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RCEM FRCEM Exam Syllabus Topics:

SectionObjectives
Topic 1: Physiology- Core human physiology
  • 1. Renal physiology
    • 2. Endocrine physiology
      • 3. Cardiovascular physiology
        • 4. Respiratory physiology
          Topic 2: Anatomy- System-based anatomy relevant to emergency medicine
          • 1. Neurological anatomy
            • 2. Musculoskeletal anatomy
              • 3. Respiratory anatomy
                • 4. Cardiovascular anatomy
                  Topic 3: Pharmacology- Principles of drug action
                  • 1. Emergency medications
                    • 2. Pharmacodynamics
                      • 3. Pharmacokinetics
                        Topic 4: Evidence-Based Medicine- Research methods and statistics
                        • 1. Sensitivity and specificity
                          • 2. Study design
                            • 3. Statistical interpretation
                              Topic 5: Pathology and Microbiology- Disease mechanisms and infection
                              • 1. Inflammation and tissue injury
                                • 2. Bacterial infections
                                  • 3. Viral infections

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    Question #1

                                    An 88 year old woman presents with haematemesis CT scan identifies a posterior ulcer of the superior part of the duodenum At what vertebral level would this be evident on the CT scan?

                                    • A. L3
                                    • B. L2
                                    • C. L1
                                    • D. T12
                                    • E. L4
                                    Answer: C
                                    Question #2

                                    A patient is in respiratory distress and you suspect left ventricular failure Which respiratory volume is most likely to be increased?

                                    • A. Inspiratory reserve
                                    • B. Expiratory reserve
                                    • C. Anatomical dead space
                                    • D. Residual volume
                                    • E. Physiological dead space
                                    Answer: E
                                    Question #3

                                    A 45 year old man with type II diabetes presents after a hypoglycaemic episode He has a history of diabetic eye disease He asks your advice about diabetes and driving.
                                    Which situation is most likely to allow him to continue driving according to the DVLA?

                                    • A. Development of impaired awareness of hypoglycaemia
                                    • B. Having type II diabetes treated with oral medications
                                    • C. Having more than one episode of severe hypoglycaemia in 12 months
                                    • D. An episode of severe hypoglycaemia while driving
                                    • E. Needing laser treatment to both eyes
                                    Answer: B
                                    Question #4

                                    A 24 year old woman presents with an abscess over her buttock. Examination reveals palpable groin lymphadenopathy. Which group of lymph nodes are most likely to be initially involved?

                                    • A. Deep inguinal
                                    • B. Superolateral superficial
                                    • C. External iliac
                                    • D. Inferior superficial
                                    • E. Superomedial superficial
                                    Answer: A
                                    Question #5

                                    A 40 year old woman with history o! anorexia, presents with sudden onset of confusion, loss of balance and a wide based gait. Which medication is most likely to be prescribed in the early stages of her treatment?

                                    • A. Cyanocobalamin
                                    • B. Glutathione
                                    • C. Vitamin D
                                    • D. Ascorbic acid
                                    • E. Thiamine
                                    Answer: E

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