• Home
  • Login
  • Contact Us
  • Call 877-225-8384
  • Privacy Policy

The Pass Machine

Pass Guaranteed Board Review

  • Board
    Courses
    • Addiction Medicine
    • Anesthesiology BASIC
    • Anesthesiology ADVANCED
    • Cardiovascular Disease
    • Critical Care Medicine
    • Emergency Medicine
    • Family Medicine
    • Gastroenterology
    • General Surgery Qualifying
    • General Surgery Certifying
    • Geriatric Medicine
    • Hospice & Palliative Medicine
    • Infectious Disease
    • Internal Medicine
    • Medical Oncology
    • Nephrology
    • Pain Medicine
    • Pediatric Anesthesiology
    • Pediatric Critical Care
    • Pediatrics
    • Pulmonary Disease
    • Sleep Medicine
    • USMLE Step 2 CK QBank
    • USMLE Step 3 QBank
  • CME
    Courses
    • DEA MATE Act Course
    • Lightning Reviews – Fast CME
      • Update on Anti-Obesity Medications
      • Update on Headaches
      • Update on DVT & PE
      • Update on Vaccinations
      • Update on Women’s Reproductive Health
      • Update on Women’s Health: Evidence Based Screening & Prevention
    • USMLE Step 3 QBank
    • USMLE Step 2 CK QBank
  • Personal Finance
    & Career Courses
    • The Art of Smart FREE Career Seminars
    • Personal Finance for Women
    • Physicians Wealth Management
  • FREE Board
    Resources & Info
    • EXACT Exam Prep Accelerator
    • Board Exam Topics
    • Board Exam Pass Rates
    • LifeBrief Blog
    • Testimonials
    • FAQs
  • Residency &
    Fellowship Program
  • Discounts &
    Group Sales
    • Ambassador Referral Program
    • Group Discounts
    • Multi-purchase Discounts
  • Exam
    Blog

Categories

  • Addiction Medicine
  • All Posts
  • Anesthesiology
  • Board Certification
  • Board Exam
  • Cardiology
  • Family Medicine
  • Gastroenterology
  • General Surgery
  • Group Practice
  • Internal Medicine
  • Medical Innovation
  • Obesity Management
  • Oncology
  • Pediatrics
  • Physician Advice
  • Sleep Medicine
  • USMLE
Treatments in Specific Pediatric Patient Populations - The Pass Machine

Treatments in Specific Pediatric Patient Populations

September 12, 2019 by Jack Krasuski, MD Leave a Comment Categories: All Posts, Pediatrics Tags: patient populations, pediatric board prep, pediatric patients, peds board exam, peds board prep, peds boards, peds qbank, proper sleeping habits, the pass machine

Last updated on March 12th, 2025

Prepping for a Pediatric Board Exam? Get a comprehensive Pediatric Board Review Course from The Pass Machine to get your board prep on track.

Medical board exams include questions in several different areas. including treatments in specific pediatric patient populations. A large percentage of these questions are focused on treatment interventions as an appropriate treatment that a physician is expected to provide to the patients. Three main aspects of treatment are generally tested on the specialty board exams. These include:

  • Features of specific treatment interventions
  • Treatments provided to specific patient populations and to patients with specific disease variants
  • Treatment algorithms

The purpose of this post is to help understand the importance of selecting the proper treatments in specific pediatric patient populations or having a particular disease variant. The ability to select an appropriate treatment intervention for a specific form of a disease or for a specific population of patients may be frequently tested on the pediatric board exams. The questions that assess this aspect of the test taker’s knowledge are generally reserved for conditions for which particular treatment recommendations or guidelines have been well-established.

Consider the example of patients who need to be treated for diabetes but also suffer from chronic kidney disease (CKD). Glipizide is considered to be the sulfonylurea of choice for these patients. This is due to the fact that glipizide is metabolized by the liver and its clearance and elimination half-life is, therefore, not affected by a reduction in the estimated GFR (eGFR). As a result, it is not required to adjust the dose of glipizide in this specific population of patients (National Kidney Foundation KDOQI clinical practice guideline for diabetes and CKD: 2012 update).

Another example would be the treatment of women with Grave’s disease who are in the first trimester of pregnancy. Propylthiouracil (PTU) would be the antithyroid drug of choice in this specific patient population, as methimazole (MMI) may be associated with an increased risk of birth defects (Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum, 2017).

Example Exam Question for a Pediatric Patient 

Question: On the fifteenth day after his birth, a preterm infant develops tachycardia and a fever of 101oF. The baby is feeding poorly and has become increasingly irritated and fussy over the past few hours. He is suspected to be suffering from neonatal sepsis. Which of the following medications may be avoided in this patient?

  1. Cefotaxime
  2. Ampicillin
  3. Ceftriaxone
  4. Gentamicin
  5. Cloxacillin

QUESTION EXPLANATION:

Empirical antibiotics should be administered as soon as neonatal sepsis is suspected. In the case of late-onset sepsis, third-generation cephalosporins may be used to provide adequate coverage for hospital-acquired pathogens, such as Pseudomonas species, Staphylococcus aureus, and coagulase-negative staphylococcus. However, the use of ceftriaxone in neonates, particularly those born prematurely, should be avoided, as it may lead to hyperbilirubinemia by displacing bilirubin from albumin binding sites. This can result in the development of bilirubin-induced neurotoxicity in this specific patient population.

Let us review the other options provided in the question. Cefotaxime is another third-generation cephalosporin; however, in comparison to ceftriaxone, it is less associated with biliary excretion and is less likely to alter bilirubin-albumin binding. Aminoglycosides, such as gentamicin, and broad-spectrum penicillins, like ampicillin or cloxacillin, are typically included in the treatment regimens used for neonatal sepsis and provide coverage for the most commonly seen pathogens in neonates, such as E.coli, L. monocytogenes, and GBS.

Still need to pass the pediatric boards? All of your Pediatric Board Prep needs can be met by The Pass Machine.

References:

Amin SB. Bilirubin Binding Capacity in the Preterm Neonate. Clin Perinatol. 2016;43(2):241–257. doi:10.1016/j.clp.2016.01.003

Shermadou ES, Mavrogeorgos G. Neonatal Sepsis. [Updated 2018 Oct 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK531478/

About Maggie Cogar

View all posts by Maggie Cogar

Filed Under: All Posts, Pediatrics Tagged With: patient populations, pediatric board prep, pediatric patients, peds board exam, peds board prep, peds boards, peds qbank, proper sleeping habits, the pass machine

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Free Resources

  • Art of Smart Career Seminars
  • EXACT Exam Prep Accelerator
  • Suicide Management Course
  • 200 USMLE Step 2 CK Questions
  • 200 USMLE Step 3 Questions

Categories

  • Addiction Medicine
  • All Posts
  • Anesthesiology
  • Board Certification
  • Board Exam
  • Cardiology
  • Family Medicine
  • Gastroenterology
  • General Surgery
  • Group Practice
  • Internal Medicine
  • Medical Innovation
  • Obesity Management
  • Oncology
  • Pediatrics
  • Physician Advice
  • Sleep Medicine
  • USMLE

EXACT Exam Prep Accelerator

Lightning Reviews - The Easiest Way to Earn Fast CME

The Art of Smart - Personal Finance and Career Growth Seminars for Physicians

  • Home
  • Login
  • Contact Us
  • About Us
  • Work With Us

Government Sales – SAM.gov
Unique Entity ID: LQWHFPP2KLB8

Customer Care: 877-225-8384
M-F, 8:30am – 5:00pm (CST)

American Physician Institute for Advanced Professional Studies, LLC BBB Business Review
  • American Physician Institute Facebook link American Physician
  • American Physician Institute Surgery Facebook link Surgery
  • American Physician Institute Anesthesiology Facebook link Anesthesiology
  • American Physician Institute Psychiatry Facebook link Psychiatry
Twitter linkLinkedin linkYouTube link
  • www.AmericanPhysician.com
  • www.BeatTheBoards.com
  • www.ThePassMachine.com
  • www.MasterPsych.com
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
  • American Board of Anesthesiology®
  • American Board of Emergency Medicine®
  • American Board of Family Medicine®
  • American Board of Internal Medicine®
  • American Board of Pain Medicine®
  • American Board of Pediatrics®
  • American Board of Preventive Medicine®
  • American Board of Psychiatry and Neurology®
  • American Board of Surgery®
  • PeerPoint – CME Accreditation Services
  • Board
    Courses
  • CME
    Courses
  • Personal Finance
    & Career Courses
  • FREE Board
    Resources & Info
  • Residency &
    Fellowship Program
  • Discounts &
    Group Sales
  • Exam
    Blog

© 2025· American Physician Institute

Privacy Policy | Terms of Service

We’ll get in touch soon!

Thank you for your interest in American Physician Institute. We’re here to help!

CHAT NOW

Our normal hours are
Mon-Fri 8:30 am-5:00 pm CT.

If it is during our business hours, we will respond soon. If it is after our business hours, we’ll reach out on our next business day.

Let's Chat
Let's Chat

Triple Trust Guarantee

If you purchase a course with a Triple Trust Guarantee and fail the board exam for which that course is designed, you will receive a refund of your paid tuition, plus an additional 10% payment, plus a free subscription renewal for the same amount of time as originally purchased. To activate your guarantee, you must notify American Physician within 45 days of receiving your exam results. Some restrictions apply. See Terms & Conditions

Close
Manage Cookie Consent

 To provide the best experiences, we use technologies like cookies to store and/or access device information. Consenting to these technologies will allow us to process data such as browsing behavior or unique IDs on this site. Not consenting or withdrawing consent, may adversely affect certain features and functions.

Functional Always active
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
Preferences
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
Statistics
The technical storage or access that is used exclusively for statistical purposes. The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
Marketing
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.
Manage options Manage services Manage {vendor_count} vendors Read more about these purposes
View preferences
{title} {title} {title}
Manage Cookie Consent
To provide the best experiences, we use technologies like cookies to store and/or access device information. Consenting to these technologies will allow us to process data such as browsing behavior or unique IDs on this site. Not consenting or withdrawing consent, may adversely affect certain features and functions.
Functional Always active
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
Preferences
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
Statistics
The technical storage or access that is used exclusively for statistical purposes. The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
Marketing
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.
Manage options Manage services Manage {vendor_count} vendors Read more about these purposes
View preferences
{title} {title} {title}