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

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