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ABP Pediatric Rheumatology Practice Questions - ABP Pediatric Rheumatology Subspecialty Certifying Examination Exam

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About this Exam

Prepare with the ABP Pediatric Rheumatology Practice Questions - ABP Pediatric Rheumatology Subspecialty Certifying Examination Exam practice quiz. This question bank includes 100 questions covering year-old, therapy, fever, disease, and systemic. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

Sample Questions

Question 1
A 3-year-old girl presents with painless swelling of the right knee and left ankle for 8 weeks, no systemic symptoms. ANA is 1:320 speckled, RF negative. Which ILAR category is most likely and what is the single most important screening intervention?
Systemic JIA — ferritin and echocardiogram
Polyarticular RF-negative JIA — annual chest radiograph
Enthesitis-related arthritis — HLA-B27 testing only
Oligoarticular JIA — slit lamp exam every 3 months for uveitis
Question 2
A 14-year-old girl with polyarticular RF-positive and anti-CCP-positive JIA has symmetric MCP and PIP involvement with erosions on hand radiographs. Which statement best describes her prognosis and management?
Clinically resembles adult rheumatoid arthritis; early MTX plus TNF inhibitor is recommended
Typically self-limited; NSAIDs alone sufficient
Most likely to develop chronic anterior uveitis — q3-month slit lamp required
Colchicine is first-line therapy given amyloid risk
Question 3
A 4-year-old boy has 3 weeks of daily fever spikes to 40°C that return to normal between, an evanescent salmon-pink rash appearing with fever, hepatosplenomegaly, and arthritis. Labs: WBC 22k, platelets 680k, ferritin 1,800 ng/mL. Which ILAR category does he meet?
Enthesitis-related arthritis
Polyarticular RF-negative JIA
Kawasaki disease
Systemic JIA (sJIA)
Question 4
A 6-year-old with known sJIA develops persistent (not quotidian) fever, hepatosplenomegaly worsening, falling ESR, ferritin 30,000 ng/mL, platelets dropping from 500k to 90k, AST 450, triglycerides 400, fibrinogen 120. Which complication and best initial therapy?
Thrombotic thrombocytopenic purpura — plasma exchange
Disseminated intravascular coagulation — FFP and cryoprecipitate
Sepsis — broad-spectrum antibiotics only
Macrophage activation syndrome — high-dose IV corticosteroids and anakinra
Question 5
A 12-year-old boy has asymmetric lower-extremity arthritis, heel enthesitis at the Achilles insertion, and morning back stiffness. HLA-B27 is positive. Which ILAR category and preferred first-line conventional DMARD?
Oligoarticular JIA — intra-articular steroid only
Enthesitis-related arthritis (ERA) — sulfasalazine
Juvenile psoriatic arthritis — methotrexate only
Systemic JIA — anakinra

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Additional Information

ABP Pediatric Rheumatology Practice Questions - ABP Pediatric Rheumatology Subspecialty Certifying Examination Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, therapy, fever, disease, and systemic. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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Frequently Asked Questions

This quiz contains a total of 100 practice questions carefully selected to test your knowledge on this subject.
Yes, you will have exactly 0 minutes to complete the exam. A countdown timer will be visible once you start.
Yes, you can retake this practice test as many times as you need. The questions and options may be randomized on subsequent attempts to ensure comprehensive learning.

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