Predictions

High-probability topics for the upcoming exam

Very High Probability

AGN (PSGN)

6/24 nephrology questions. Predicted framing: 3-year-old with edema + tea-colored urine after sore throat → diagnosis, urinalysis, C3, management, complications.

Very High Probability

Nephrotic Syndrome (First Episode)

3/24 nephrology questions. Predicted framing: 4-year-old with periorbital edema + frothy urine → investigations, steroid regimen, complications.

Very High Probability

Rickets

5/14 endocrine questions. Predicted framing: 9-month-old with delayed teething + wrist swelling → biochemistry, X-ray, clinical features, treatment.

High Probability

Congenital Hypothyroidism

3/14 endocrine. Neonatal features + TSH screening + immediate thyroxine start.

High Probability

Testicular Torsion

2/24 nephrology. Emergency management. Doppler USG + surgery within 6 hours + bilateral fixation.

Moderate Probability

HUS

Classic triad (anemia, thrombocytopenia, AKI). Never tested in dataset. Potential surprise 10-mark essay.

Moderate Probability

Biliary Atresia

Neonatal cholestasis. Never tested. Kasai portoenterostomy timing (first 60 days).

Moderate Probability

DKA Management

Type 1 DM. Never tested. Fluid resuscitation, insulin drip, monitoring.

Exam Strategy Tips

1.Master the top 3 Very High probability topics first — they account for ~15% of all exam marks

2.Practice drawing management flowcharts for AGN and Nephrotic Syndrome — these carry diagram marks

3.Memorize biochemical pathways (rickets, DKA) with arrow diagrams

4.Focus on steroid protocols (ISKD) and complication management for nephrotic syndrome

5.Study emergency timelines (testicular torsion <6h, Kasai <60 days)

6.Keep one surprise topic ready (HUS, Biliary Atresia) — 10-mark essays appear without warning