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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. An eight year old boy presents with headache fever, fatigue and leg pain There is erythema and swelling over his thigh You suspect osteomyelitis.
What is the most likely causative organism?

A) Haemophilus influenza
B) Staphylococcus aureus
C) Streptococcus pyogenes
D) Salmonella typhimunum
E) Streptococcus pneumoniae

2. An 80 year old man presents with a stroke This has resulted in loss of all vagal output to his gastrointestinal tract Which function is most likely to be completely abolished in this patient?

A) Pancreatic polypeptide secretion
B) Secondary oesophageal peristalsis
C) Gastric acid secretion
D) Glucagon release
E) Primary oesophageal peristalsis

3. A premature baby is born at 28 weeks' gestation in your ED. They are at risk of respiratory distress syndrome due to lack of surfactant What best describes the composition of this substance?

A) Sphingolipid
B) Phospholipid
C) Phosphoglyceride
D) Glycolipid
E) Fatty acid

4. 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) L2
B) L3
C) L4
D) T12
E) L1

5. A 56 year old woman with hypothyroidism is found to have significant hypokalemia Which feature is most likely to be seen on her ECG?

A) Tall T waves
B) Prolonged PR interval
C) Prominent U waves
D) Short QT interval
E) J waves

Solutions: