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RCEM FRCEM Exam Syllabus Topics:

SectionWeightObjectives
Pathology5%- Neoplasia and systemic pathology
- Inflammation and immune response
- Haematology and haemostasis
- Cell injury and repair
Physiology33%- Cellular physiology
- Cardiovascular system
- Respiratory system
- Renal and fluid balance
- Endocrine and metabolic physiology
- Gastrointestinal system
Evidence-Based Medicine6%- Biostatistics and data interpretation
- Study design and methodology
- Critical appraisal and clinical guidelines
Anatomy33%- Abdomen and pelvis
- Lower limb
- Upper limb
- Thorax
- Head, neck and central nervous system
Pharmacology13%- Respiratory drugs
- Principles of pharmacology
- Antimicrobials and anti-infectives
- Central nervous system and analgesics
- Cardiovascular drugs
- Fluids, electrolytes and emergency drugs
Microbiology9%- General microbiology principles
- Infection control and immunity
- Bacterial, viral, fungal and parasitic pathogens

RCEM FRCEM Primary Examination Sample Questions:

1. A 25 year old man sustains a crush injury to his chest A CT scan reveals an oesophageal rupture as it passes through the diaphragm At which vertebral level is this injury most likely to have occurred?

A) T11
B) T9
C) T7
D) T10
E) T8


2. When taking a history from a 74 year old woman, she tells you she has pernicious anaemia Where are the cells that are attacked in this autoimmune condition most likely to be located?

A) Ascending colon
B) Duodenum
C) Jejunum
D) Stomach
E) Ileum


3. A five year old girl presents with a fever, a non-blanching rash and drowsiness. You suspect meningococcal infection What is most likely mode of spread for this infection?

A) Airborne
B) Blood
C) Skin contact
D) Faecal-oral
E) Droplet


4. A pregnant patient presents to the department following an eclamptic seizure She requires management for her hypertension.
Which drug would be most appropriate in this case?

A) Sodium nitroprusside
B) Glyceryl trinitrate
C) Atenolol
D) Labetalol
E) Nifedipine


5. A 26 year old man sustains a stab wound to the anterior aspect of the left side of his neck The wound involves the thoracic inlet Which structure is most likely to be encountered and injured first?

A) Subclavian vein
B) Thoracic duct
C) Subclavian artery
D) Pleura
E) Oesophagus


Solutions:

Question # 1
Answer: E
Question # 2
Answer: D
Question # 3
Answer: E
Question # 4
Answer: D
Question # 5
Answer: D

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