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RCEM FRCEM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Pathology and Microbiology | - Disease mechanisms and infection
|
| Anatomy | - System-based anatomy relevant to emergency medicine
|
| Pharmacology | - Principles of drug action
|
| Evidence-Based Medicine | - Research methods and statistics
|
| Physiology | - Core human physiology
|
RCEM FRCEM Primary Examination Sample Questions:
Question 1
A 54 year old man presents with headaches, palpitations and diaphoresis Imaging findings are consistent with a phaeochromocytoma The cells affected in this condition are most likely to be found in which region?
A. Adrenal cortex
B. Zona glomerulosa
C. Zona reticularis
D. Zona fasciculata
E. Adrenal medulla.
Question 2
A 47 year old woman with a diagnosis of pulmonary hypertension attends the ED with breathlessness An increase in which physiological parameter is the most likely consequence of this condition?
A. Left ventricular contractility
B. Pulmonary venous resistance
C. Pulmonary arterial blood flow
D. Right atrial pressure
E. Right ventricular afterload
Question 3
A patient presenting with acute onset neurological symptoms has a CT scan of their brain that shows an acute pontine haemorrhage What is the most likely clinical finding?
A. Hemianopia
B. Unilateral sensory disturbance
C. Speech disturbance
D. Reduced conscious level
E. Unilateral motor disturbance
Question 4
You are treating a patient with a dysrhythmia You are teaching your students about the phases of the cardiac action potential and emphasize the absolute refractory period as a means of preventing another action potential being generated Which factor is most important for this period?
A. Calcium channel activation
B. Potassium channel activation
C. Potassium channel mactivation
D. Sodium channel activation
E. Sodium channel inactivation
Question 5
A 43 year old woman has fallen from a horse and has paralysis of the legs She has full movement at the shoulder and wrist but is unable to flex or abduct/adduct her fingers What is the most likely vertebral level of the spinal injury1?
A. C5/C6
B. C4/C5
C. C6/C7
D. T1/T2
E. C7/T1
Solutions:
| Question 1 Answer: E | Question 2 Answer: B | Question 3 Answer: D | Question 4 Answer: E | Question 5 Answer: E |
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