Pediatric Medicine Board Review Questions

Just like you’ll see on the actual exam. Based on the American Board of Pediatrics 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 3-year-old boy, former 28-week preemie, presents with a large firm non-tender abdominal mass. Findings on physical examination reveal pallor, hemihypertrophy and a protruding tongue. A smooth round abdominal mass approximately 6 cm in diameter is palpated on the right upper quadrant of his abdomen. The remainder of the physical examination findings are normal. Initial laboratory values show a white blood cell count of 10,500 with 10% polymorphonuclear leukocytes, 8% lymphocytes, 4% monocytes, and 1% eosinophils. Hemoglobin is 8, mean corpuscular volume 72 and platelets 600. Aspartate aminotransferase is 140 U/L, alanine aminotransferase is 125 U/L, total bilirubin is 6 mg/dL and alpha-fetoprotein is 150,000 mcg/mL. What is the most likely diagnosis?

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 & 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.

Hepatoblastoma typically presents as an asymptomatic abdominal mass in children less than 3 years of age with a male predominance. It is the most common form of pediatric liver cancer. It may be associated with very low birth weight, prematurity, hemihypertrophy, and several cancer genetic syndromes such as Beckwith-Wiedemann, familial adenomatous polyposis, Li- Fraumeni, and trisomy 18. Lab values often show anemia, thrombocytosis, and elevated AST, ALT and bilirubin levels. The main tumor marker is α-fetoprotein (AFP), which is elevated in more than 90% of cases. Ultrasonography with doppler should be used in initial evaluation of a suspected liver tumor to assess increased echogenicity and tumor vascularity. Either CT or MRI can be used to identify tumor margins and evaluate the potential for surgical resection as well as metastatic disease. Metastatic spread of hepatoblastoma most commonly involves regional lymph nodes and the lungs. The most important prognostic factor is complete tumor resection. In many cases, when the tumor cannot be entirely resected, chemotherapy is given. Reduction in AFP levels can be a good indicator of response to chemotherapy.

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 questions with a simple, memorizable answer that serves as reinforcement for the corresponding topic.

(Q) Familial adenomatous polyposis is most commonly associated with what neoplasm?

(A) Colorectal cancer.


Cutting edge, staying up to date

Gain a deeper understanding by linking standard board material with cutting edge clinical knowledge

Coronal Orientation of Coins in Esophagus Recent studies have demonstrated that the classic association between coins oriented coronally and located in the esophagus is not consistently accurate. Schlesinger AE, Crowe JE. Sagittal orientation of ingested coins in the esophagus in children. AJR Am J Roentgenol. 2011;196:670–2.


Break it down, Keep it simple.

Boiling it down to the most high yield concepts

Legg-Calvé-Perthes disease:

  • Male > female
  • Ages 4 – 10 years old
  • Unilateral avascular necrosis of the femoral head
  • Limp after activity

Powerful Analytics

Progress, performance, predictions

“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 medical students, pediatric residents, and pediatricians around the country.

Probability of Passing Your Exam

Using data generated by our previous users, we can predict your probability of passing the ABP Certifying Exam.

“As someone who used Rosh Review primarily to study for the In-Service, I did substantially better than last year. I wanted to thank my program director for purchasing it for us. Made a huge difference for me.”

Aaron Kornhauser, MD

General Pediatrics 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

Growth and Development 5%
Preventive Pediatrics 5%
Infectious Diseases 4.5%
Nutrition and Nutritional Disorders 4%
Respiratory Disorders 4%
Adolescent Medicine and Gynecology 4%
Behavioral and Mental Health Issues 4%
Fetus and Newborn Infant 3.5%
Allergic and Immunologic Disorders 3.5%
Endocrine Disorders 3.5%
Gastrointestinal Disorders 3.5%
Skin Disorders 3.5%
Ear, Nose and Throat Disorders 3.5%
Neurologic Disorders 3%
Musculoskeletal Disorders 3%
Cardiovascular Disorders 3%
Emergency Care 3%
Disorders of Cognition, Language, and Learning 3%
Fluid and Electrolyte Metabolism 2.5%
Genetics and Dysmorphology 2.5%
Blood and Neoplastic Disorders 2.5%
Renal and Urologic Disorders 2.5%
Sports Medicine and Physical Fitness 2.5%
Critical Care 2%
Child Abuse and Neglect 2%
Psychosocial Issues 2%
Poisoning and Exposure 2%
Metabolic Disorders 2%
Genital System Disorders 1.5%
Collagen Vascular Disorders 1.5%
Substance Abuse 1.5%
Research and Statistics 1.5%
Patient Safety and Quality Improvement 1.5%
Ethics for Primary Pediatricians 1.5%
Disorders of the Eye 1%
Total 100%


Pediatric Medicine

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