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 2-year-old presents with inspiratory stridor and a barking cough. Which intervention is first-line for moderate croup?
Answer: Dexamethasone 0.6 mg/kg IM/PO
Dexamethasone (0.6 mg/kg) is the first-line treatment for moderate croup, reducing airway edema and decreasing return visits.
An 8-month-old presents with high fever, bulging anterior fontanelle, and irritability. What is the most appropriate next step?
Answer: IV antibiotics then lumbar puncture
IV antibiotics should be administered promptly in suspected bacterial meningitis before LP if signs of elevated ICP are present.
A 4-year-old swallowed a button battery 3 hours ago. X-ray shows it in the esophagus. What is the correct management?
Answer: Immediate endoscopic removal
Esophageal button batteries require immediate endoscopic removal due to rapid tissue necrosis from electrical current and alkaline injury.
A 6-week-old male presents with projectile non-bilious vomiting after feeding. What is the most likely diagnosis?
Answer: Pyloric stenosis
Pyloric stenosis classically presents in 2–8 week old males with projectile, non-bilious vomiting and a palpable olive-shaped mass.
A 10-year-old presents with acute onset severe scrotal pain for 2 hours. What is the priority management?
Answer: Immediate surgical exploration
Testicular torsion requires immediate surgical exploration; time to detorsion directly determines testicular salvage rates.
A 3-year-old presents with sudden-onset choking and unilateral decreased breath sounds. What is the most likely diagnosis?
Answer: Foreign body aspiration
Sudden choking with unilateral decreased breath sounds in a toddler is foreign body aspiration until proven otherwise.