CANDIDATE NUMBER:………………..
Royal College of Paediatrics and Child
Health
MRCPCH PART I EXAMINATION
PAPER One B
Specimen Paper
1. Complete the following:
Your full name (BLOCK LETTERS)…………………………………………
RCPCH Number……………………………………………………………………….
Signature……………………………………………………………………………
2. Check your surname (family name) and initials appear in the top left hand
corner of the Answer Sheet. Check your candidate number is in the top right
hand corner.
Using the pencil provided, complete your response to each item on the
Answer Sheet.
3. It is strictly forbidden to talk to, read the work of, or attempt in any way to
communicate with, other candidates whilst the examination is in progress.
Please exercise vigilance to ensure that no other candidate can attempt to
copy your work. The College has tools which can identify copying of answers
or collusion between candidates to share answers. In any situation the
suspicion of guilt falls upon both parties until it can be proved otherwise.
Breaches of these instructions, or misbehaviour in any other way, including
continuing to write after the allotted time, may lead to suspension from the
examination at the discretion of the invigilators. Serious breaches, such as
cheating or colluding to gain advantage, could incur permanent suspension
from College examinations.
4. Question papers and individual questions must not be copied or removed from
the examination room.
5. Copyright law protects examination questions and the intellectual property of
their authors. The unauthorised use of questions is a breach of copyright law.
6. Answer all the following 75 questions.
, EXTENDED MATCHING QUESTIONS
Qu 1
This is a list of genetic mechanisms:
A Anticipation
B Autosomal dominant
C Autosomal recessive
D Chromosomal
E Isodisomy
F Microdeletion
G Mitochondrial
H X-linked dominant
I X-linked recessive
J Y-linked
Choose the most likely method of genetic inheritance for each of the following:
SELECT ONE ANSWER ONLY FOR EACH QUESTION
Note: Each answer may be used more than once
1. A 5-year-old boy presents with attention deficit hyperactivity disorder. As
an infant he had interrupted aortic arch syndrome and a cleft lip both of
which have been repaired.
2. A baby girl is noted on the post-natal ward to have the following:
Low birth weight; a coloboma; loud, radiating systolic murmur; cleft palate,
low set ears; flexed fingers.
3. A 6-month-old boy is referred by the Health Visitor because the head
th
circumference is persistently at the 97 centile. He weighed 3.9kg at term
th
and his weight is on the 75 centile. His development is normal.
,Qu 2
This is a list of diagnoses:
A Acute lymphoblastic leukaemia
B Developmental dysplasia of the hip
C Growing pains
D Juvenile idiopathic arthritis
E Non-accidental injury
F Osteomyelitis
G Perthe’s disease
H Reactive arthritis
I Rickets
J Slipped upper femoral epiphysis
Select the most likely diagnosis for each of the following:
SELECT ONE ANSWER ONLY FOR EACH QUESTION
Note: Each answer may be used more than once
1. A 12-year-old girl of Caribbean origin presents with pain in the thigh and a
limp. She has been well in the past apart from occasional colds. There is
no evidence of swelling in the joints but internal rotation and abduction are
limited. She is well-grown for her age and in mid-puberty. The pain started
after a netball match.
2. A 5-year-old girl of Caucasian origin presents with limp and swelling of the
knee but little complaint of pain. On examination there is muscle wasting
and some limitation of movement. The joint is slightly warm to touch and
there is peri-articular joint swelling and a small joint effusion.
This Question Continues on the next page.
, Question 2 continued
3. A 3-year-old boy presents with a history of pain in his left hip for last 2
days. Today he is reluctant but able to walk if coaxed. He is afebrile. There
is restricted movement of his left hip joint.
He is on trimethoprim prophylaxis for recurrent urinary tract infections
associated with left vesico-ureteric reflux. He has recently recovered from
a chest infection treated with amoxicillin.
Royal College of Paediatrics and Child
Health
MRCPCH PART I EXAMINATION
PAPER One B
Specimen Paper
1. Complete the following:
Your full name (BLOCK LETTERS)…………………………………………
RCPCH Number……………………………………………………………………….
Signature……………………………………………………………………………
2. Check your surname (family name) and initials appear in the top left hand
corner of the Answer Sheet. Check your candidate number is in the top right
hand corner.
Using the pencil provided, complete your response to each item on the
Answer Sheet.
3. It is strictly forbidden to talk to, read the work of, or attempt in any way to
communicate with, other candidates whilst the examination is in progress.
Please exercise vigilance to ensure that no other candidate can attempt to
copy your work. The College has tools which can identify copying of answers
or collusion between candidates to share answers. In any situation the
suspicion of guilt falls upon both parties until it can be proved otherwise.
Breaches of these instructions, or misbehaviour in any other way, including
continuing to write after the allotted time, may lead to suspension from the
examination at the discretion of the invigilators. Serious breaches, such as
cheating or colluding to gain advantage, could incur permanent suspension
from College examinations.
4. Question papers and individual questions must not be copied or removed from
the examination room.
5. Copyright law protects examination questions and the intellectual property of
their authors. The unauthorised use of questions is a breach of copyright law.
6. Answer all the following 75 questions.
, EXTENDED MATCHING QUESTIONS
Qu 1
This is a list of genetic mechanisms:
A Anticipation
B Autosomal dominant
C Autosomal recessive
D Chromosomal
E Isodisomy
F Microdeletion
G Mitochondrial
H X-linked dominant
I X-linked recessive
J Y-linked
Choose the most likely method of genetic inheritance for each of the following:
SELECT ONE ANSWER ONLY FOR EACH QUESTION
Note: Each answer may be used more than once
1. A 5-year-old boy presents with attention deficit hyperactivity disorder. As
an infant he had interrupted aortic arch syndrome and a cleft lip both of
which have been repaired.
2. A baby girl is noted on the post-natal ward to have the following:
Low birth weight; a coloboma; loud, radiating systolic murmur; cleft palate,
low set ears; flexed fingers.
3. A 6-month-old boy is referred by the Health Visitor because the head
th
circumference is persistently at the 97 centile. He weighed 3.9kg at term
th
and his weight is on the 75 centile. His development is normal.
,Qu 2
This is a list of diagnoses:
A Acute lymphoblastic leukaemia
B Developmental dysplasia of the hip
C Growing pains
D Juvenile idiopathic arthritis
E Non-accidental injury
F Osteomyelitis
G Perthe’s disease
H Reactive arthritis
I Rickets
J Slipped upper femoral epiphysis
Select the most likely diagnosis for each of the following:
SELECT ONE ANSWER ONLY FOR EACH QUESTION
Note: Each answer may be used more than once
1. A 12-year-old girl of Caribbean origin presents with pain in the thigh and a
limp. She has been well in the past apart from occasional colds. There is
no evidence of swelling in the joints but internal rotation and abduction are
limited. She is well-grown for her age and in mid-puberty. The pain started
after a netball match.
2. A 5-year-old girl of Caucasian origin presents with limp and swelling of the
knee but little complaint of pain. On examination there is muscle wasting
and some limitation of movement. The joint is slightly warm to touch and
there is peri-articular joint swelling and a small joint effusion.
This Question Continues on the next page.
, Question 2 continued
3. A 3-year-old boy presents with a history of pain in his left hip for last 2
days. Today he is reluctant but able to walk if coaxed. He is afebrile. There
is restricted movement of his left hip joint.
He is on trimethoprim prophylaxis for recurrent urinary tract infections
associated with left vesico-ureteric reflux. He has recently recovered from
a chest infection treated with amoxicillin.
