Pass MRCPCH on verified past papers.
Every question reconstructed from real sittings, cross-checked against current UK guidance and Nelson, and explained option by option — not just the answer, but why the other four are wrong.
One full past paper free on every exam. No card required.
- 5,437
- Past-paper questions
- 22
- AKP sittings, 2019–2026
- 4,344
- Question-bank items
- 583
- Study topics covered
An 8-year-old girl presents to Accident & Emergency with general malaise, headache and a 7th cranial nerve palsy. Her parents are divorced, and the symptoms began two weeks ago while she was staying with her American father in rural Massachusetts in the USA. On examination, as well as a seventh cranial nerve palsy, she is febrile, with an erythematous annular lesion on her trunk, and a swollen knee.
What is the likely diagnosis?
The rash described and cranial nerve palsies are not typical features of JIA.
Caused by Borrelia burgdorferi — consider it in any child with an annular lesion plus neurological, cardiac or joint symptoms.
Three exams
Built for each part, not bolted together.
Each exam is its own subscription, its own question pool, and its own progress. Buy only the part you're sitting.
FOP
Foundation of Practice
The breadth paper. General paediatrics, acute presentations and the science underneath.
- Past papers
- 14 sittings
- Questions
- 1,400 questions
Explore FOP
TAS
Theory and Science
Physiology, pharmacology, genetics and statistics — the part that rewards precision.
- Past papers
- 14 sittings
- Questions
- 1,397 questions
Explore TAS
AKP
Applied Knowledge in Practice
Two papers, clinical judgement throughout. Our deepest bank, back to 2013.
- Past papers
- 22 sittings
- Questions
- 2,640 questions
Explore AKP
See it first
A real question, exactly as you'll meet it.
This is an actual AKP item from our bank — nothing simplified for the website.
An 8-year-old girl presents to Accident & Emergency with general malaise, headache and a 7th cranial nerve palsy. Her parents are divorced, and the symptoms began two weeks ago while she was staying with her American father in rural Massachusetts in the USA. On examination, as well as a seventh cranial nerve palsy, she is febrile, with an erythematous annular lesion on her trunk, and a swollen knee.
What is the likely diagnosis?
- Reconstructed from real recalls
- Checked against current UK guidance
- Every option explained
What you get
Everything the revision actually needs.
No dashboards you'll never open. Six things, each built properly.
Past papers, whole
Sit a real sitting end to end, timed, with answers held back until you finish — exactly like the day itself.
Question bank
Mix by topic, drill only what you've never seen, or grind through only the ones you got wrong.
Mock exams
Full-length papers under exam conditions, with a summary that tells you where you actually stand.
Option-by-option explanations
Not one paragraph on the answer. Five — one for every option, so a wrong answer teaches you something.
Your queues, tracked
Unseen, incorrect, favourited and flagged, kept per exam and always current across every device.
Study notes
290+ subtopics of structured notes written to the RCPCH curriculum, with tables and references.
Study
Read it, then be tested on it.
290+ subtopics of structured notes across 25 paediatric topics, written to the RCPCH curriculum. Tables, references and images — not a wall of bullet points.
Topic, subtopic, notes. Three taps, no hunting.
Browse topics
Supraventricular tachycardia
The commonest symptomatic arrhythmia in children. Most cases are re-entrant, involving an accessory pathway or dual AV nodal physiology.
Presentation
- •Infants: pallor, poor feeding, breathlessness
- •Older children: palpitations, chest discomfort
Pricing
One exam at a time. Cancel whenever.
Same price for every part. The difference is the content, not the tier.
FOP
Foundation of Practice
£39.90/3 months
or £19.90 per month
- All past papers for the exam
- Full question bank
- Mock exams (coming soon)
- Complete study notes
- Progress and readiness tracking
TAS
Theory and Science
£39.90/3 months
or £19.90 per month
- All past papers for the exam
- Full question bank
- Mock exams (coming soon)
- Complete study notes
- Progress and readiness tracking
AKP
Applied Knowledge in Practice
£39.90/3 months
or £19.90 per month
- All past papers for the exam
- Full question bank
- Mock exams (coming soon)
- Complete study notes
- Progress and readiness tracking
Free forever
The most recent past paper on every exam, with full explanations, plus the first topic of every study section. No card required.
Questions
Before you sign up.
They are reconstructions. MRCPCH papers are confidential and are never published, so every question in our past-paper bank is rebuilt from candidate recalls, then rewritten to exam standard and verified against current UK guidance and Nelson. The clinical content and the reasoning are faithful; the exact wording of the real paper is not reproduced.
Every past-paper item carries its source and the guideline it was checked against, and items are re-reviewed when guidance changes. The AKP bank currently runs from January 2013 to May 2025, with newer sittings added as recalls are collected and verified.
Yes. Each exam is a separate subscription, so you can hold AKP and FOP at the same time, or buy them one after another as you sit each part. Your progress is tracked separately for each.
You keep your account, your session history, your notes and your flagged questions. You drop back to the free tier - the most recent past paper on each exam, plus the first topic of every study section. Resubscribing restores everything immediately.
Any time, from your settings, in two clicks. You keep access until the end of the period you have already paid for. There is no notice period and no cancellation fee.
Better than a trial - there is a permanent free tier. Create an account and you can sit a complete past paper on every exam, with full option-by-option explanations, without entering a card.
Yes. Everything works in a mobile browser, including sitting a timed paper. Sessions sync across devices, so you can start a paper on a laptop and finish it on a phone.
No. PaedVault is an independent revision resource and has no affiliation with, and no endorsement from, the Royal College of Paediatrics and Child Health. The College sets the exam and the standard; we help you prepare for it.
Start with a full past paper. Free.
Create an account and sit a complete, verified MRCPCH paper with option-by-option explanations. Decide afterwards.
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