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Exam Review

Key Facts: CMCP Pediatría Exam

300 MCQs

Exam items, organized as 60 clinical cases

CMCP Convocatoria 26 septiembre 2026

3 h 30 min

Exam duration

CMCP Convocatoria 26 septiembre 2026

180 / 300

Minimum correct answers to pass (60%)

CMCP Convocatoria 26 septiembre 2026

MXN 5,000

Certification or recertification exam fee

CMCP Convocatoria 26 septiembre 2026

3 sittings

2026 exam dates: 21 Feb, 13 Jun, 26 Sep

CMCP (cmcpmx.org)

16 sections

Areas in the official written-exam study guide

CMCP Guía de estudio

The CMCP exam is the CONACEM-recognized board certification exam for pediatrics in Mexico: 300 case-based multiple-choice items in 3 hours 30 minutes, passed with 180 correct answers. The fee is MXN 5,000, and 2026 sittings were held in February, June, and September.

Sample CMCP Pediatría Practice Questions

Try these sample questions to review concepts for the CMCP Pediatría exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 106+ question experience with AI tutoring.

1A full-term male newborn is delivered via uncomplicated spontaneous vaginal delivery. At birth, he is apneic and limp. The infant is placed under a radiant warmer, dried, positioned, and bulb-suctioned, but remains apneic with a heart rate of 70 beats per minute at 35 seconds of life. According to the Neonatal Resuscitation Program (NRP 9th edition, based on the 2025 AHA/AAP guidelines), what is the immediate next step?
A.Initiate synchronized chest compressions at a 3:1 ratio
B.Begin positive pressure ventilation (PPV) with room air (21% FiO2)
C.Administer free-flow 100% oxygen via a face mask held close to the nose
D.Intubate the trachea immediately with an uncuffed 3.5 mm endotracheal tube
Explanation: According to NRP (9th edition) and the 2025 AHA/AAP neonatal resuscitation guidelines, positive pressure ventilation (PPV) is the single most important and effective step in neonatal resuscitation. In a newborn who remains apneic, gasping, or bradycardic (heart rate <100 bpm) after initial warming, drying, and tactile stimulation, PPV must be initiated within the first 60 seconds of life ('The Golden Minute'). In term infants, PPV should begin with room air (21% FiO2).
2During resuscitation of a depressed newborn requiring positive pressure ventilation and chest compressions, the resuscitation team requires continuous, rapid, and accurate heart rate measurement. According to current NRP (9th edition) standards, what is the preferred monitoring modality?
A.Continuous pre-ductal pulse oximetry on the right wrist
B.Intermittent precordial auscultation with a stethoscope over 6 seconds
C.3-lead electrocardiographic (ECG) monitoring
D.Palpation of umbilical cord pulsations at the abdominal insertion
Explanation: NRP (8th and 9th editions) emphasizes that 3-lead ECG monitoring provides the most rapid, continuous, and reliable measurement of neonatal heart rate, especially when chest compressions or epinephrine are needed. Pulse oximetry may fail to acquire a reliable signal during poor peripheral perfusion, and umbilical palpation frequently underestimates true heart rate.
3A neonate is receiving positive pressure ventilation via face mask for persistent bradycardia. After 15 seconds, the assistant reports no visible chest movement and the heart rate remains 50 bpm. Following the 'MR. SOPA' corrective sequence, the provider has already adjusted the mask seal (M) and repositioned the head into the sniffing position (R). What is the next corrective step?
A.Suction the mouth and nose (S) and open the mouth slightly (O)
B.Increase the peak inspiratory pressure (P) by 10 to 15 cm H2O
C.Perform emergency endotracheal intubation (A)
D.Administer intravenous epinephrine via the umbilical vein
Explanation: The MR. SOPA sequence stands for: Mask adjustment, Reposition airway; Suction mouth and nose, Open mouth; Pressure increase; Alternative airway. After M and R, the resuscitation team must perform S (suction mouth then nose) and O (open the mouth with slight downward jaw traction) before escalating inspiratory pressure.
4Which of the following clinical scenarios represents an explicit indication for endotracheal intubation during neonatal resuscitation in the delivery room?
A.A term newborn with meconium-stained amniotic fluid who is vigorous with a strong cry
B.A 36-week infant with transient tachypnea and an SpO2 of 88% at 5 minutes of life
C.An infant with a heart rate of 110 bpm who exhibits mild intercostal retractions on room air
D.Chest compressions are indicated because heart rate remains <60 bpm despite effective PPV
Explanation: According to NRP guidelines, endotracheal intubation is strongly recommended when chest compressions are initiated, as it optimizes ventilation efficiency and synchronization with chest compressions. It is also indicated if PPV with a face mask does not achieve chest rise, for stabilization of suspected congenital diaphragmatic hernia, or for surfactant administration.
5In neonatal cardiopulmonary resuscitation, at what heart rate threshold are chest compressions indicated?
A.Heart rate below 100 beats per minute despite drying and tactile stimulation
B.Heart rate below 60 beats per minute despite at least 30 seconds of effective PPV that inflates the lungs
C.Heart rate below 80 beats per minute after 15 seconds of free-flow blow-by oxygen
D.Heart rate below 50 beats per minute immediately at birth prior to attempting ventilation
Explanation: Chest compressions are indicated in a neonate only when the heart rate remains below 60 beats per minute after at least 30 seconds of positive pressure ventilation that moves the chest (preferably through an advanced airway). Effective ventilation is the cornerstone of neonatal recovery.
6What is the recommended compression-to-ventilation ratio and delivery rate during neonatal cardiopulmonary resuscitation?
A.15 compressions to 2 ventilations delivering 100 compressions per minute
B.30 compressions to 2 ventilations delivering 120 compressions per minute
C.3 compressions to 1 ventilation delivering 90 compressions and 30 breaths per minute
D.5 compressions to 1 ventilation delivering 100 compressions and 20 breaths per minute
Explanation: NRP recommends a 3:1 ratio of chest compressions to ventilations for neonates, providing 90 compressions and 30 breaths per minute (totaling 120 events per minute). This prioritizes both myocardial perfusion and essential alveolar ventilation.
7A full-term newborn remains bradycardic with a heart rate of 40 bpm after 60 seconds of coordinated chest compressions and 100% oxygen PPV via an endotracheal tube. What is the recommended first-line route and dose of epinephrine according to current NRP guidelines?
A.Intravenous/intraosseous route at 0.02 mg/kg (0.2 mL/kg of 1:10,000 solution)
B.Endotracheal route at 0.02 mg/kg (0.2 mL/kg of 1:10,000 solution)
C.Intravenous route at 0.1 mg/kg (1.0 mL/kg of 1:10,000 solution)
D.Intramuscular route into the vastus lateralis at 0.01 mg/kg
Explanation: Under current NRP and 2025 AHA/AAP guidelines, the preferred route for epinephrine is intravenous (via umbilical venous catheter) or intraosseous at a dose of 0.02 mg/kg (range 0.01 to 0.03 mg/kg), which equals 0.2 mL/kg of 1:10,000 (0.1 mg/mL) solution. Endotracheal administration requires a much higher dose (0.05 to 0.1 mg/kg) and is only used temporarily while vascular access is established.
8A premature infant is delivered at 33 weeks of gestation. Tactile stimulation and drying fail to establish spontaneous respirations, and positive pressure ventilation is required. According to the 2025 AHA/AAP neonatal resuscitation guidelines, what is the recommended initial concentration of inspired oxygen (FiO2)?
A.100% oxygen (FiO2 1.0) to prevent cellular hypoxia
B.50% to 60% oxygen blended with medical air
C.Room air only (21% FiO2) until 10 minutes of life
D.21% to 30% oxygen (FiO2 0.21–0.30) titrated by pulse oximetry
Explanation: The 2025 AHA/AAP guidelines (reflected in NRP 9th edition) set initial FiO2 by gestational age: 21% for infants ≥35 weeks, 21% to 30% for infants 32 to 34 weeks, and 30% or higher for infants <32 weeks, always titrated by pre-ductal pulse oximetry to the minute-specific saturation targets. For this 33-week infant, 21% to 30% is the recommended starting range; unnecessarily high initial concentrations cause hyperoxia-mediated oxidative stress in developing lungs and retinas.
9A 32-week preterm infant is breathing spontaneously with a heart rate of 145 bpm immediately following delivery, but displays moderate tachypnea, grunting, and intercostal retractions. What is the most appropriate initial respiratory management?
A.Immediate endotracheal intubation and mechanical ventilation
B.Continuous positive airway pressure (CPAP) at 5 to 8 cm H2O via nasal prongs
C.Blow-by 100% oxygen through wide-bore tubing
D.Prophylactic intravenous aminophylline without respiratory support
Explanation: Preterm infants who are breathing spontaneously with a heart rate ≥100 bpm but show signs of respiratory distress benefit from continuous positive airway pressure (CPAP) at 5 to 8 cm H2O. Early CPAP stabilizes functional residual capacity, prevents alveolar collapse, and significantly reduces the need for invasive mechanical ventilation.
10During a traumatic emergency delivery complicated by placental abruption, a neonate is delivered pale, hypotensive, and unresponsive to PPV. Acute hypovolemia is suspected. Which crystalloid solution and dose should be administered for emergency volume expansion?
A.5% albumin solution at 20 mL/kg over 1 minute
B.5% dextrose in water (D5W) at 10 mL/kg rapid push
C.0.9% sodium chloride (normal saline) at 10 mL/kg IV over 5 to 10 minutes
D.Lactated Ringer's solution at 30 mL/kg rapid bolus
Explanation: When volume expansion is indicated for suspected acute hypovolemic shock (e.g., blood loss from placental abruption or vasa previa), the recommended fluid is isotonic crystalloid (0.9% NaCl) or O-negative packed red blood cells at a dose of 10 mL/kg administered intravenously or intraosseously over 5 to 10 minutes.

About the CMCP Pediatría Exam

Independent study practice by OpenExamPrep for the certification exam of the Consejo Mexicano de Certificación en Pediatría, A.C. (CMCP), a CONACEM-recognized specialty council. The official exam is a Spanish-language written test of 300 multiple-choice items in 60 clinical cases (3 hours 30 minutes, pass with 180 or more correct), held three times in 2026 (21 February, 13 June, and 26 September). This bank is an independent English-language MCQ study adaptation built on the CMCP study-guide areas and current international guidelines and Mexican NOMs; it is not an official translation or simulation of the CMCP exam.

Exam sponsor: Consejo Mexicano de Certificación en Pediatría A.C. (CMCP). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

The CMCP certification exam is a single written multiple-choice exam of 300 items organized as 60 clinical cases, with a time limit of 3 hours 30 minutes. It assesses theoretical knowledge, clinical reasoning, medical decision-making, and application of evidence, and candidates pass with 180 or more correct answers. The exam is taken in person at the assigned venue on a digital platform; for the 26 September 2026 sitting the venues were CEAT Tlatelolco (Mexico City), Universidad Autónoma de Guadalajara, and CECyT 08 (La Paz), with results published on 9 October 2026.

Time Limit

3 hours 30 minutes

Passing Score

180/300 correct

Exam / Certification Fees

MXN 5,000

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

Weight not published

Neonatología y Reanimación Neonatal

Gestational-age disorders, newborn assessment (Capurro, Ballard, Apgar, Silverman-Anderson), neonatal resuscitation (NRP 9th edition / 2025 AHA-AAP), respiratory distress syndrome, meconium aspiration, transient tachypnea, perinatal asphyxia, hyperbilirubinemia, neonatal sepsis, necrotizing enterocolitis, and metabolic disorders

Weight not published

Crecimiento, Desarrollo, Nutrición y Vacunas

Developmental milestones and screening (Prueba EDI), growth faltering, breastfeeding and complementary feeding (NOM-043-SSA2-2012), malnutrition, and Mexico's national vaccination schedule

Weight not published

Infectología Pediátrica y Exantemas

Exanthematous illnesses, Kawasaki disease, acute otitis media, bronchiolitis, croup, epiglottitis, and other common pediatric infections

Weight not published

Emergencias Pediátricas, Gastroenterología y Deshidratación

Pediatric septic shock and vasoactive support, dehydration assessment and WHO / NOM-031-SSA2-1999 Plans A, B, and C, oral rehydration salts and zinc, gastroenteritis and dysentery, hypertrophic pyloric stenosis, and intussusception

Weight not published

Nefrología, Neurología y Hematología Pediátrica

Urinary tract infection and vesicoureteral reflux (AAP), idiopathic nephrotic syndrome (IPNA/KDIGO), febrile seizures, acute lymphoblastic leukemia and tumor lysis prevention, and immune thrombocytopenia (ASH 2019)

Weight not published

Subespecialidades Pediátricas

Other study-guide sections: ductal-dependent congenital heart disease (cardiopulmonary), congenital hypothyroidism (endocrinology), Down syndrome health supervision (genetics), developmental dysplasia of the hip (orthopedics), retinoblastoma (ophthalmology), and IgA vasculitis (immuno-rheumatology)

Preparing for the CMCP Pediatría Exam

What You Need to Know

  • Passing score: 180/300 correct
  • Assessment: The CMCP certification exam is a single written multiple-choice exam of 300 items organized as 60 clinical cases, with a time limit of 3 hours 30 minutes. It assesses theoretical knowledge, clinical reasoning, medical decision-making, and application of evidence, and candidates pass with 180 or more correct answers. The exam is taken in person at the assigned venue on a digital platform; for the 26 September 2026 sitting the venues were CEAT Tlatelolco (Mexico City), Universidad Autónoma de Guadalajara, and CECyT 08 (La Paz), with results published on 9 October 2026.
  • Time limit: 3 hours 30 minutes
  • Exam / certification fees: MXN 5,000 Official sources

Using Our Practice Resources

  • Work through all 106 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

CMCP Pediatría: Suggested Study Strategy

1Use the 16-section CMCP study guide as your checklist; the bank covers the highest-yield areas, but the official exam spans all sections, including cardiology, surgery, genetics, and otolaryngology.
2Review neonatal resuscitation under NRP 9th edition / 2025 AHA-AAP guidance, including initial oxygen concentration by gestational age and ventilation before chest compressions.
3Know Mexico's national vaccination schedule (BCG, hepatitis B, hexavalent, rotavirus, pneumococcal conjugate, MMR/SRP) and the NOM-043-SSA2-2012 breastfeeding and complementary-feeding recommendations.
4Practice dehydration classification with the WHO chart and the NOM-031-SSA2-1999 Plans A, B, and C, including Vida Suero Oral volumes and zinc supplementation.
5Work through timed clinical cases: the official exam has 60 cases with 5 items each in 3 hours 30 minutes, about 42 seconds per item.

Frequently Asked Questions

What is the Consejo Mexicano de Certificación en Pediatría (CMCP) exam?

It is the specialty certification exam for pediatricians administered by the CMCP, a specialty council recognized by CONACEM. It is open to physicians who have completed a pediatrics specialty, and certified pediatricians can also take it to recertify.

How is the CMCP exam structured?

According to the 26 September 2026 convocatoria, the exam has 300 multiple-choice items organized as 60 clinical cases, with 3 hours 30 minutes to answer. A candidate passes with 180 or more correct answers. The exam is taken in person at an assigned venue on a digital platform.

When and where was the CMCP exam held in 2026, and what does it cost?

The CMCP held sittings on 21 February, 13 June, and 26 September 2026. For the September sitting, registration closed on 4 September, venues were Mexico City (CEAT Tlatelolco), Guadalajara, and La Paz, and results were published on 9 October 2026. The fee was MXN 5,000 for certification or recertification by exam.

What does the CMCP study guide cover?

The official 'Guía de estudio para presentar el examen escrito' lists 16 sections: neonatology; emergencies and intensive care; gastroenterology and nutrition; hemato-oncology; infectious diseases and vaccines; cardiopulmonary; pediatric surgery; allergy and dermatology; endocrinology; nephro-urology; genetics; orthopedics; neurology; immunology and rheumatology; ophthalmology; and otolaryngology. The CMCP does not publish section weights.

Why is this practice bank in English, and is it an official CMCP resource?

The CMCP exam is conducted in Spanish. This OpenExamPrep bank is an independent English-language MCQ study adaptation for self-assessment; it is not an official translation or simulation of the CMCP exam, and it is not affiliated with or endorsed by the CMCP or CONACEM.