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Pediatrics Resident Qbank

Pediatrics Question Banks

Questions

Aligned with the American Board of Pediatrics content blueprint. Authored & peer-reviewed by pediatrics 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 presents with difficulty walking. She reported tingling in her feet 1 day prior to presentation, and today she cannot bear weight on either foot. She has no chronic health conditions but did experience a bout of diarrhea 2 weeks ago. On examination, she is unable to stand without support. Strength is 2/5 with knee and ankle flexion and 4/5 with hip flexion. Achilles reflexes are absent, and patellar reflexes are 1+ bilaterally. The remainder of her neurological examination is normal. What treatment is indicated for the patient’s condition?

A Broad-spectrum antimicrobials
B High-dose corticosteroids
C Intravenous immune globulin
D Plasmapheresis
Correct Answer Distractors
This patient’s presentation with difficulty walking, decreased lower extremity strength, and decreased lower extremity reflexes is highly concerning for Guillain-Barré syndrome. Her recent enteritis may have precipitated the disease. Patients with Guillain-Barré syndrome should be hospitalized due to the risk of progression to the diaphragm, which results in respiratory insufficiency. Respiratory function should be serially monitored. Additional evaluation includes magnetic resonance imaging of the spine and lumbar puncture. Magnetic resonance imaging reveals inflammation of the cauda equina and nerve roots. Cerebrospinal fluid demonstrates a characteristic albuminocytologic dissociation, meaning that cerebrospinal fluid protein is elevated without a concomitant pleocytosis.

First-line therapy for Guillain-Barré syndrome is intravenous immune globulin. Intravenous immune globulin causes symptoms to improve more rapidly but does not improve overall outcomes for patients with Guillain-Barré syndrome. Supportive care for this condition includes physical therapy, pain management, nutritional support, and prophylaxis of deep vein thrombosis and pressure ulcers. Improvement in motor function typically begins within a few weeks, but full recovery may take several months. Children have a poorer prognosis if they experience a more severe course of disease such as respiratory failure or cranial nerve involvement.

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.

Powerful Analytics

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Your personal analytics allow you to see your progress at all times, so you can create an efficient and effective learning strategy and stay on pace with your plan.

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Deep insights to determine your strengths and weaknesses so you can spend your time on the subjects that matter.

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

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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

Question

What gastrointestinal pathogen is commonly associated with Guillain-Barré syndrome?

Reveal Answer

Guillain-Barré Syndrome

  • Risks: recent minor respiratory or GI illness
    • Most commonly caused by Campylobacter jejuni
  • Sx: symmetric, progressive ascending muscle weakness, can lead to respiratory failure, often associated with dysautonomia
  • PE: lack of deep tendon reflexes, symmetric weakness
  • Dx: lumbar puncture with increased CSF protein but a normal cell count
  • Tx: supportive, IVIG, or plasmapheresis

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

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