Mrcpch Past - Test

If you answered a question regarding the immunization schedule incorrectly, do not just memorize the answer. Go back to the "Green Book" (Immunisation against infectious disease). The is a signpost pointing you toward the primary sources you need to read.

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| | Most tested sub-topics | Typical question style | | :--- | :--- | :--- | | Respiratory | Asthma step-up/step-down, bronchiolitis (NICE 2021), cystic fibrosis (newborn screen + sweat test), foreign body inhalation | Best investigation, first-line treatment, red flags | | Cardiology | VSD, PDA, Fallot’s tetralogy (hypercyanotic spells), coarctation (radio-femoral delay), Kawasaki disease (echo timing) | Identifying murmur, ECG/chest X-ray finding, management | | Neurology | Febrile seizures (simple vs complex), infantile spasms (hypsarrhythmia), migraine with aura, raised ICP (morning vomiting + papilloedema) | Diagnosis, when to refer/scan, first-line prophylaxis | | Endocrine | Diabetic ketoacidosis (fluid/insulin protocol), congenital adrenal hyperplasia (salt-wasting crisis), short stature (Tanner staging, growth chart interpretation) | Emergency management, interpretation of electrolytes/17-OHP | | Gastro/Nutrition | Coeliac disease (TTG IgA + total IgA), cow’s milk protein allergy (CMPA – NICE algorithms), pyloric stenosis (hypochloraemic alkalosis) | Stepwise diagnosis, elimination diet advice | | Infectious diseases | Meningococcal sepsis (purpura + shock), measles/mumps/rubella (incubation + complications), osteomyelitis (late refusal to weight-bear) | Notifiable disease, immediate antibiotics, isolation requirements | | Developmental paediatrics | 6–8 week review (red reflex, hips, heart), 9–12 month gross motor (pincer grip, sitting unsupported), autism screening (M-CHAT, ADOS) | Normal milestones, when to refer to audiology/paediatrician | If you answered a question regarding the immunization