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  • Total Questions: 182
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  • Total Questions: 182
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RCEM FRCEM Exam Syllabus Topics:

SectionObjectives
Pharmacology- Principles of drug action
  • 1. Pharmacokinetics
    • 2. Emergency medications
      • 3. Pharmacodynamics
        Evidence-Based Medicine- Research methods and statistics
        • 1. Statistical interpretation
          • 2. Study design
            • 3. Sensitivity and specificity
              Pathology and Microbiology- Disease mechanisms and infection
              • 1. Viral infections
                • 2. Bacterial infections
                  • 3. Inflammation and tissue injury
                    Physiology- Core human physiology
                    • 1. Renal physiology
                      • 2. Respiratory physiology
                        • 3. Cardiovascular physiology
                          • 4. Endocrine physiology
                            Anatomy- System-based anatomy relevant to emergency medicine
                            • 1. Cardiovascular anatomy
                              • 2. Neurological anatomy
                                • 3. Musculoskeletal anatomy
                                  • 4. Respiratory anatomy

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    A 21 year old woman attends with an earring becoming lodged in the lobule of her ear You decide to perform a nerve block to allow removal of the earring Which nerve are you most likely to need to block?

                                    • A. Lesser occipital
                                    • B. Auricular branch of vagus
                                    • C. Posterior auncular branch of facial
                                    • D. Greater auricular
                                    • E. Auriculotemporal
                                    Answer: D

                                    A 20 year old woman has an incised wound over the angle of her jaw and you suspect damage to a branch of the facial nerve What action are you most likely to test to confirm your suspicion?

                                    • A. Pull corner of lips out and down
                                    • B. Protrude lower lip
                                    • C. Mandibular retraction
                                    • D. Mandibular elevation
                                    • E. Stick tongue out
                                    Answer: A

                                    A 48 year old man presents to the ED with sudden onset, severe abdominal pain His CT shows pneumoretroperitoneum. Which of these structures is most likely to have perforated?

                                    • A. Ileum
                                    • B. Duodenum
                                    • C. Transverse colon
                                    • D. Jejunum
                                    • E. Sigmoid colon
                                    Answer: B

                                    A therapeutic trial demonstrates that everyone who received the drug has improved while no one improved with placebo What best describes the expected number needed to treat?

                                    • A. 2
                                    • B. 10
                                    • C. 100
                                    • D. 50
                                    • E. 1
                                    Answer: E

                                    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 volume
                                    • B. Low white blood cell count
                                    • C. Raised mean corpuscular haemoglobin
                                    • D. High red cell distribution width
                                    • E. Low haemoglobin
                                    Answer: A

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