythrocyte sedimentation rate and C-reactive protein. Serum immunoglobulin A may be elevated but is not usually measured.

ITP is the most common cause of acute thrombocytopenia in healthy children. Symptoms include bruising, with bleeding concerns (eg, epistaxis, melena) in more severe cases. Laboratory values usually include severe thrombocytopenia with normal or increased platelet size.

TTP is a more rare cause of thrombocytopenia and can present with fever, microangiopathic hemolytic anemia, abnormal renal function, and central nervous system changes. TTP can present clinically similar to HSP, but it is more common in adults.

Children who are septic due to meningococci normally have a fever and are more ill-appearing than the child in this case. Laboratory findings may include leukocytopenia or leukocytosis, with an increase in neutrophils, thrombocytopenia, proteinuria, and hematuria. The rash of HSP may overlap with some presentations of meningococcal infection.

References:

Ardoin SP, Fels E. Vasculitis syndromes. In: Kliegman RM, et al, eds. Nelson Textbook of Pediatrics. 20th ed., 2016:1215-1223.

Pollard AJ, Sadarangani M. Neisseria meningitidis (meningococcus). In: Kliegman RM, et al, eds. Nelson Textbook of Pediatrics. 20th ed., 2016:1356-1364.

Scott JP. Platelet and blood vessel disorders. In: Kliegman RM, et al, eds. Nelson Textbook of Pediatrics. 20th ed., 2016:2400-2408.

Sample Question 4

A 3-year-old boy is irritable and complains of leg pain. Over the course of 1 week, he gradually stops walking and begs to be carried. His mother says that he was sick a few weeks ago but denies any history of fever or trauma.

What is the most likely diagnosis?

Guillain-Barré syndrome
myasthenia gravis
multiple sclerosis
cervical myelopathy
stroke

Acute weakness is usually caused by trauma, stroke, or spinal cord compression.

Weakness that is more subacute, progressing over hours to days, is caused by conditions such as Guillain-Barré syndrome, spinal cord compression, transverse myelitis, rhabdomyolysis, botulism, and organophosphate poisoning.

Chronic weakness progressing over weeks to months may be caused by polyneuropathies, cervical myelopathy, myasthenia gravis, tumors, acquired myopathies, or motor neuron disorders.

Weakness that fluctuates from day to day or hour to hour may be caused by multiple sclerosis or myasthenia gravis.

Reference:

Weakness. In: The Merck Manual for Health Care Professionals. Accessed January 6, 2014.

Sample Question 5

The growth of a 9-year-old boy has been routinely monitored during the last 20 months in monthly intervals. He has been receiving dextroamphetamine for attention deficit-hyperactivity disorder (ADHD). His parents report that he is no longer among the tallest boys in his class, and his growth curve shows some growth retardation. Which therapeutic strategy can be tried to re-establish normal growth, and when is it indicated?

drug holidays if the growth trajectory crosses 2 major percentiles
switch to clonidine if the growth trajectory crosses 3 major percentiles
switch to atomoxetine if the growth trajectory crosses 2 major percentiles
drug holidays, then switch to clonidine if the growth trajectory crosses 2 major percentiles
drug holidays if the growth trajectory crosses 3 major percentiles

Correct!
Stimulant treatment for ADHD may be associated with abnormal growth. In children showing abnormal growth, which is defined as a growth trajectory that crosses 2 major percentiles (i.e., the 5th, 10th, 25th, 50th, 75th, 90th, and the 95th), drug holidays can be tried to re-establish normal growth. Drug holidays should only be undertaken if they are tolerated without marked functional impairment.
References:
Harpin VA. Medication options when treating children and adolescents with ADHD: interpreting the NICE guidance 2006. Arch Dis Child Educ Pract Ed. 2008;93(2):58-65.
Greenhill L, Kollins S, Abikoff H, et al. Efficacy and safety of immediate-release methylphenidate treatment for preschoolers with ADHD. J Am Acad Child Adolesc Psychiatry. 2006;45(11):1284-1293.
Pliszka S; AACAP Work Group on Quality Issues. Practice parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2007;46(7):894-921.

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

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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Woman 9 Weeks Pregnant with Lethargy and Weight Gain – Clinical Patient Case of the Week
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ABP Board Review (ABP)
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167 AMA Category 1 CME credits
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State-required CME Course
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Pediatric Radiology Review
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Medical Education Blog

Woman 9 Weeks Pregnant with Lethargy and Weight Gain – Clinical Patient Case of the Week

Woman with Diabetes, Eye Pain, Headache, and Vomiting – Clinical Patient Case of the Week

CME Quick Quiz Game

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