Our Questions

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 high quality, it must satisfy two basic criteria:

  1. Must address important content
  2. Must be well structured
Question » Stem » Lead in click-05

A 7-year-old presents to the ED via ambulance after being struck by a car. She is obtunded and has multiple contusions to her chest. Of the following, which is the most common injury for this scenario?

Our Answer Choices

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

Our Explanations

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 most important components to master a topic.

The most common injury in blunt thoracic trauma is pulmonary contusion. Often these patients will have no initial pulmonary complaints, but will develop respiratory distress over time. The initial chest X-ray may be normal. However, evolving capillary leakage and local tissue damage cause a ventilation:perfusion mismatch, worsening oxygenation. As tissue damage expands, opacifications develop on radiography. Management principles for pulmonary contusion include careful fluid management, ventilator pressure management and dependent positioning of the involved lung. Higher ventilator pressures are often necessary to ensure adequate ventilation. A full exam of the pediatric trauma patient is vital as 80% of children with pulmonary contusions also have extrathoracic injuries.

Enhanced Learning

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.

More than just a question

Advanced reinforcement

To optimize recall and understanding of a topic we link concepts to help you express knowledge, thoughts and ideas and build relationships between them.


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.

(Q) How many contiguous ribs are involved in a flail chest?

(A) Two or more.


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

Pulmonary Contusion

  • 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

Powerful Analytics

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“If you can’t measure it, you can’t manage it.” Rosh Review provides you with key statistics and robust analytics to create an efficient and effective learning strategy.


Focus your learning on what matters

Identify your strengths and weaknesses based on the ABPs Content Outline.

Peer comparison

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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Michael Russo, M.D.

Pediatric Emergency Medicine Question Topics

ABP publishes a Content Outline for the material that will appear on your exam.

This outline is how we determine which material appears in your Qbank

Emergencies Treated Medically 17%
Trauma Care 12%
Signs and Symptoms 12%
Resuscitation 11%
Toxicology 7%
Environmental Emergencies 6%
Procedures 6%
Emergencies Treated Surgically 5.5%
Emergencies Requiring Surgical Consultation 5.5%
Psychosocial 3%
EMS 3%
Administrative / Legal / Ethical 3%
Core Knowledge in Scholarly Activities 3%
Epidemiology 2%
Total 100%


Pediatric Emergency Medicine

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