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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Anatomy | 33% | - Head, neck and central nervous system - Upper limb - Abdomen and pelvis - Lower limb - Thorax |
| Evidence-Based Medicine | 6% | - Critical appraisal and clinical guidelines - Study design and methodology - Biostatistics and data interpretation |
| Pharmacology | 13% | - Cardiovascular drugs - Antimicrobials and anti-infectives - Fluids, electrolytes and emergency drugs - Principles of pharmacology - Respiratory drugs - Central nervous system and analgesics |
| Physiology | 33% | - Cellular physiology - Gastrointestinal system - Respiratory system - Renal and fluid balance - Cardiovascular system - Endocrine and metabolic physiology |
| Pathology | 5% | - Neoplasia and systemic pathology - Cell injury and repair - Inflammation and immune response - Haematology and haemostasis |
| Microbiology | 9% | - General microbiology principles - Infection control and immunity - Bacterial, viral, fungal and parasitic pathogens |
RCEM FRCEM Primary Examination Sample Questions:
1. A 50 year old man presents with hypoglycaemia You decide to give him intramuscular glucagon Which organ is most affected by this treatment to increase blood sugar levels?
A) Pancreas
B) Kidney
C) Adrenal
D) Ileum
E) Liver
2. A 45 year old man is brought into the ED by the police following a witnessed seizure. He is suspected to be alcohol dependent Which haematological index best suggests this dependence?
A) Raised mean corpuscular volume
B) Raised mean corpuscular haemoglobin
C) Low white blood cell count
D) Low haemoglobin
E) High red cell distribution width
3. You intubate a patient in the resuscitation room After inducing anaesthesia you lie the patient supine. Which lung volume is most affected by this change in posture?
A) Inspiratory reserve volume
B) Tidal volume
C) Inspiratory capacity
D) Residual volume
E) Functional residual capacity
4. A 23 year old woman presents with facial swelling She has hereditary angioedema due to complement deficiency Which organism is it most important for this patient to be vaccinated agains?
A) Clostridium tetani
B) Neisseria meningitidis
C) Influenza
D) Herpes zoster
E) Parainfluenza
5. A patient presents with muscle spasms caused by hypocalcaemia What is the most likely physiological response to this abnormality?
A) Decreased vitamin D synthesis
B) Decreased secretion of calcium from bone
C) Increased calcitonin secretion
D) Decreased renal excretion of phosphate
E) Increased parathyroid secretion
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: E |
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