Questions

Just like the actual exam

Aligned with the American Board of Pediatrics format. Authored & peer-reviewed by faculty, clinicians, and program directors.

Each question is written to resemble the format and topics on the exam, meaning you won’t see any negatively phrased questions, no “all of the following except,” no “A and B”…you know what we mean. Most importantly, all questions include selective distractors (incorrect answer choices), which will help you think critically.

  • Must address important content
  • Must be well structured

Question

A 6-year-old girl, who had been camping in Vermont the week prior, is admitted from the ED after 5 days of fever, headache, and myalgias. On the day of admission, she developed a widespread maculopapular rash on her torso and extremities, including the palms and soles. Physical exam reveals an ill-appearing girl with intermittent confusion and hepatosplenomegaly. Laboratory findings include leukopenia, thrombocytopenia, hyponatremia, and elevated transaminases. Which of the following tests is most likely to lead to the diagnosis at this time?

A ELISA for Lyme disease
B Heterophile antibody test
C IgG antibody titer for Rocky Mountain spotted fever
D PCR amplification of Ehrlichia chaffeensis

This girl has symptoms consistent with human monocytic ehrlichiosis, a tick-borne infection spread by Amblyomma americanum, or lone star ticks. The most commonly responsible organism, Ehrlichia chaffeensis, is a gram-negative, small, obligate intracellular bacterium. States with the highest incidence of human monocytic ehrlichiosis in recent years include New Hampshire, Vermont, Rhode Island, Delaware, Virginia, Kentucky, Tennessee, Missouri, Arkansas, Kansas, and Oklahoma. Most cases are seen predominantly in May through September, largely because there are higher numbers of lone star ticks during this time. Symptoms typically present between 2 and 21 days after the tick bite, although approximately one-fourth of patients have no history of a known tick bite. Fever, headache, and myalgias are the most frequently reported symptoms. The majority of children develop a rash, and about half develop organomegaly and lymphadenopathy. Altered mental status may also be present, and other complaints may include nausea, vomiting, or abdominal pain. Laboratory evaluation often reveals leukopenia, thrombocytopenia, hyponatremia, and elevated transaminases, as this girl has. During the acute phase of illness, PCR amplification of Ehrlichia chaffeensis is the most sensitive diagnostic method, as antibody titers are often negative. However, a comparison of acute and convalescent IgG antibody titers by indirect immunofluorescence assay may be diagnostic if there is a fourfold rise.

ELISA for Lyme disease (A), with a reflex western blot test, if positive, is useful to confirm the diagnosis in a patient whose clinical features are suggestive of Lyme disease. Also a tick-borne infection, Lyme disease often presents with erythema migrans rash or joint swelling in children. The heterophile antibody test (B) is useful for diagnosing infectious mononucleosis, particularly in the second week of illness. Infectious mononucleosis is most commonly caused by the Epstein-Barr virus. This girl’s symptoms are similar to those seen with Rocky Mountain spotted fever. However, its incidence in Vermont is low when compared to that of human monocytic ehrlichiosis. Additionally, an IgG antibody titer for Rocky Mountain spotted fever (C) is unlikely to be helpful in the acute phase of the illness. Similar to antibody titers for ehrlichiosis, a comparison between acute and convalescent titers is necessary for diagnosis.


Explanations

Written with a purpose

Understanding why an answer choice is incorrect is just as important as knowing why one is correct. That’s why every Rosh Review question includes detailed explanations for the correct and incorrect answer choices. These comprehensive summaries link the most important components of a topic—from risk factors to diagnostics and treatment—giving you the context to build relationships between them.

  • Created for optimal learning and recall
  • Help reinforce your knowledge
  • Focus on the essential information

Illustrations

Created to enhance learning

Custom illustrations and tables help further clarify the core concepts. When information is presented visually, you can focus on meaning, easily reorganize and group similar ideas, and make better use of your memory.

ehrlichiosis

Powerful Analytics

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Compare with your peers (chart)

Compare with your peers

Discover how your answer choices align with those selected by learners across the country.

Find out your probability of passing

Using data generated by previous users, your Qbank gives a prediction of how likely you are to pass your exam.


One Step Further

Taking your learning to the next level

After each explanation is a straightforward question with a simple, memorizable answer that reinforces the corresponding topic.

  • Strengthens your knowledge
  • Stands alone from the main explanation so you’re not rereading content

Q: True or false: transmission of ehrlichiosis from a tick requires 1–2 days of tick attachment to a human.

REVEAL ANSWER

A: False. Transmission may occur within hours.

Ehrlichiosis and Anaplasmosis

  • Vector is ticks, avoid tick bites and remove ticks from body
  • Febrile illness, headache, myalgia, rash, chills
  • Labs show leukopenia or thrombocytopenia
  • Test whole blood PCR, do not delay treatment
  • Treatment: doxycycline

Rapid Review

Keeping things simple

These bulleted reviews focus on condensed, high-yield concepts about the main topic, from patient presentation to preferred management.

  • Cover the fundamentals in one list
  • Allow you to quickly scan the must-know information
I scored the highest raw score in my program’s history. Big thanks to everyone at Rosh Review. Y’all rock.

FAQs

Get a little more clarification

How do I study for the pediatric ITE?
Targeting your "unknown unknowns" is one of our favorite study tips for both the ITE and the ABP boards. Here's how you do it:

  • Answer a question from a Qbank
  • If you answer incorrectly, read the explanation
  • Take notes about why the correct answer is correct, and make sure to take notes on anything in the explanation that you didn’t already know
If you do this for every question you answer incorrectly, and if you regularly review your notes and add information to topics as you do more questions, you’ll eventually determine your unknown unknowns. In return, you’ll uncover most of your blind spots that questions on the exam can ask about.

Read more about this strategy (plus tips for what to pay attention to on test day) in How to Increase Your Pediatric Exam Score.
How can pediatric programs use self-directed learning?
There are many ways programs can use remote learning platforms to keep their residents engaged. From delivering conferences online to providing custom assessments to track resident progress, you have many options!

Read How Pediatric Residencies Can Integrate Self-Directed Learning for details about how a Qbank can help your residents with self-directed learning, how you can keep track of their progress with the Program Director Dashboard, and how to conduct a virtual review session and easily provide remediation.
How do I get started?
Whether you have a trial account or you purchased a subscription, access Rosh Review by logging in at app.roshreview.com.



To access the Qbank, go to the Create Exam tab to begin making and taking exams made up of questions from the Qbank.

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Who writes the questions and explanations?
The finest people around! Question writers are board-certified clinicians who have all performed well on their certification exams. Answer explanations are derived from the specialty’s authoritative resources with some personal input to simplify the material and synthesize it for greatest comprehension and recall.

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