Fcps-2 Paediatrics IMM & Clinical Preparation

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Fcps-2 Paediatrics IMM & Clinical Preparation

Exam-oriented Clinical Paediatrics for FCPS-II & IMM
Bedside approach • TOACS • Viva confidence
By Consultant Paediatricians
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15/01/2026

🩺 CASE 10 – SHORT CASE (DEVELOPMENT)

Scenario:
A 2-year-old child not speaking meaningful words and poor eye contact.

Examiner Answers:

Most likely diagnosis:
👉 Autism Spectrum Disorder

Screening tool:
👉 M-CHAT

Key management principle:
👉 Early intervention & behavioral therapy

14/01/2026

🩺 CASE 9 – LONG CASE (GASTROENTEROLOGY)

Scenario:
A 1-year-old child with chronic diarrhea, abdominal distension, and poor weight gain.

Examiner Answers:

Diagnosis:
👉 Celiac disease

Confirmatory test:
👉 Anti-tTG antibodies

Key management:
👉 Lifelong gluten-free diet

13/01/2026

🩺 CASE 8 – SHORT CASE (NEONATOLOGY)

Scenario:
A newborn with poor feeding, vomiting, lethargy, and hypoglycemia.

Examiner Answers:

Most likely diagnosis:
👉 Inborn error of metabolism

First investigation:
👉 Blood glucose

Immediate management:
👉 Stop feeds, give IV glucose

12/01/2026

🩺 CASE 7 – LONG CASE (INFECTIOUS DISEASE)

Scenario:
A 4-year-old child with prolonged fever, weight loss, lymphadenopathy, and hepatosplenomegaly.

Examiner Answers:

Likely diagnosis:
👉 Disseminated Tuberculosis

Key investigation:
👉 GeneXpert / Mantoux (supportive)

Important point:
👉 Always assess nutritional status

11/01/2026

🩺 CASE 6 – SHORT CASE (HEMATOLOGY)

Scenario:
A 6-year-old with pallor, jaundice, splenomegaly, and history of repeated blood transfusions.

Examiner Answers:

Diagnosis:
👉 Beta Thalassemia Major

Confirmatory test:
👉 Hemoglobin electrophoresis

Definitive treatment:
👉 Bone marrow transplant

10/01/2026

🩺 CASE 5 – LONG CASE (NEUROLOGY)

Scenario:
An 18-month-old child with delayed milestones, hypotonia, macrocephaly, and seizures.

Examiner Answers:

Most likely diagnosis:
👉 Hydrocephalus

Key examination points:

Increased head circumference

Bulging fontanelle

Setting sun sign

Definitive management:
👉 Ventriculoperitoneal shunt

09/01/2026

🩺 CASE 4 – SHORT CASE (ENDOCRINE)

Scenario:
A 9-year-old child presents with polyuria, polydipsia, weight loss, and fatigue.

Examiner Answers:

Diagnosis:
👉 Type 1 Diabetes Mellitus

First investigation:
👉 Random blood sugar

Emergency complication to rule out:
👉 Diabetic ketoacidosis (DKA)

08/01/2026

🩺 CASE 3 – LONG CASE (CARDIOLOGY)

Scenario:
A 3-year-old child with recurrent chest infections, failure to thrive, loud P2, and hepatomegaly.

Examiner Answers:

Likely diagnosis:
👉 Ventricular Septal Defect with Pulmonary Hypertension

Key examination points:

Loud P2

Parasternal heave

Hepatomegaly

Important complication:
👉 Eisenmenger syndrome

07/01/2026

🩺 CASE 2 – SHORT CASE (NUTRITION)

Scenario:
A 2-year-old child with bilateral pedal edema, moon face, sparse hair, and irritability.

Examiner Answers:

Diagnosis:
👉 Kwashiorkor

One key differentiating feature:
👉 Presence of edema

Immediate management:
👉 Treat hypoglycemia, hypothermia, and infection first

Examiner trap:
Jumping directly to high-protein diet.

06/01/2026

🩺 CASE 1 – LONG CASE (RESPIRATORY)

Scenario:
A 5-year-old boy presents with recurrent cough, failure to thrive, bulky stools, and clubbing.

Examiner Answers:

Most likely diagnosis:
👉 Cystic Fibrosis

Key examination points (mention any 3):

Clubbing

Chest hyperinflation

Crepitations

Poor weight gain

One confirmatory investigation:
👉 Sweat chloride test

Examiner trap:
Candidates forget to comment on nutrition & pancreatic involvement.

05/01/2026

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04/01/2026

FCPS-2 Paediatrics is not tough.
Unplanned preparation is.

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Lahore
05488

Website

https://medpros.pk/fcps

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