Free Practice Questions for Saudi Fellowship Pediatric Emergency Medicine
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Sample Saudi Fellowship Pediatric Emergency Medicine Practice Questions
Try these sample questions to review concepts for the Saudi Fellowship Pediatric Emergency Medicine exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 2-year-old child presents with lethargy, mottled cool extremities, a capillary refill time of 5 seconds, heart rate of 185 bpm, and blood pressure of 72/40 mmHg. Despite receiving 40 mL/kg of balanced crystalloids within the first 30 minutes, the patient remains hypotensive with weak peripheral pulses and cool extremities (cold septic shock). According to pediatric septic shock guidelines, which vasoactive infusion is the most appropriate first-line choice?
2A 5-year-old boy collapses suddenly in the emergency department. The monitor displays pulseless ventricular tachycardia. High-quality CPR is initiated immediately, and a defibrillator is attached. What is the recommended initial defibrillation energy dose for this child?
3An 8-year-old girl with severe status asthmaticus remains in marked respiratory distress despite 1 hour of continuous nebulized albuterol, three doses of nebulized ipratropium bromide, and IV methylprednisolone. Her SpO2 is 90% on high-flow face mask, and auscultation reveals diffuse severe expiratory wheezing with marked intercostal retractions. What is the most appropriate next adjunctive intravenous pharmacotherapy?
4A 4-year-old intubated patient mechanically ventilated in the pediatric resuscitation bay suddenly develops acute desaturation (SpO2 74%), bradycardia (heart rate 55 bpm), hypotension (BP 58/32 mmHg), and absent breath sounds on the right hemithorax with tracheal deviation to the left. What is the immediate, life-saving next step?
5An 8-day-old male newborn presents with sudden lethargy, poor feeding, grayish pallor, tachypnea, and absent femoral pulses. His pre-ductal SpO2 is 94% on the right hand, while post-ductal SpO2 on the foot is 82%. Capillary refill is 6 seconds, and blood gas demonstrates severe metabolic acidosis with a pH of 7.10 and lactate of 8.2 mmol/L. What is the most critical initial pharmacologic therapy?
6A 6-year-old child presents to the emergency department within 15 minutes of eating peanut brittle. She has generalized urticaria, facial angioedema, stridor, and persistent vomiting. Intramuscular epinephrine is administered into the anterolateral thigh. Ten minutes later, her stridor and respiratory effort worsen, and her blood pressure drops to 70/42 mmHg. What is the most appropriate next step in management?
7A 10-year-old girl with newly diagnosed type 1 diabetes is undergoing treatment for severe diabetic ketoacidosis (DKA). Three hours into IV fluid rehydration and insulin infusion, she complains of a severe headache, vomits twice, develops bradycardia (heart rate 52 bpm), and becomes unresponsive to verbal commands with unequal pupils. What is the most urgent intervention?
8A 3-year-old unimmunized child presents with high fever, lethargy, nuchal rigidity, and rapidly spreading purpuric skin lesions on the lower extremities. Vital signs reveal temperature 39.8°C, heart rate 175 bpm, BP 68/38 mmHg, and respiratory rate 44/min. Lumbar puncture is deferred due to hemodynamic instability and coagulopathy. Which empirical antibiotic and adjunctive therapy regimen should be initiated immediately?
9A 6-year-old boy presents 10 days after ventricular septal defect repair with muffled heart sounds, marked jugular venous distension, narrow pulse pressure, and paradoxical pulse (fall of systolic BP > 12 mmHg on inspiration). Bedside echocardiography demonstrates a large circumferential pericardial effusion with right ventricular diastolic collapse. What is the definitive emergency management?
10A 4-year-old child presents with generalized convulsive status epilepticus lasting 25 minutes. He has already received two appropriately dosed weight-based doses of intravenous lorazepam (0.1 mg/kg each) without cessation of seizure activity. What is the most appropriate next second-line intravenous anticonvulsant choice?
About the Saudi Fellowship Pediatric Emergency Medicine Exam
Independent English-language MCQ study adaptation by OpenExamPrep. Independent practice resource by OpenExamPrep for the Saudi Fellowship Final Written Examination in Pediatric Emergency Medicine. Covers life-threatening emergencies, medical emergencies, surgical emergencies, trauma, adolescent and gynecologic emergencies, psychosocial crises, procedures and procedural sedation, toxicology and environmental emergencies, and pre-hospital disaster management. Note: This question bank is an independent study aid for the final written examination and does not simulate the separate clinical OSCE / structured oral examination required for subspecialty certification. OpenExamPrep is not affiliated with or endorsed by the Saudi Commission for Health Specialties (SCFHS).
Exam sponsor: Saudi Commission for Health Specialties (SCFHS). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Assessment
One paper of 80–120 single-best-answer MCQs. Up to 10% additional unscored items may be added. Duration is not stated in the written blueprint.
Time Limit
Not published by SCFHS
Passing Score
70% (lowered to minimum 65% if pass rate under 70%)
Reported exam pass rate: Not published by SCFHS. SCFHS publishes no candidate pass rate. The blueprint instead sets the passing score at 70% and, if fewer than 70% of candidates pass before final approval, lowers that score one mark at a time until a 70% pass rate is reached or the score reaches 65%, whichever comes first; it is never lowered below 65%. Exam sponsor website
Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
Medical Emergency
Pediatric organ-system emergencies including respiratory, cardiovascular, neurologic, infectious, and metabolic crises.
Trauma Emergency
Pediatric blunt/penetrating trauma resuscitation, head and spinal injury, thoracic, abdominal, and musculoskeletal injuries.
Life Threatening
Cardiopulmonary arrest, septic/cardiogenic/hypovolemic shock, acute airway compromise, and rapid stabilization.
Surgical Emergency
Acute surgical abdomen, malrotation/volvulus, intussusception, acute scrotal emergencies, and necrotizing infections.
Toxicology & Environment
Pediatric toxidromes, acute poisonings, antivenom therapies, submersion injuries, burns, and thermal dysregulation.
Procedure & Sedation
Procedural sedation protocols, airway management, intraosseous access, thoracostomy, and regional anesthesia complications.
Adolescent & Gynecology
Adolescent healthcare, pelvic inflammatory disease, ectopic pregnancy, abnormal uterine bleeding, and ovarian torsion.
Psychosocial Emergency
Acute behavioral agitation, suicidal ideation, child maltreatment/physical abuse, and psychiatric emergencies.
Pre-hospital, Disaster, Biohazard & EMS
Pediatric mass casualty triage (JumpSTART), hazmat decontamination, inter-facility transport, and biohazard isolation.
Preparing for the Saudi Fellowship Pediatric Emergency Medicine Exam
What You Need to Know
- Passing score: 70% (lowered to minimum 65% if pass rate under 70%)
- Assessment: One paper of 80–120 single-best-answer MCQs. Up to 10% additional unscored items may be added. Duration is not stated in the written blueprint.
- Time limit: Not published by SCFHS
- Exam / certification fees: Not published by SCFHS Official sources
Using Our Practice Resources
- Work through all 100 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
Saudi Fellowship Pediatric Emergency Medicine: Suggested Study Strategy
Frequently Asked Questions
What is the format of the Saudi Fellowship Pediatric Emergency Medicine Final Written Examination?
One paper of 80–120 single-best-answer MCQs. Up to 10% additional unscored items may be added. Duration is not stated in the written blueprint.
What is the passing score for the Saudi Fellowship Pediatric Emergency Medicine Final Written Examination?
The standard passing score is 70%. If the overall pass rate among candidates is below 70%, the passing mark is lowered one mark at a time to a minimum floor of 65%.
Does this question bank simulate the clinical OSCE component?
This bank is an independent English-language MCQ study adaptation for the written examination. It does not simulate or replace the separate mandatory final clinical/practical assessment. Consult the specialty clinical blueprint for its station formats and any structured oral or OSCE components.
Who administers the Saudi Fellowship Pediatric Emergency Medicine certification?
The fellowship training and examination are administered by the Saudi Commission for Health Specialties (SCFHS). OpenExamPrep is an independent educational platform and is not affiliated with or endorsed by SCFHS.