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Question 1
A 6-week-old infant presents with a 4-day history of coryza followed by paroxysmal coughing fits ending in vomiting, with episodes of apnoea and colour change. The infant is afebrile. A characteristic inspiratory whoop is not heard. Which single investigation is most likely to confirm the diagnosis at this stage?
Correct Answer:
Per-nasal swab for Bordetella pertussis PCR
Question 2
A 3-year-old child presents with fever for 6 days, bilateral non-purulent conjunctivitis, a polymorphous rash, cracked red lips, cervical lymphadenopathy and erythema of the palms. Which investigation is most important to arrange to assess for the principal complication of this condition?
Correct Answer:
Echocardiogram
Question 3
A 14-year-old returns from sub-Saharan Africa with fever, headache and rigors 10 days after arrival. A thick and thin blood film confirms Plasmodium falciparum with a parasitaemia of 3%. He is alert, with no acidosis and a normal lactate. According to UK guidance, what is the most appropriate first-line treatment?
Correct Answer:
Intravenous artesunate
Question 4
A 4-year-old boy has recurrent severe bacterial infections including two episodes of pneumococcal pneumonia and one of meningococcal sepsis, plus a Neisseria infection. Complement studies show a markedly reduced CH50 with normal C3 and C4. Which immunological abnormality best explains this pattern?
Correct Answer:
Terminal complement pathway (C5-C9) deficiency
Question 5
A 2-year-old child develops generalised urticaria, facial swelling, wheeze and hypotension within minutes of eating peanut. The most appropriate immediate treatment is intramuscular adrenaline. What is the correct dose of 1:1000 adrenaline for this child?
Correct Answer:
150 micrograms (0.15 mL)
Question 1
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Prepare with the MRCPCH AKP Practice Questions - MRCPCH Applied Knowledge in Practice (AKP) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, shows, fever, and diagnosis. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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MRCPCH AKP Practice Questions - MRCPCH Applied Knowledge in Practice (AKP) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, shows, fever, and diagnosis. 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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