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RCEM FRCEM Practice Q&A's

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RCEM FRCEM Exam Syllabus Topics:

SectionWeightObjectives
Pharmacology13%- Cardiovascular drugs
- Central nervous system and analgesics
- Principles of pharmacology
- Antimicrobials and anti-infectives
- Fluids, electrolytes and emergency drugs
- Respiratory drugs
Microbiology9%- General microbiology principles
- Infection control and immunity
- Bacterial, viral, fungal and parasitic pathogens
Anatomy33%- Head, neck and central nervous system
- Thorax
- Upper limb
- Lower limb
- Abdomen and pelvis
Evidence-Based Medicine6%- Study design and methodology
- Biostatistics and data interpretation
- Critical appraisal and clinical guidelines
Physiology33%- Renal and fluid balance
- Respiratory system
- Endocrine and metabolic physiology
- Cellular physiology
- Gastrointestinal system
- Cardiovascular system
Pathology5%- Neoplasia and systemic pathology
- Haematology and haemostasis
- Inflammation and immune response
- Cell injury and repair

RCEM FRCEM Primary Examination Sample Questions:

Question #1

A 24 year old man sustains an injury to his right eye The x-rays confirm an orbital floor fracture He complains of double vision on upward gaze Entrapment of which muscle is most likely responsible for his symptom?

  • A. Superior rectus
  • B. Inferior rectus
  • C. Superior oblique
  • D. Inferior oblique
  • E. Levator palpebrae superioris
Answer: B
Question #2

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. Pertussis
  • B. Meningococcal
  • C. Diptheria
  • D. Polio
  • E. Haemophilus influenzae B
Answer: B
Question #3

A patient presents with acute cardiac failure and is prescribed a loop diuretic In which part of the nephron will the diuretic inhibit the sodium-potassium-chloride cotransporter?

  • A. Distal convoluted tubule
  • B. Thick ascending limb
  • C. Collecting duct
  • D. Thin ascending limb
  • E. Proximal tubule
Answer: B
Question #4

A 34 year old woman with Graves' disease presents with fever, palpitations, tremor and anxiety Which hormone is most likely to be causing her symptoms?

  • A. Thyroid stimulating hormone
  • B. Thyroxine (T4)
  • C. Triiodothyronine (T3)
  • D. Adrenaline
  • E. Thyroid receptor hormone
Answer: A
Question #5

A patient presents with unilateral tongue swelling with no additional signs of allergic reaction She is on multiple cardiac medications Which drug is most likely to have caused these symptoms?

  • A. Simvastatin
  • B. Aspirin
  • C. Lisinopril
  • D. Bendroflumethiazide
  • E. Atenolol
Answer: C
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