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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Evidence-Based Medicine | 6% | - Critical appraisal and clinical guidelines - Biostatistics and data interpretation - Study design and methodology |
| Pharmacology | 13% | - Principles of pharmacology - Fluids, electrolytes and emergency drugs - Antimicrobials and anti-infectives - Central nervous system and analgesics - Respiratory drugs - Cardiovascular drugs |
| Physiology | 33% | - Cardiovascular system - Gastrointestinal system - Renal and fluid balance - Respiratory system - Cellular physiology - Endocrine and metabolic physiology |
| Pathology | 5% | - Inflammation and immune response - Neoplasia and systemic pathology - Cell injury and repair - Haematology and haemostasis |
| Anatomy | 33% | - Lower limb - Abdomen and pelvis - Thorax - Upper limb - Head, neck and central nervous system |
| Microbiology | 9% | - Infection control and immunity - Bacterial, viral, fungal and parasitic pathogens - General microbiology principles |
RCEM FRCEM Primary Examination Sample Questions:
A 15 year old girl with sickle cell anaemia attends with left leg swelling and pain Further investigations suggest a diagnosis of osteomyelitis of her tibia.
What is the most likely causative organism?
- A. Pseudomonas aeruginosa
- B. Escherichia coli
- C. Streptococcus pneumoniae
- D. Haemophilus influenza
- E. Salmonella typhimunum
Correct Answer: E 🗳️
A 56 year old presents unwell They are diagnosed with a hypertensive crisis. You decide to start sodium nitroprusside What best describes the mechanism of action of this drug?
- A. Inhibits angiotensin converting enzyme
- B. Releases nitric oxide
- C. Decreases the breakdown of bradykmin
- D. Decreases angiotensin II
- E. Antagonises the renm-angiotensm-aldosterone system
Correct Answer: B 🗳️
You are considering procedural sedation for a patient with vascular compromise due to a fracture They ate a meal two hours ago You are trying to remember the factors that affect gastric emptytng in healthy patients What factor will delay gastric emptying?
- A. More liquids than solids in the stomach
- B. Decreased duodenal luminal pH
- C. Low fat content of chyme
- D. Increased gastric distention
- E. Release of gastrin
Correct Answer: B 🗳️
A 20 year old woman complains of loss of taste from the posterior part of her tongue She is two days post tonsillectomy Which nerve is most likely damaged?
- A. Lingual
- B. Hypoglossal
- C. Chorda tympanae
- D. Vagus
- E. Glossopharyngeal
Correct Answer: E 🗳️
A three year old girl is diagnosed with measles in the ED and is well enough to be discharged Her dad wants to know when she can return to nursery.
What is the recommended absence period?
- A. Until fever has settled for 24 hours
- B. Four days after the onset of rash
- C. Until the rash has disappeared
- D. Until conjunctivitis and mucous membrane rash has resolved
- E. Seven days after the rash has disappeared
Correct Answer: E 🗳️
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