Pediatrics Board Exam Started: Jul 12, 2026 23:43 Page 5 of 69 Attempt #1381 Overall: 0 / 344 questions answered Question 21 / 344 Not answered At a preventive-care consultation: A 15-month-old is behind immunizations. What is the principle of catch-up vaccination? A. Do not restart series; continue using minimum intervals and age-appropriate vaccines B. Restart all vaccines from birth C. Give no vaccines after 12 months D. Avoid all inactivated vaccines E. Use antibiotics instead Show Answer & Explanation Correct Answer: A 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 22 / 344 Not answered At a preventive-care consultation: A 4-year-old has wheeze, chest indrawing, and oxygen saturation 89%. What is the priority? A. Oral antihistamine only B. Oxygen and inhaled short-acting bronchodilator, with urgent assessment C. Discharge immediately D. Long-acting beta agonist alone E. No treatment until spirometry Show Answer & Explanation Correct Answer: B 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 23 / 344 Not answered At a preventive-care consultation: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 1413) 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 24 / 344 Not answered At a preventive-care consultation: A patient with acute coronary syndrome is allergic to aspirin with true anaphylaxis. What should be considered in specialist care when aspirin is essential? (Variant 1414) 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 25 / 344 Not answered At a preventive-care consultation: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 1415) A. Mild asthma suitable for discharge B. Normal finding after salbutamol C. Pneumonia excluded D. No oxygen required E. Life-threatening asthma requiring urgent escalation Show Answer & Explanation Correct Answer: E Explanation: [Pediatrics] Silent chest and exhaustion are life-threatening asthma signs needing urgent escalation. Reference: GINA Strategy Report. 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 5 of 69 Next → »