Pas test 2020 FOP

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Download the the last version of PasTest for FOP exam MRCPCH 



Pas test Developmental FOP 2020

expected questions that n Mrcpch part 1

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The pattern of question paper for MRCPCH part 1a and 1b  is very clear

12 EMQs ( 3 questions in each ) total marks = 12 *3*3 = 108 ( almost 30% of all )

15 true or false ( 5 options in each ) total marks = 15 * 5 *1 = 75 ( 20% )

48 Best of five                              total marks = 48*4 = 192 ( 50 % )



  1. We can predict the Questions in EMQ
  2. True or false is a tricky one - dont spend too much time in true or false pattern questions preparation. because sky is the limit for that kind of preparations. 
  3. Best of five is the most important part in this format of exam .

Extended MCQs ( not an exhaustive list )

Common Topics covered in Extended MCQs ( in both 1 a and 1b )


  1.  Inheritance / genetics   - eg Digeorge - microdeletion, patau - trisomy, 
  2. Pediatric orthopedics condition - SCFE, Perthes, Irritable hip, JIA - Oligoarticular, Stills, reactive arthritis
  3. Ventricular arrythmias management-  SVT, VT ( Stable / Unstable ) , VF
  4. type of seizure & DD - Absence, Febrile seizure, infantile spasm, rolandic epilepsy, Reflex anoxic seizure/ vasovagal syncope , breath holding spell, pseudo seizure
  5. Antiepileptic side effects
  6. Most common infective organism in - VP shunt, arthritis , OM, chicen pox with arthritis, sickle cell with OM, urethritis, Infective endocarditis, orbital cellulitis
  7. DD for neonatal jaundice - G6PD Defficiency , galactosemia, biliary atresia, neonatal hepatitis, breast milk jaundice
  8. DD for Rashes - measles, scarlet, erysipeals, SSSS, TEN, TSS , IMN, kawasaki, enterovirus, parvo, HSP, HFM, Erythema marginatum, 
  9. GI bleed - HUS, crohns, ulcerative colitis, colonic polyp, cow milk protein intolerance, anal fissure, intussusception
  10. DD for hemolytic anemia- G6PD, Sickle cell, thalasemia, h.spherocytosis
  11. DD - E. nodosum, E. marginatum, E.migratum, E. multiforme
  12. DD for malignancy - ALL, Neuroblastoma, wilms
  13. best Choice of investigation for different scenarios - for different seizures, tumours, arrythmias, endocrine
  14. management of atopic eczema 
  15. DD for loss of consciousness- head injury, aspirin, insulin overdose, 
  16. dd for headache- CNS tumour, migraine, 
  17. dd for stridor - 
  18. dd for TORCH
  19. SIDE effects of antiepileptics
  20. DD for bleeding disorders - VWD, HEMOPHILIA, ITP, HDN, 
  21. DD for diarhea - toddlers, milk prot intolerance, cystic fibrosis, celiac, giardiasis
  22. age for consent
  23. psychiatric behaviour - autism, dyspraxia, adhd, dyslexia
  24. management of skin lesions - molluscum, hemangioma, dry skin ( eczema )
  25. neonatal resuscitations- MSL, MORPHINE to mother
  26. type of study - cohort, case control, RCT
  27. Pain management - burns, neuropathic pain, metastatic tumors
  28. dd for intestinal biopsy - celiac, milk protein intolerance, whipples, lymphangiectasis
  29. dd for acid base disorders - 
  30. dd for electrolyte disturbance - barter, pseudobarter, gitelman,
Expected topics in true or false and BOF
To be continued ....... in next blog

Examiner view about mrcpch exam

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“Would you like this person to be your specialist registrar tomorrow? That's the criterion we use for this exam,” says Tom Lissauer, officer for examinations at the Royal College of Paediatrics and Child Health. “In our exam a lot is about dealing with emergencies because that is the most important thing we require of a newly appointed.
Before the new style clinicals, examiners will see the children and agree what they expect candidates to achieve. Tom explains, “We are looking for candidates to demonstrate they are used to handling parents and children. If children are not happy we are looking for candidates who are able to handle that.”

Tom believes that the main reason why candidates fail is a lack of experience: “There is a temptation for people to take the exam too early,” he says. “Everybody is so keen to progress that they just have a go and see what it's like. That is not the wisest way.”

The college doesn't recommend any books or revision material, other than, “our past papers and stuff on the web.”

“One problem,” says Tom, “is that people spend too much time learning how to take the exam and not enough time going back to the basics of knowledge and experience. If people think they are going to pass the exam by practising millions of multiple choice questions that is a poor way of preparing.”

More information at BMJ website
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MRCPCH part 1 Revision Tips

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  1. "Practice does not make perfect. Only perfect practice make perfect." MRCPCH preparation is hard work and requires as much practice as candidates can handle.
  2. Early on in your revision, make a study schedule. This way when the MRCPCH examination is close, you will know what yet needs to be accomplished.
  3. Do not waste time in reading lengthy text books. 
  4. The following textbooks are really good for MRCPCH Preparations 
    1. Essential revision notes in pediatrics for MRCPCH 3rd edition by Mark beattie & mike champion ( must)  http://www.amazon.com/Essential-Revision-Notes-Paediatrics-Beattie/dp/1905635761
    2. Basic medical sciences for MRCP part 1 3rd edition by Phillipa J . easterbrook (must) http://store.elsevier.com/Basic-Medical-Sciences-for-MRCP-Part-1/Philippa-Easterbrook/isbn-9780443073267/
    3. Pediatric exams - A survival guide 2 nd edition by Paul Gaon (optional ) http://www.amazon.co.uk/Paediatric-Exams-Survival-MRCPCH-Guides/dp/0443100543
    4. Illustrated text book of pediatrics 4th edition by Tom Lissauer (optional / must for beginners) http://store.elsevier.com/Illustrated-Textbook-of-Paediatrics/isbn-9780723435655/
  5. For practicing MCQs the following are recomended  
    1. MRCPCH part 1 Paediatric MCQs with Individual subject summaries 3 rd edition by Maek Beattie
    2. Essential MCQs in Pediatrics for the MRCPCH 1 - volume 1 and volume 2 by Mark Beattie  http://books.google.ae/books/about/Essential_Questions_in_Paediatrics_for_M.html?id=spRW1enIF50C&redir_esc=y                              

  6. another option for solving the MCQs is online revision course for MRCPCH part 1 -  like Pastest.  http://www.pastest.co.uk/product/mrcpch-1-online?rbc=true&rcid=105819
  7. First revise the MCQs for particular system and then go over that chapter in the book . 
  8. Last but not the least, try to update your knowledge for recent updates like NICE guidelines, law of ethics 
  9. Try to solve the specimen papers posted in RCPCH site http://www.rcpch.ac.uk/training-examinations-professional-development/assessment-and-examinations/examinations/written-ex-3

Candidate view about mrcpch exam

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“For part 1 do lots of practice questions, which you can get from books,” advises Meena Patel, senior house officer at Great Ormond Street, London. She did part 1 in her first year of SHO training, and part 2 in her second year, passing both first time. The college has sample papers that Meena used as the basis of her revision rather than using books first.

“I did lots of questions,” she continues, “mainly from the Pastest series and Churchill Livingstone. The Pastest books are very good. I particularly like the one by Beattie. And go on courses. I went on a Pastest as they give you a huge range of questions.”

“It's not a pleasant thing,” said Meena reminiscing about part 2. “Because this is a new style of exam we weren't sure what to expect. It was quite stressful. The main advice everybody gave me for the written is to do lots of questions as you are revising, then look at books rather than the other way round. The more questions you do the more likely you are to come across cases that will come up.”

There still aren't many revision books focusing on the new part 2. Meena recommends “the Churchill Livingstone series: they've got good data books, they've got picture books. A great book I used was Grey Cases for the MRCPCH Part Two.”

She used these books to look up and learn answers to questions rather than trying to read them. “Everyone does different things but a lot of people advised me to do that,” she explains. “The same questions come up year after year so the more you see the more you recognise. That is one of the most useful things.”

“With the clinicals, learning is different,” says Meena, “Do lots of practice with registrars grilling you with viva questions so when examiners do the same you're not thrown.” She adds: “Put a bad case behind you and don't let it fluff you. If you get flustered you are at a disadvantage for your next short case or OSCE station.”

Meena suggests candidates think carefully about when to do the exam: “Do part 1 early, but part 2 needs clinical experience,” she says, “In certain jobs like neonates it is difficult to find patients suitable for exam practice. Busy jobs make it difficult to study.”


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