Let’s be honest: Paediatrics is a totally different ball game. In adult medicine, your patient can usually tell you where it hurts. In Paediatrics, your patient might just cry, pull at their ear, or simply refuse to eat. You aren’t just treating a “small adult”—you are managing a rapidly changing organism where “normal” vitals change every few months of age.
Below is the exam paper download link
Past Paper On Paediatrics And Child Health I For Revision
Above is the exam paper download link
Whether you are prepping for your clinical rotations or sitting for your written finals, the volume of developmental milestones and drug dosages (calculated by weight, of course!) can feel like a lot to juggle. The best way to move from panic to precision is to see how these topics are tested. That is why we’ve organized a Paediatrics and Child Health I Past Paper Revision Pack for you to download and master.
Before you grab the link below, let’s look at some of the recurring “essentials” that examiners love to throw at students.
Paediatrics Q&A: The Revision Essentials
1. How do you distinguish between Physiological and Pathological Jaundice in a neonate?
This is a staple question in almost every Paediatrics I paper.
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Physiological Jaundice: Appears after 24 hours of life, peaks at day 3-5, and usually disappears by day 10. It’s caused by the baby’s immature liver catching up.
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Pathological Jaundice: Appears within the first 24 hours of life. It’s a red flag for things like ABO incompatibility, sepsis, or biliary atresia. If you see a question about a yellow baby at 12 hours of age, your answer should be “Urgent investigation.”
2. What are the “Red Flags” in developmental milestones at 9 months?
Examiners don’t expect you to be a walking textbook, but they do expect you to know when a child is falling behind. At 9 months, a child should be sitting without support and starting to crawl.
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The Red Flag: If a child isn’t sitting by 9 months or hasn’t started “babbling,” it’s time for a developmental screen. Remember: developmental assessment is about trends, not just single dates.
3. How do you manage a child with Severe Acute Malnutrition (SAM)?
In papers focused on community paediatrics or child health in developing regions, SAM is a high-priority topic. You need to know the 10 Steps of Management by the WHO.
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The Critical Phase: Never start with a high-protein diet. You must first treat hypoglycemia, hypothermia, and dehydration. You “start low and go slow” with F-75 formula to avoid refeeding syndrome.
4. What is the “Rule of Thumb” for Paediatric Fluid Resuscitation?
In emergencies, you don’t have time to look at a chart. Most exams will test your knowledge of the 20ml/kg bolus. If a 10kg child is in shock, you give a 200ml bolus of Normal Saline.
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Note: For neonates or children with heart failure, that bolus might be reduced to 10ml/kg. Always check the patient’s age in the prompt!
Why Downloading Past Papers is Your Best Bet
Paediatrics I is heavy on “Pattern Recognition.” By working through our downloadable revision pack, you will:
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Master Growth Charts: Practice plotting height, weight, and head circumference. Knowing how to spot “stunting” vs. “wasting” on a graph is worth 10-15 marks easily.
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Learn the “Dose-by-Weight” Math: You’ll get used to calculating Paracetamol or Gentamicin doses based on kilograms, which is where many students lose silly marks.
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Identify Topic Trends: You’ll notice that IMCI (Integrated Management of Childhood Illness), Immunization Schedules, and Neonatal Resuscitation appear in almost every single paper.
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Secure Your Revision Material
Don’t let the “little things” trip you up. We’ve gathered the last five years of Paediatrics and Child Health I papers, including marking schemes that show you exactly how to structure your answers for clinical cases.
