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Question 1
A 2-year-old presents in winter with a barking cough, inspiratory stridor at rest, and a hoarse voice. He is alert with mild subcostal recession and no drooling. Temperature is 37.9C. What is the most appropriate first-line treatment?
Correct Answer:
Oral dexamethasone 0.15 mg/kg
Question 2
A 6-month-old infant has a 3-day history of coryza followed by cough, wheeze and feeding difficulty. Examination shows fine bibasal crepitations and widespread wheeze, respiratory rate 60, SpO2 93% in air. What is the most appropriate management according to NICE guidance?
Correct Answer:
Supportive care with feeding and oxygen support as needed
Question 3
A 5-year-old with known asthma presents with an acute attack. He is too breathless to complete sentences, respiratory rate 40, heart rate 150, SpO2 91% in air, and PEF is 45% of predicted. Which single feature most strongly indicates this is a SEVERE rather than moderate exacerbation?
Correct Answer:
Inability to complete sentences in one breath
Question 4
A newborn is found on heel-prick screening to have a raised immunoreactive trypsinogen, and a sweat test shows a chloride concentration of 75 mmol/L. Genetic testing confirms two CFTR mutations. Which organism is the most common cause of early respiratory infection in young children with this condition?
Correct Answer:
Staphylococcus aureus
Question 5
A 3-year-old presents with sudden-onset cough and unilateral wheeze after eating peanuts at a party. Chest examination reveals reduced air entry on the right with localised monophonic wheeze, and the child is otherwise stable. What is the most appropriate next investigation?
Correct Answer:
Chest X-ray
Question 1
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About this Exam

Prepare with the MRCPCH FOP Practice Questions - MRCPCH Foundation of Practice (FOP) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, diagnosis, fever, and history. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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MRCPCH FOP Practice Questions - MRCPCH Foundation of Practice (FOP) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, diagnosis, fever, and history. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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