NBME Pediatric Shelf Board Review Questions

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“This Q-bank is awesome. When I used this bank for the first time, I said to myself 'oh wow' because I was missing little bits and pieces which I filled in with BoardVitals. These questions are hard but very similar to questions on NBME exams. I would strongly recommend BoardVitals for everyone who is studying for Step 1, 2, 3 and shelf exams. I used this bank for Step 1, and right now I'm using it for Step 2 and for my upcoming Internal Medicine shelf exam.”

Nadia Badar
Medical Student

gold key Key Board Review Features


Pediatrics Shelf Exam Board Review Topics Covered:

  • Infectious Disease
  • Adolescent Care
  • Congenital Heart Disease
  • Emergency and Critical Care
  • Endocrine
  • ENT
  • Eye
  • Fetal and Neonatal Care
  • Gastroenterology (GI)
  • Genetics, Dysmorphology, and Metabolic Disorders
  • Nephrology, Fluids, and Electrolytes
  • Growth and Milestones
  • Preventive Pediatrics/Well-child Care
  • Research Methods, Patient Safety, and Quality Improvement
  • Ethics
  • Diseases of The Musculoskeletal System
  • Immunologic Disorders
  • Renal, Urinary, and Male Reproductive System
  • Disorders of The Skin and Subcutaneous Tissues
  • Cardiovascular Disorders
  • Diseases of The Respiratory System
  • Diseases of The Nervous System and Special Senses
  • Mental Disorders
  • Diseases of The Blood and Blood-Forming Organs
  • Rheumatology
  • Pulmonology
  • Child Abuse and Neglect
  • Orthopedics and Sports Medicine
  • Urology and Genital Disorders
  • Psychosocial Issues

About the NBME Pediatrics Shelf Exam (Subject Exam)

As outlined by the NBME, the Subject Exams are designed to provide institutions with effective evaluation tools and useful examinee performance data that can be compared with a large representative group of examinees at the same stage of training.

What content is covered on the Pediatrics Shelf Exam?

According to the NBME Clinical Science: Pediatrics content outline, the following topics are covered on the exam:

Normal Development 5%–10%

Organ Systems

  • Immunologic Disorders 5%–10%
  • Diseases of the Blood and Blood-forming Organs 5%–10%
  • Mental Disorders 1%–5%
  • Diseases of the Nervous System and Special Senses 5%–10%
  • Cardiovascular Disorders 10%–15%
  • Diseases of the Respiratory System 10%–15%
  • Nutritional and Digestive Disorders 10%–15%
  • Gynecologic Disorders 1%–5%
  • Renal, Urinary, and Male Reproductive System 10%–15%
  • Disorders of Pregnancy, Childbirth, and the Puerperium 1%–5%
  • Disorders of the Skin and Subcutaneous Tissues 1%–5%
  • Diseases of the Musculoskeletal System and Connective Tissue 5%–10%
  • Endocrine and Metabolic Disorders 5%–10%

Physician Tasks

  • Promoting Health and Health Maintenance 5%–10%
  • Understanding Mechanisms of Disease 25%–30%
  • Establishing a Diagnosis 40%–45%
  • Applying Principles of Management 10%–15%

What question formats are on the OBGYN Shelf Exam?

As outlined in the NBME Guide to the Subject Examination Program, the following question formats will be on the exam:

Application of Knowledge

This exam will have an increased emphasis on the application of knowledge instead of the recall of isolated facts.


Questions are framed in the context of clinical vignettes.

Single-best-answer (A-type)

This is the most widely used MCQ format. Each question is comprised of a focused item stem (e.g., a clinical vignette) and a lead-in question, followed by a series of options with one correct answer for each item.

Extended Matching (R-type)

These questions are organized into sets that use one list of options for all items in the set. Examinees must select one best answer.

NBME Pediatric Exam Prep and Readiness

Pediatrics is generally consider on the easier side of the shelf exams. Most people use Blueprints for the Pediatric shelf exams in addition to BoardVitals Pediatrics Shelf Board Review Questions.

NBME Pediatric Percentile Requirements:

Pediatrics requires a score at the 11th percentile to pass.

It’s important to not only gauge how well you’re doing, but also to gauge how well you’re doing compared to other students. We’re the only Pediatric Shelf Exam provider to offer this level of detail. Each one of our questions has a ‘percentage correct’ score so that you can compare yourself to how other students are performing.

The time constraints on the exam can be difficult. Pediatrics, especially, can be a little rushed. Use our timer to make sure that you’re meeting the time constraints.

If you need any help, feel free to reach out us.

View all of our NBME Shelf Exam Prep Offerings here.