Just like you’ll see on the actual exam Based on National Board of Medical Examiner’s format.
No “negatively phrased” questions, no “all of the following except”, no “A and B”…you know what we mean. In order for a test question to be a high quality, it must satisfy two basic criteria:
- Must address important content
- Must be well structured
Building difficulty into the question. Meet the Challenge.
A question’s difficulty is defined by the choice of distractors. Good distractors determine the difficulty level of a question. Therefore, good distractors are one of the most important features of a high quality question.
Understanding why an answer choice is incorrect is just as important as knowing why it is correct
Synthesized for optimized learning and recall and created with a purpose
Every question contains a detailed explanation for the correct and incorrect answer choices and integrated media for those that learn best by visual stimuli. Understanding a topic cannot be learned in isolation. You require context. We take deliberate steps to deliver a comprehensive explanation linking the the most important components to master a topic.
Explanations contain integrated audio and visual content to further clarify meaning of the core concept. By representing information using audio cues and spatially with images, you are able to focus on meaning, reorganize and group similar ideas easily and make better use of your audio and visual memory.
Taking Your Learning One Step Further
After each question explanation is a straightforward factoid-based question with a simple, memorizable answer that serves as reinforcement for the corresponding topic.
Cutting edge, staying up to date
Gain a deeper understanding by linking standard board material with cutting edge clinical knowledge
Utilizing a two-step approach for screening young febrile children for UTI
Pyelonephritis is the most common serious bacterial infection in children and can have lasting effects, if missed. Diagnosis in febrile children typically requires a urinalysis screen followed by a confirmatory urine culture. In children who are not toilet trained, however, obtaining an accurate urine culture requires a catheterized urine specimen to avoid contamination. Given that the rate of a positive culture in all febrile children is relatively low, this protocol may lead to many unnecessary and painful urinary catheterizations. In this study, researchers at Children’s Hospital of Philadelphia examined a protocol of obtaining an initial urinalysis screen using a noninvasive urine bag. If the screen was positive for nitrites or moderate to large leukocyte esterase, a catheterized urine sample was then obtained for culture. Using this protocol in 828 febrile children, ages 6 to 24 months, who qualified for UTI screening according to AAP guidelines, the researchers were able to reduce catheterization rates from 63% to 30% with no significant change to length of stay and with no missed cases of UTI. These findings suggest that ER providers may be able to institute a two-step protocol using a non-invasive urine bag to reduce the need for urinary catheterization in young children being screened for UTI. (Two-step process for ED UTI screening in febrile young children: Reducing catheterization rates. Lavelle et al., Pediatrics, 2016)
Break it down, Keep it simple.
Boiling it down to the most high yield concepts
- Vascular leak causes local parenchymal injury and edema
- Ventilation:perfusion mismatch
- Tachypnea and hypoxia are common on initial presentation
- More than 80% of children with pulmonary contusion will have extrathoracic injuries
- Radiographic findings are often delayed
- Dependent positioning of the involved lung and positive end expiratory pressure management are important in the treatment
Focus your learning on what matters
Identify your strengths and weaknesses based on the ABPs Content Outline.
Compare your answer choices to the answers provided by other pediatric emergency physicians around the country.
Probability of Passing Your Exam
Using data generated by our previous users, we can predict your probability of passing the ABP/ABEM Certification in Pediatric Emergency Medicine Exam.
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