ABEM Pediatric & Obstetric Emergencies Flashcards
6 cards from real ABEM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 ABEM Pediatric & Obstetric Emergencies flashcards as text
A 5-year-old presents after a seizure lasting 4 minutes that has now stopped. Temperature is 39.2°C. What is the most appropriate management?
Answer: Reassurance and antipyretics for a simple febrile seizure
A simple febrile seizure (single, brief, generalized) in a child 6 months–5 years requires reassurance and treatment of the fever.
A 4-year-old presents with moderate respiratory distress and wheezing. SpO2 is 91%. What is the immediate treatment for acute asthma exacerbation?
Answer: Albuterol via nebulizer and supplemental oxygen
Inhaled albuterol (bronchodilator) plus supplemental oxygen is the cornerstone initial treatment of acute pediatric asthma exacerbations.
A pregnant patient at 36 weeks presents with painless vaginal bleeding. Ultrasound shows placenta covering the cervical os. What is the diagnosis?
Answer: Placenta previa
Placenta previa is characterized by painless vaginal bleeding with the placenta overlying the cervical os on ultrasound.
An 18-month-old presents with a femur fracture with a history inconsistent with the injury. What is the most appropriate next step?
Answer: Non-accidental trauma workup and child protective services notification
A femur fracture in a pre-ambulatory child with an inconsistent history is highly concerning for non-accidental trauma and mandates a full workup and CPS notification.
A neonate is born with a heart rate of 50 bpm and no spontaneous respirations after 30 seconds of PPV. What is the next step?
Answer: Start chest compressions and continue PPV
Chest compressions are initiated when HR remains below 60 bpm despite 30 seconds of adequate PPV in neonatal resuscitation.
A 7-year-old presents with a 3-day history of periorbital swelling, fever, and proptosis with painful eye movement. What is the most concerning diagnosis?
Answer: Orbital cellulitis
Proptosis and painful eye movement in a febrile child indicate orbital (postseptal) cellulitis, which can spread intracranially and requires urgent CT and IV antibiotics.