Pediatric Critical Care Board Exam Prep
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The ABP 2022 Pediatric Critical Care Board Pass Rate for the Certification exam is 80%.
The MOCA-Peds online assessment platform is now the default option for meeting the Maintenance of Certification exam requirement.
Compare to exam takers who prepared with The Pass Machine:
In 2022, The Pass Machine Pediatric Critical Care Board Review clients achieved a 87% pass rate on the Certification exam!
What do I do if I fail the Pediatric CC board exam?
The first thing you should do is just take it easy, sleep on it. Give yourself a few days, a week or two to come to terms with what has happened. Your next exam is six months to a year away. Dr. Jack has more advice in this video, What Do You Do If You Fail Your Medical Board Exam?
Pediatric Critical Care Certification Exam Scoring
Pediatric Critical Care exam results are reported using a 1 to 300 scale, with 180 designated as the passing mark. A test taker’s score on the 1 to 300 scale does not reflect the percentage of questions answered correctly. Instead, a 180 represents the minimum level of knowledge required to pass the examination.
Pediatric Critical Care Exam Format
Pediatric Critical Care Exam questions are written in a single-best-answer multiple-choice format. Each question is followed by four or five answer options, one of which is the correct answer. Questions may require the interpretation of a graphical illustration, such as x-ray studies, growth charts, and photographs, to answer correctly.
Example of a single-best-answer multiple-choice question format:
A 3-year-old boy is admitted to the pediatric intensive care unit after he is brought to the emergency department because of nausea and vomiting for one day. His maternal uncle had a seizure disorder and died in childhood. He appears fatigued. Respirations are 32/min. Examination shows diffuse weakness in the extremities. Serum studies show a low pH, elevated lactate concentration, and normal blood glucose. A metabolic condition characterized by a defect in oxidative phosphorylation is suspected. Microscopic examination of a muscle biopsy specimen of this patient is most likely to show which of the following findings?
◯ A. Fibrofatty replacement of normal muscle fibers
◯ B. Muscle atrophy with perimysial inflammation
◯ C. Intermyofibrillar accumulation of glycogen
◯ D. Endomysial inflammation with T-cell infiltration
◯ E. Subsarcolemmal accumulation of mitochondria
E. Subsarcolemmal accumulation of mitochondria
Subsarcolemmal accumulation of mitochondria is correct because it is a hallmark of mitochondrial diseases, which are characterized by defective oxidative phosphorylation and subsequent lack of energy. The compensatory proliferation of mitochondria presents as characteristic ragged-red fibers on Gomori trichrome stain. This patient’s lactic acidosis and diffuse muscle weakness, in combination with the family history of CNS disease and childhood death, suggest a form of mitochondrial myopathy, most likely MELAS syndrome.
Fibrofatty replacement of normal muscle fibers is incorrect because this can be seen in Duchenne muscular dystrophy and Becker muscular dystrophy. Lactic acidosis is not associated with muscular dystrophies.
Muscle atrophy with perimysial inflammation is incorrect because this is seen in dermatomyositis. This patient does not have characteristic cutaneous manifestations such as heliotrope rash and/or Gottron papules.
Intermyofibrillar accumulation of glycogen is incorrect because this is characteristic of McArdle disease, a disorder in which the muscle is unable to break down glycogen. Oxidative phosphorylation is unaffected by McArdle disease.
Endomysial inflammation with T-cell infiltration is incorrect because it is a typical finding in polymyositis (PM). Serum studies show elevated inflammatory markers and muscle enzymes, but lactate acidosis is not associated with PM.
Pia S, Lui F. Melas Syndrome. InStatPearls [Internet] 2019. StatPearls Publishing.