Paediatrics — in the LEK question base
Child development and nutrition, childhood diseases, the Polish immunisation schedule, health checks, paediatric emergencies.
- Questions in base
- 387
- Share of base
- 12.6%
- Roughly on the paper
- ~18
The "on the paper" figure assumes the 140 questions drawn from the base are distributed in proportion to its composition. CEM does not publish per-field quotas, so treat it as an order of magnitude rather than a promise.
Required reading — paediatrics
The list CEM publishes for this field. Questions are written from these titles, so where a lecture and a listed textbook disagree, the textbook decides.
They appear here in Polish, exactly as CEM lists them — these are the specific editions that count, and most have no English translation. That is not an oversight on our part; it is the central practical problem of sitting this exam in English.
- 01 Anna Dobrzańska, Łukasz Obrycki, Piotr Socha (red.) — Pediatria w praktyce lekarza POZ, Media-Press, 2022
- 02 Piotr Albrecht (red.) — Pediatria. Poradnik kliniczny, wyd. II polskie, Elsevier, 2021
- 03 Tom Lissauer, Will Carroll; T. Jackowska, A. Wrotek (red.) — Pediatria, wyd. VI, Edra Urban & Partner, 2023
- 04 Aktualny Program Szczepień Ochronnych
- 05 Piotr Buda, Ryszard Grenda (red.) — Poradnik dyżuranta, wyd. II, Media-Press, 2021 (zalecane)
- 06 Anna Oblacińska i in. — ABC bilansów zdrowia dziecka, wyd. II, Medycyna Praktyczna, 2025 (zalecane)
- 07 Hanna Szajewska, Andrea Horvath (red.) — Żywienie i leczenie żywieniowe dzieci i młodzieży, wyd. II, Medycyna Praktyczna, 2024 (zalecane)
Source: the CEM reading list . As at August 2026 — check before your session in case CEM has revised it.
Sample questions from the base
Ten items from CEM's public listing for this field, in the official English wording used on the exam paper. The correct answer is highlighted. Detailed explanations live in our Polish application (source of preparation).
What drug is used for the treatment of juvenile idiopathic arthritis?
- A acetylsalicylic acid.
- B second generation cephalosporin.
- C phenoxymethylpenicillin.
- D methotrexate. ✓
- E none of the above.
Which of the following concerning Carney syndrome is false?
- A is an autosomal dominantly inherited syndrome.
- B is caused by an inactivating mutation of the PRKR1A gene.
- C occurs after puberty, most often in men. ✓
- D Cushing's syndrome in patients with Carney syndrome can be subclinical, cyclical and overt.
- E increase in cortisol concentration is observed after dexamethasone administration.
Congenital metabolic disorders should be considered when there is an episode of:
- A non-immune fetal hydrops.
- B signs suggestive of Reye's syndrome.
- C convulsions and/or apnea in a child without signs of an infection.
- D A,B,C are true. ✓
- E B and C are true.
Which of the following is not a typical symptom of the early phase of Streptococcus agalactiae infection in neonates?
- A respiratory distress requiring intubation and mechanical ventilation.
- B pulmonary hypertension.
- C osteitis. ✓
- D septic shock.
- E meningitis.
Which of the following clinical problems may indicate primary immunodeficiency? 1) six acute otitis media in a child 4 years of age during a year; 2) seven mild episodes of pharyngitis during a year in a 3-year-old child attending kindergarten; 3) purulent inflammation of the hip joint caused by Staphylococcus aureus in a 5-yearold child and extensive liver abscess of the same etiology at 9 years of age; 4) childhood tuberculosis in a mother, BCGitis in her son; 5) a 7-year-old unvaccinated against pneumococci boy underwent invasive pneumococcal disease; the boy had no problematic disease before and doesn't have any other health problems; 6) occurrence of three episodes of pneumonia during a year in a 12-year-old healthy girl including last episode complicated with lung abscess and pleural empyema; she had to be hospitalized for all episodes. The correct answer is:
- A 1,3,4,6. ✓
- B 1,3,4,5,6.
- C 3,4,5,6.
- D 2,3,4,5.
- E 1,3,5,6.
In a patient with the symptoms of acute urticaria with no allergy in anamnesis, it is necessary to order:
- A whole blood count with blood smear, CRP.
- B skin prick tests.
- C physical tests.
- D all the above.
- E none of the above. ✓
What are the typical features of pseudohypoparathyroidism?
- A increased phosphate and cAMP urinary excretion after PTH infusion.
- B decreased serum calcium and increased serum phosphate concentrations. ✓
- C decreased serum calcium and decreased serum phosphate concentrations.
- D decreased serum PTH concentration.
- E shortened 2 and 3 metacarpal bones.
Indicate false sentences concerning vesico-ureteral reflux (VUR): 1) diagnosis is based on voiding cystourethrography; 2) we identify five grades of VUR; 3) only grade I primary VUR is treated conservatively; 4) refluxes with ureteral distension are treated surgically; 5) grade I, II, III VUR are treated conservatively. The correct answer is:
- A only 3. ✓
- B 3,4.
- C 1,5.
- D 2,5.
- E only 2.
A type of monogenic diabetes characterized by autosomal dominant inheritance and constantly elevated fasting glycemia which generally does not require pharmacological treatment is:
- A Wolfram syndrome.
- B DEND syndrome.
- C MODY2 diabetes. ✓
- D MODY3 diabetes.
- E MODY5 diabetes.
In children fever and small itchy blisters that form crusts within 7 days are the symptoms of:
- A erythema infectiosum.
- B impetigo.
- C HSV infection.
- D chickenpox. ✓
- E measles.
Full listing for this field contains 387 questions — these ten are a preview. Detailed rationales, spaced-repetition scheduling and citations are in the Polish app (English coverage is in progress).
How to get through this field
387 questions is a finite, countable set — at twenty a day you are through it in 20 days. The difficulty is not the volume. It is that the CEM listing gives you the questions and nothing else: no answer key, no explanation and no indication which of the books above the answer came from.
In our bank every question in this field carries an explanation and a citation to its source. Instead of memorising a letter you see why the other four options are wrong — and that is the part which transfers to the 60 unpublished questions you cannot prepare for in advance. The English edition is in progress; these pages come first.