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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Pathology | 5% | - Haematology and haemostasis - Neoplasia and systemic pathology - Inflammation and immune response - Cell injury and repair |
| Microbiology | 9% | - General microbiology principles - Bacterial, viral, fungal and parasitic pathogens - Infection control and immunity |
| Evidence-Based Medicine | 6% | - Biostatistics and data interpretation - Critical appraisal and clinical guidelines - Study design and methodology |
| Anatomy | 33% | - Upper limb - Thorax - Lower limb - Abdomen and pelvis - Head, neck and central nervous system |
| Physiology | 33% | - Renal and fluid balance - Respiratory system - Cardiovascular system - Gastrointestinal system - Cellular physiology - Endocrine and metabolic physiology |
| Pharmacology | 13% | - Central nervous system and analgesics - Principles of pharmacology - Fluids, electrolytes and emergency drugs - Respiratory drugs - Antimicrobials and anti-infectives - Cardiovascular drugs |
RCEM FRCEM Primary Examination Sample Questions:
Question 1
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. Collecting duct
B. Thin ascending limb
C. Distal convoluted tubule
D. Proximal tubule
E. Thick ascending limb
Question 2
A 52 year old woman (alls from a root sustaining a fracture dislocation at T12/L1 level Which muscle is most likely to be injured*?
A. Psoas minor
B. lliacus
C. Latissimus dorsi
D. Rhomboid major
E. Pectineus
Question 3
A 78 year old has a (all and hits her forehead During (he fall she hyperexlended her neck and now complains of weakness in her arms You suspect she may have central cord syndrome What is the most likely anatomical cause of this injury during hyperextension?
A. Herniation of a cervical disc
B. Laxity of the ligamentum flavum
C. Anterior osteophytes causing compression
D. Compression of the posterior vertebral artery
E. Infarction of the anterior spinal artery
Question 4
A 43 year old Afghan national presents to the ED with a four month history of cough, weight loss and night sweats What test is most consistent with active tuberculosis?
A. Chest x-ray showing a cavitating lesion
B. Sputum sample showing ziehl-nielsen stain negative bactena
C. Chest x-ray showing lobar consolidation
D. Absence of a bacille calmette-guenn scar
E. Positive mantoux test
Question 5
An 80 year old man presents to the ED with clinical features suggestive of ischaemic bowel Which artery is most commonly occluded in this condition?
A. Left colic
B. Coeliac
C. Inferior mesenteric
D. Superior mesenteric
E. Gastroduodenal
Solutions:
| Question 1 Answer: E | Question 2 Answer: C | Question 3 Answer: B | Question 4 Answer: A | Question 5 Answer: D |
