About PEM Exam Prep
An independent practice platform for the Pediatric Emergency Medicine (PEM) exam - real questions across every exam domain, each with a plain-language explanation.
What's on the PEM exam
The Pediatric Emergency Medicine (PEM) exam is organized into 28 knowledge domains. It has 200 questions and is completed in 4 hours 30 minutes. Each domain makes up a different share of the exam, so the most efficient way to prepare is to know where the weight sits and practice accordingly:
- Trauma12% of the exam
- Resuscitation10% of the exam
- Infectious Diseases8% of the exam
- Procedures5% of the exam
- Special Populations3% of the exam
- Neonatal Conditions2% of the exam
- Toxicology4% of the exam
- Child Abuse and Maltreatment4% of the exam
- Behavioral Health Conditions and Psychosocial Issues3% of the exam
- Cardiovascular3% of the exam
- Pulmonary8% of the exam
- Hematologic and Oncologic4% of the exam
- Gastrointestinal3% of the exam
- Neurologic/Neurosurgical3% of the exam
- Environmental Emergencies3% of the exam
- Allergic, Rheumatologic, and Immunologic2% of the exam
- Eyes, Ears, Nose, Oral, Neck2% of the exam
- Renal and Electrolyte2% of the exam
- Dermatologic2% of the exam
- Endocrine2% of the exam
- Obstetrics/Gynecologic2% of the exam
- Urologic1% of the exam
- Metabolic/Genetic Emergencies1% of the exam
- Musculoskeletal/Orthopedic1% of the exam
- Mass Casualty and Disaster Preparedness2% of the exam
- Emergency Medical Services and Transport2% of the exam
- Emergency Department Operations and Patient Rights2% of the exam
- Core Knowledge in Scholarly Activities4% of the exam
Every practice question on this site is organized across these 28 domains, so your study tracks the real exam structure instead of guesswork. As you answer, the per-domain analytics surface the areas still costing you points, so your review goes where it moves your score.
What we believe good exam prep looks like
Realistic practice beats passive reading. Every question is written to mirror the style and difficulty of the real exam, with a clear explanation of why the right answer is right and the others aren't.
Your weak spots should find you. Domain analytics, mistake review, and re-drilling are built in, so study time goes where it moves your score.
Pricing should be simple. One payment for a fixed access window matched to your exam date. No subscription, no auto-renewal, and 10 free questions to try before you spend anything.
Get in touch
Questions, feedback, or something not working? Email support@boardmentor.study - candidate messages are read and answered.