ABFM (Pediatric) Questions
3-16week infant, sick for weeks with tachypnea, conjunctivitis, cough, hyperinflation + infiltrates on
CXR; no fever/nontoxic - verified answer Chlamydia trachomatis
Appropriate treatment of tinea capitis - verified answer oral griseofulvin (fewest drug interactions,
good safety record, anti-inflam), oral terbinafine is good too, but only in tablets
Best SSRI for adolescents - verified answer fluoxetine (escitalopram ok, the rest ↑suicide)
First sign of autism - verified answer delayed social devo > language delay, upset w/normal noise
Tx for infant with mild/mod CAP (Strep pneumo) - verified answer amoxicillin
Any child younger than 29 days old w/fever or any child that looks septic - verified answer admit to
hospital to undergo sepsis work-up (until culture results come back/source of fever found)
Fever observation only w/close follow up is recommended in what age group of kids - verified
answer infants 3 - 36 mo old with temps less than 102.2F; infants 29-90 days old w/normal
CBC/urinalysis who appear nontoxic
Kid with sys sx's, unilateral LAD, skin erythema, node tenderness, node that is 2-3 cm in size? tx? -
verified answer cervical lymphadenitis (S. aureus, GAS) -> empiric abx for 4 weeks
MC cause of obstructive sleep apnea in kids - verified answer enlarged tonsils/adenoids, onset 2-8
yo, tx first line w/adenotonsillectomy in non-obese
Young pt w/anterior knee pain worse w/running downhill - verified answer patellofemoral
syndrome -> quad/hip exercises, knee sleeve w/patella cushion
Finding pathognomonic for slipped capital femoral epiphysis, tx? - verified answer limited internal
rotation of the flexed hip (SCFE happens at growth spurt, fem head displaced posterly through grwth
pl8) -> no more wt bearing, get to surgery
, Age at which infants should roll from prone to supine and supine to prone; get themselves to sit -
verified answer 4 months and 6 months; 9 months
When do you become really suspicious about Duchenne muscular dystrophy - verified answer male
child unable to get up unassisted 15-18 months of age (get CK levels)
Blood pressure classification in children is based on which vital signs/patient info - verified answer
sex, height, age
When should treatment for undescended testis start (orchiopexy)? - verified answer 6-12 months
of age to avoid vascular damage
Treatment of choice for group A strep pharyngitis - verified answer PCN (amoxicillin best for kids
because of taste)
Age range window for when to give rotavirus vaccine - verified answer 15 weeks (not younger) to 8
months (not older)
Slightly tender mass below angle of mandible, ant to SCM in late childhood or adulthood - verified
answer branchial cleft cyst (often present when they get infected); thyroglossal duct cysts present in
midline over hyoid
Three possibilities of neck masses in kids (categories) - verified answer developmental,
inflam/reactive, neoplastic
Light reflex in eye over lateral iris - verified answer esotropia
Light reflex in eye over medial iris - verified answer exotropia
Light reflex in eye over inferior iris - verified answer hypertropia, congenital palsy of CN4 affecting
superior oblique
Light reflex in eye over superior iris - verified answer hypotropia
3-16week infant, sick for weeks with tachypnea, conjunctivitis, cough, hyperinflation + infiltrates on
CXR; no fever/nontoxic - verified answer Chlamydia trachomatis
Appropriate treatment of tinea capitis - verified answer oral griseofulvin (fewest drug interactions,
good safety record, anti-inflam), oral terbinafine is good too, but only in tablets
Best SSRI for adolescents - verified answer fluoxetine (escitalopram ok, the rest ↑suicide)
First sign of autism - verified answer delayed social devo > language delay, upset w/normal noise
Tx for infant with mild/mod CAP (Strep pneumo) - verified answer amoxicillin
Any child younger than 29 days old w/fever or any child that looks septic - verified answer admit to
hospital to undergo sepsis work-up (until culture results come back/source of fever found)
Fever observation only w/close follow up is recommended in what age group of kids - verified
answer infants 3 - 36 mo old with temps less than 102.2F; infants 29-90 days old w/normal
CBC/urinalysis who appear nontoxic
Kid with sys sx's, unilateral LAD, skin erythema, node tenderness, node that is 2-3 cm in size? tx? -
verified answer cervical lymphadenitis (S. aureus, GAS) -> empiric abx for 4 weeks
MC cause of obstructive sleep apnea in kids - verified answer enlarged tonsils/adenoids, onset 2-8
yo, tx first line w/adenotonsillectomy in non-obese
Young pt w/anterior knee pain worse w/running downhill - verified answer patellofemoral
syndrome -> quad/hip exercises, knee sleeve w/patella cushion
Finding pathognomonic for slipped capital femoral epiphysis, tx? - verified answer limited internal
rotation of the flexed hip (SCFE happens at growth spurt, fem head displaced posterly through grwth
pl8) -> no more wt bearing, get to surgery
, Age at which infants should roll from prone to supine and supine to prone; get themselves to sit -
verified answer 4 months and 6 months; 9 months
When do you become really suspicious about Duchenne muscular dystrophy - verified answer male
child unable to get up unassisted 15-18 months of age (get CK levels)
Blood pressure classification in children is based on which vital signs/patient info - verified answer
sex, height, age
When should treatment for undescended testis start (orchiopexy)? - verified answer 6-12 months
of age to avoid vascular damage
Treatment of choice for group A strep pharyngitis - verified answer PCN (amoxicillin best for kids
because of taste)
Age range window for when to give rotavirus vaccine - verified answer 15 weeks (not younger) to 8
months (not older)
Slightly tender mass below angle of mandible, ant to SCM in late childhood or adulthood - verified
answer branchial cleft cyst (often present when they get infected); thyroglossal duct cysts present in
midline over hyoid
Three possibilities of neck masses in kids (categories) - verified answer developmental,
inflam/reactive, neoplastic
Light reflex in eye over lateral iris - verified answer esotropia
Light reflex in eye over medial iris - verified answer exotropia
Light reflex in eye over inferior iris - verified answer hypertropia, congenital palsy of CN4 affecting
superior oblique
Light reflex in eye over superior iris - verified answer hypotropia
