MRCPCH Part 2 preparation can feel challenging, but with the right study plan and trusted resources, you can pass the theory exam confidently. In this guide, we’ll walk you through the complete MRCPCH Part 2 study strategy, tips, and revision plan for 2025. According to the RCPCH official MRCPCH Part 2 guide, candidates should focus…
MRCPCH Part 2 preparation can feel challenging, but with the right study plan and trusted resources, you can pass the theory exam confidently. In this guide, we’ll walk you through the complete MRCPCH Part 2 study strategy, tips, and revision plan for 2025.
Recall. A 5-month- old infant presented to ER on Friday with his parents complaining that he is not moving his right arm for 6 hours, x- ray shows spiral fracture of the right arm, orthopedic opinion is to review him on monday outpatient clinic, you called your consultant who asked you. What do you think is the best action now?
No clear history of trauma (parents say not moving arm)
Timing: Presented on Friday; ortho wants to see him Monday
Consultant asks: “What is the best action now?”
Key Concept
A spiral fracture in a non-mobile infant is highly suspicious for non-accidental injury (NAI). Infants this age cannot generate such injuries themselves (e.g., by rolling). Therefore, this is a child protection emergency.
Step-by-Step Reasoning
Recognize this as potential physical abuse.
Non-accidental injury must be suspected.
Safety first: The child must not go home until abuse is excluded.
Immediate action:
Admit the child to hospital for safety and full assessment.
Initiate child protection procedures — involve paediatrics and social services.
A skeletal survey and other investigations will follow after admission.
Answer Choices Analysis
Option
Discussion
a) Admit the child
✅ Correct — Ensures safety, allows full evaluation, and prevents further harm.
b) Skeletal survey
Needed, but not the first step — it’s part of the NAI work-up after admission.
c) Refer to social services
Essential, but done immediately after admission, not as the first step alone.
d) Advice to go home
❌ Unsafe — high risk of further harm.
e) More investigations
❌ Not appropriate before ensuring safety.
Final Answer
a) Admit the Child
Key Learning Point
In any non-mobile baby with unexplained fracture or injury,
👉 “If you suspect non-accidental injury, admit and protect the child first.”
Investigations and social service referrals follow after ensuring safety.
Recall. Down syndrome, with alternate loose stool and constipation, faltering growth 0.9 to 0.4 (2nd centile ), has abdominal distension, all the rest are normal A) crohn’s B) Lactose intolerance c. Protein- losing enteropathy d. Short bowel syndrome e. Coeliac disease
Question: A 6-week-old infant is brought to the clinic with poor feeding, vomiting, and failure to thrive. On examination, the infant is hypotonic, has almond-shaped eyes, a narrow forehead, and small hands and feet. You notice hypopigmented skin patches on the trunk. Heart sounds are normal. Which of the following is the most likely diagnosis?…
MRCPCH exam preparation guide Recall: 3 yrs old patient has chicken pox, presented with disseminated erythema, fever, tachycardia 180 bpm, BP 70/40 mm Hg, decreased UOP, CRT < 1 sec, pnt is already on ceftriaxone. What will you add? Clindamycin Vancomycin Benzylpenicillin Rifampicin gentamicin Explanation This is a clinical scenario that suggests severe sepsis or…
MRCPCH Recall: 5-year-old child, which fracture suggests NAI? MRCPCH Sucees Recall A. Spiral fracture of the humerus B. Spiral fracture of the femur C. Supracondylar fracture D. Buckle fracture E. Diaphyseal fracture of the femur More Recall
MRCPCH: If you’re preparing for the MRCPCH, you’re likely looking for effective study tips and reliable resources to help you succeed. This post will guide you through everything you need to know about the MRCPCH exam, including revision strategies, important topics, and expert advice to boost your chances of passing.
Recall An 8-month-old patient presented with their mother after a fall 30 minutes back there was a bruise of 6 cm in the head, no vomiting and GCS was 15. He is otherwise well. What to do? a. CT within 4 hours b. CT within 1 hour c. Discharge d. Observe for a while then…
