MRCPCH Revision Resources: How to Pass Part 2 Exam
Introduction: MRCPCH Revision Resources for Part 2 Success Preparing for the MRCPCH Part 2 exam is a key milestone in every paediatric trainee’s journey toward membership of the Royal College of Paediatrics and Child Health (RCPCH). The exam tests not only clinical knowledge but also the ability to apply that knowledge to real-life paediatric scenarios….
Introduction: MRCPCH Revision Resources for Part 2 Success
Preparing for the MRCPCH Part 2 exam is a key milestone in every paediatric trainee’s journey toward membership of the Royal College of Paediatrics and Child Health (RCPCH). The exam tests not only clinical knowledge but also the ability to apply that knowledge to real-life paediatric scenarios. To succeed, candidates need structured guidance, consistent practice, and the right MRCPCH revision resources to focus their study time effectively.
There are many types of MRCPCH revision resources available
— from online question banks and interactive SBA (Single Best Answer) practice papers to textbooks, mobile apps, and peer discussion groups. High-quality resources simulate the exam format, highlight commonly tested topics, and help you identify weak areas early. Reliable materials such as Essential Revision Notes for MRCPCH, Illustrated Textbook of Paediatrics, and RCPCH-endorsed online modules can make revision more targeted and efficient.
When building your study plan, it’s helpful to combine both digital and traditional resources. For instance, using online MRCPCH question banks alongside printed notes ensures variety and keeps learning active. Study groups and clinical case discussions also reinforce understanding and improve confidence before the exam.
Choosing the right MRCPCH revision resources is not just about quantity — it’s about quality, consistency, and relevance to the current exam format. With a focused strategy and trusted materials, you can approach your MRCPCH Part 2 preparation with clarity, confidence, and success in mind.
Question
A 6-year-old boy presents with a 3-week history of pallor, lethargy, and intermittent fever. On examination, he has pallor, petechiae on his legs, and mild hepatosplenomegaly.
Investigations show:
- Hb: 6.5 g/dL
- WCC: 2.0 × 10⁹/L
- Platelets: 40 × 10⁹/L
- Peripheral blood film: blasts present
- Bone marrow aspirate: >25% blasts
Immunophenotyping confirms precursor B-cell acute lymphoblastic leukaemia (ALL).
Which of the following is the most important poor prognostic factor in this child? (Select one answer only)
A. Age 6 years
B. Hepatosplenomegaly
C. High white cell count at diagnosis (>50 × 10⁹/L)
D. Precursor B-cell immunophenotype
E. Presence of t(9;22) (Philadelphia chromosome)
Answer: E. Presence of t(9;22) (Philadelphia chromosome)
Explanation:
- Prognostic factors in childhood ALL include:
- Age: Best prognosis between 1–10 years.
- WCC: Poor prognosis if >50 × 10⁹/L.
- Cytogenetics: Presence of t(9;22) (Philadelphia chromosome) or t(4;11) = poor prognosis.
- Response to therapy: Minimal residual disease after induction predicts outcome.
- Immunophenotype: T-cell ALL worse than B-cell, but cytogenetic abnormalities carry more weight.
Thus, in this case, Philadelphia chromosome positivity is the strongest poor prognostic factor.
