Pediatrics Board Exam Started: Jul 13, 2026 05:20 Page 11 of 69 Attempt #2092 Overall: 0 / 344 questions answered Question 51 / 344 Not answered Question 138: At a primary-care follow-up visit: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? A. Subcutaneous injection into forearm B. Oral tablet C. Intramuscular injection into the mid-anterolateral thigh D. Nebulized only E. Topical application Show Answer & Explanation Correct Answer: C Explanation: [Pediatrics] IM epinephrine into the mid-anterolateral thigh is first-line for anaphylaxis. Reference: World Allergy Organization Anaphylaxis Guidance. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 52 / 344 Not answered Question 139: At a primary-care follow-up visit: A patient with acute coronary syndrome is allergic to aspirin with true anaphylaxis. What should be considered in specialist care when aspirin is essential? A. Ignore allergy and give full dose unsupervised B. Avoid all antiplatelets forever C. Use antihistamine as antiplatelet D. Aspirin desensitization if benefits outweigh risks E. Give only paracetamol Show Answer & Explanation Correct Answer: D Explanation: [Pediatrics] Aspirin desensitization may be considered when aspirin is essential and allergy is confirmed, under specialist supervision. Reference: ACC/AHA ACS guidance; AAAAI drug allergy practice parameter. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 53 / 344 Not answered Question 124: During an emergency department assessment: A 4-year-old has wheeze, chest indrawing, and oxygen saturation 89%. What is the priority? A. Oral antihistamine only B. Discharge immediately C. Long-acting beta agonist alone D. Oxygen and inhaled short-acting bronchodilator, with urgent assessment E. No treatment until spirometry Show Answer & Explanation Correct Answer: D Explanation: [Pediatrics] Hypoxic acute wheeze/asthma exacerbation needs oxygen, inhaled SABA, systemic steroid when indicated, and urgent reassessment. Reference: GINA Strategy Report; BTS/SIGN Asthma Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 54 / 344 Not answered Question 123: During an emergency department assessment: A 15-month-old is behind immunizations. What is the principle of catch-up vaccination? A. Restart all vaccines from birth B. Give no vaccines after 12 months C. Do not restart series; continue using minimum intervals and age-appropriate vaccines D. Avoid all inactivated vaccines E. Use antibiotics instead Show Answer & Explanation Correct Answer: C Explanation: [Pediatrics] Interrupted vaccine series should not be restarted; catch-up schedules use age-appropriate minimum intervals. Reference: CDC/WHO Catch-up Immunization Guidance. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 55 / 344 Not answered Question 122: During an emergency department assessment: A 7-year-old has nephrotic-range proteinuria, edema, hypoalbuminemia, and normal complement. What is the most common cause? A. Post-streptococcal glomerulonephritis B. Minimal change disease C. IgA nephropathy always D. Renal stone E. Wilms tumor Show Answer & Explanation Correct Answer: B Explanation: [Pediatrics] Minimal change disease is the most common cause of nephrotic syndrome in children. Reference: KDIGO Glomerular Diseases Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 11 of 69 Next → »