ABP Pediatric Emergency Medicine Certification Exam Practice Test

140 questions available

Build your confidence for ABP Pediatric Emergency Medicine Certification Exam. Practice the concepts, understand the answers, and strengthen your knowledge one question at a time.

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Certification exam
4 hours 30 minutes Time Limit
Your practice
140 Practice questions
2 hours 20 minutes Practice Time
Try 5 free questions
No account needed. A free account includes 20 questions for this exam.
The bar to clear 180 Published passing score for this certification.
American Board of Pediatrics (ABP)140 practice questions

Exam overview and details

The American Board of Pediatrics (ABP) Pediatric Emergency Medicine (PEM) Certification Exam is the definitive credential validating a physician's expertise in managing critically ill and injured children. This rigorous, high-stakes examination assesses the comprehensive knowledge and clinical judgment required to excel in the fast-paced, high-acuity environment of pediatric emergency care. Achieving certification signifies mastery across the core domains of PEM, including resuscitation of the unstable patient, management of life-threatening traumatic injuries, and diagnosis of complex medical emergencies. Board certification is not merely an academic milestone; it is a public attestation of a physician's commitment to the highest standards of patient safety and clinical excellence. It is recognized by healthcare institutions, credentialing bodies, and peers as the gold standard for competency in this demanding subspecialty, directly impacting patient outcomes and quality of care.

Sample Questions

Choose an answer and explore the explanation to see how practice works.

Environmental Emergencies

A 10-year-old scuba trainee has joint pain, dizziness, and weakness shortly after a rapid ascent. Oxygen saturation is 98% on room air. What is the best management?

Trauma

A 10-year-old has a 4-cm contaminated shin laceration from a farm fence. There is visible dirt but no tendon injury. Immunizations are uncertain. What is the best wound care priority?

Core Knowledge in Scholarly Activities

A diagnostic study of point-of-care ultrasound for appendicitis enrolled only children who already had a positive CT scan. The reported sensitivity is 99%. What is the major validity problem?

Special Populations

A 14-year-old two months after kidney transplant has fever, dysuria, graft tenderness, and creatinine elevated from baseline. He takes tacrolimus and prednisone. He is not toxic appearing. What is the safest ED approach?

Toxicology

A 3-year-old ingests an unknown number of grandmother's extended-release verapamil tablets. He initially looks well, but two hours later is lethargic with heart rate 58/min, blood pressure 62/34 mm Hg, glucose 238 mg/dL, and narrow QRS complexes. Fluids and calcium improve blood pressure only briefly. What therapy should be started next?

Exam insights and study advice

Board certification in Pediatric Emergency Medicine is a critical differentiator for career advancement and professional credibility. It is often a prerequisite for leadership roles such as medical director positions, academic appointments, and fellowship program directorships. Certification demonstrates to employers, colleagues, and the public a dedication to lifelong learning and adherence to evidence-based practice. In an increasingly competitive healthcare landscape, this credential provides formal industry recognition of sub-specialized expertise, enhancing professional standing and often influencing privileging, compensation, and opportunities in tertiary care centers and academic institutions. It represents a physician's commitment to maintaining the pinnacle of knowledge required to safeguard our most vulnerable patients during medical crises.

What this exam covers

Use the published domain weights to plan your study. Practice results do not predict your certification exam score.

01Trauma

12%

02Resuscitation

10%

03Infectious Diseases

8%

04Pulmonary

8%

05Procedures

5%

06Child Abuse and Maltreatment

4%

07Core Knowledge in Scholarly Activities

4%

08Hematologic and Oncologic

4%

09Toxicology

4%

10Behavioral Health Conditions and Psychosocial Issues

3%

11Cardiovascular

3%

12Environmental Emergencies

3%

13Gastrointestinal

3%

14Neurologic/Neurosurgical

3%

15Special Populations

3%

16Allergic, Rheumatologic, and Immunologic

2%

17Dermatologic

2%

18Emergency Department Operations and Patient Rights

2%

19Emergency Medical Services and Transport

2%

20Endocrine

2%

21Eyes, Ears, Nose, Oral, Neck

2%

22Mass Casualty and Disaster Preparedness

2%

23Neonatal Conditions

2%

24Obstetrics/Gynecologic

2%

25Renal and Electrolyte

2%

26Metabolic/Genetic Emergencies

1%

27Musculoskeletal/Orthopedic

1%

28Urologic

1%

Exam Details 4 hours 30 minutes

Vendor American Board of Pediatrics (ABP)
Passing Score 180
Time Limit 4 hours 30 minutes

Frequently Asked Questions

What are the eligibility requirements to sit for the ABP Pediatric Emergency Medicine Certification Exam?

How is the exam structured and what is the format?

How often must I recertify, and what is the process?

What is the best way to prepare for the exam's content?

Does this certification allow me to practice in an adult Emergency Department?