Exam Name: FRCEM Primary Examination
Certification Provider: RCEM
Corresponding Certification: FRCEM Certification
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RCEM FRCEM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Anatomy | - Head and Neck - Upper limb - Lower limb - Central Nervous System - Cranial nerve lesions - Thorax - Abdomen |
| Topic 2: Microbiology | - Pathogen groups - Principles of microbiology |
| Topic 3: Evidence-Based Medicine | - Study methodology - Statistics - Principles of critical appraisal |
| Topic 4: Physiology | - Endocrine physiology - Renal physiology - Respiratory physiology - Gastrointestinal physiology - Cardiovascular physiology - Basic cellular physiology |
| Topic 5: Pharmacology | - Cardiovascular system - Endocrine system - Gastrointestinal pharmacology - Fluids and electrolytes - Central nervous system - Anaesthesia pharmacology - Respiratory system - Musculoskeletal system - Immunological products and vaccines - Infections |
| Topic 6: Pathology | - Haematology - Wound healing - Inflammatory responses - Immune responses - Infection |
RCEM FRCEM Primary Examination Sample Questions:
A patient with severe renal impairment requires regular opioid analgesia for their pain You are concerned about opiate accumulation Which drug in this class is most appropriate in this patient?
- A. Morphine
- B. Pethidine
- C. Oxycodone
- D. Codeine
- E. Dihydrocodeine
Correct Answer: B 🗳️
A 17 year old girl presents with a maculopapular rash She has a seven day history of fever and sore throat and was prescribed an antibiotic three days ago Which antibiotic is most likely to have been prescribed?
- A. Ciprofloxacin
- B. Cephalexin
- C. Amoxicillin
- D. Clarithromycin
- E. Phenoxymethylpemcillin
Correct Answer: C 🗳️
A 20 year old woman with known diabetes presents with hypoglycaemia She was given glucagon with good recovery. Which cells ot the pancreas normally secrete this hormone?
- A. Exocrine
- B. Beta
- C. Delta
- D. Gamma
- E. Alpha
Correct Answer: E 🗳️
A 68 year old man with a history of Addison's disease presents having recently been diagnosed with a urinary tract infection He is hypotensive, tachycardic and clammy His biochemistry shows hyponatraemia and hyperkalemia.
Which hormone imbalance best explains his biochemical abnormalities?
- A. Mineralocorticoid deficiency
- B. Beta lipotropin excess
- C. Cortisol deficiency
- D. Adrenocorticotropic hormone excess
- E. Glucocorticoid deficiency
Correct Answer: A 🗳️
A 23 year old presents with episodes of a painful left arm which becomes swollen and cyanosed after they have been kayaking Obstruction of which structure is most likely to cause these symptoms'?
- A. Brachiocephalic vein
- B. Axillary vein
- C. Brachiocephalic trunk
- D. Subclavian vein
- E. Subclavian artery
Correct Answer: E 🗳️
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