RCEM FRCEM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Pharmacology | - Respiratory system - Anaesthesia pharmacology - Endocrine system - Gastrointestinal pharmacology - Infections - Musculoskeletal system - Central nervous system - Immunological products and vaccines - Cardiovascular system - Fluids and electrolytes |
| Topic 2: Pathology | - Wound healing - Haematology - Infection - Inflammatory responses - Immune responses |
| Topic 3: Microbiology | - Pathogen groups - Principles of microbiology |
| Topic 4: Anatomy | - Thorax - Cranial nerve lesions - Upper limb - Central Nervous System - Abdomen - Head and Neck - Lower limb |
| Topic 5: Evidence-Based Medicine | - Principles of critical appraisal - Statistics - Study methodology |
| Topic 6: Physiology | - Basic cellular physiology - Endocrine physiology - Cardiovascular physiology - Gastrointestinal physiology - Renal physiology - Respiratory physiology |
RCEM FRCEM Primary Examination Sample Questions:
Question 1
An 18 year old man presents with persistent vomiting You diagnose type I diabetes mellitus He asks you the implications of his diagnosis for driving a car What is the most accurate advice according to the DVLA?
A. Inform the DVLA if insulin dependent
B. Only inform the DVLA if disabling hypoglycaemia
C. Inform the DVLA if any episodes of hypoglycaemia
D. Inform the DVLA if insulin treatment for >3 months
E. You do not need to contact DVLA
Question 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 haemoglobin
B. Raised mean corpuscular volume
C. High red cell distribution width
D. Low haemoglobin
E. Low white blood cell count
Question 3
You plan to use a local anaesthetic to provide intravenous regional anaesthesia to reduce a patient's wrist fracture Which local anaesthetic is most appropriate?
A. Bupivacaine
B. Tetracaine
C. Ropivacame
D. Prilocaine
E. Lidocaine
Question 4
A patient presents with an arrhythmia and as you are treating them you discuss with a student the depolarisation phase of the cardiac action potential Which change initiates this phase of the action potential?
A. Closure of potassium channel
B. Opening of sodium channel
C. Opening of calcium channel
D. Opening of potassium channel
E. Closure of sodium channel
Question 5
A 21 year old woman is confirmed to have giardiasis
Which characteristic of this specific parasite best explains its persistent intestinal attachment?
A. Hooks
B. Vacule formation
C. Intestinal mucosa penetration
D. Sucking disc
E. Oral sucker
Solutions:
| Question 1 Answer: C | Question 2 Answer: B | Question 3 Answer: B | Question 4 Answer: B | Question 5 Answer: A |
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