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RCEM FRCEM Practice Q&A's

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RCEM FRCEM Exam Syllabus Topics:

SectionObjectives
Evidence-Based Medicine- Statistics
- Principles of critical appraisal
- Study methodology
Microbiology- Pathogen groups
- Principles of microbiology
Physiology- Gastrointestinal physiology
- Basic cellular physiology
- Renal physiology
- Respiratory physiology
- Cardiovascular physiology
- Endocrine physiology
Pharmacology- Immunological products and vaccines
- Central nervous system
- Fluids and electrolytes
- Musculoskeletal system
- Infections
- Gastrointestinal pharmacology
- Cardiovascular system
- Endocrine system
- Anaesthesia pharmacology
- Respiratory system
Pathology- Infection
- Inflammatory responses
- Immune responses
- Haematology
- Wound healing
Anatomy- Upper limb
- Abdomen
- Thorax
- Cranial nerve lesions
- Lower limb
- Central Nervous System
- Head and Neck

RCEM FRCEM Primary Examination Sample Questions:

Question #1

A father brings his febrile eight week old child to the ED. He tells you that the child's vaccinations are fully up to date. Which of the following vaccines has the child not yet received'?

  • A. Diptheria
  • B. Polio
  • C. Meningococcal
  • D. Pertussis
  • E. Haemophilus influenzae B
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Question #2

A 40 year old woman taking the oral contraceptive pill was prescribed phenytom following a seizure Some months later she becomes pregnant What is the most likely mechanism by which this treatment has led to tailure of her contraception?

  • A. Inhibition of oestrogen receptors
  • B. Alteration of intestinal flora
  • C. Interference with protein binding of the contraceptive pill
  • D. Increased renal clearance of the contraceptive pill
  • E. Liver enzyme induction
Reveal Solution  Discussion  0

Correct Answer: E  🗳️

Question #3

A 54 year old man presents with an incised wound to the anterior compartment of his lower leg Exploration of the wound identifies a complete transection at the origin of the tibialis anterior muscle What associated motor deficit of the toot is most likely in this patient?

  • A. Dorsiflexion and eversion
  • B. Plantarflexion and eversion
  • C. Plantarflexion
  • D. Dorsiflexion and inversion
  • E. Plantarflexion and inversion
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #4

A patient is noted to have a low sodium level. The urinary biochemistry suggests a diagnosis of syndrome of inappropriate anti-diuretic hormone secretion.
Which of these medications is the most likely cause of this abnormality?

  • A. Fluoxetine
  • B. Ramipnl
  • C. Prednisolone
  • D. Furosemtde
  • E. Spironolactone
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #5

A 60 year old woman presents lo the ED feeling generally unwell She is found to be uraemic She has missed several of her renal dialysis sessions.
Urea will most likely move through the dialysis membranes by which mechanism?

  • A. Co-transport
  • B. Active transport
  • C. Osmosis
  • D. Facilitated diffusion
  • E. Simple diffusion
Reveal Solution  Discussion  0

Correct Answer: E  🗳️

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