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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Microbiology | 9% | - General microbiology principles - Infection control and immunity - Bacterial, viral, fungal and parasitic pathogens |
| Anatomy | 33% | - Lower limb - Thorax - Upper limb - Abdomen and pelvis - Head, neck and central nervous system |
| Evidence-Based Medicine | 6% | - Critical appraisal and clinical guidelines - Biostatistics and data interpretation - Study design and methodology |
| Pathology | 5% | - Haematology and haemostasis - Inflammation and immune response - Neoplasia and systemic pathology - Cell injury and repair |
| Pharmacology | 13% | - Principles of pharmacology - Central nervous system and analgesics - Respiratory drugs - Cardiovascular drugs - Fluids, electrolytes and emergency drugs - Antimicrobials and anti-infectives |
| Physiology | 33% | - Renal and fluid balance - Respiratory system - Cardiovascular system - Gastrointestinal system - Endocrine and metabolic physiology - Cellular physiology |
RCEM FRCEM Primary Examination Sample Questions:
A 34 year old woman with Graves' disease presents with fever, palpitations, tremor and anxiety Which hormone is most likely to be causing her symptoms?
- A. Adrenaline
- B. Triiodothyronine (T3)
- C. Thyroxine (T4)
- D. Thyroid stimulating hormone
- E. Thyroid receptor hormone
Correct Answer: D 🗳️
A comatose patient has a respiratory rate of live breaths per minute following an overdose of heroin He receives naloxone and his respiratory rate rapidly improves to 16 breaths per minute Which component of arterial blood gas sampling is most likely to rapidly decrease following this intervention?
- A. pH
- B. HC03
- C. Base Excess
- D. Pa02
- E. PaC02
Correct Answer: C 🗳️
A 38 year old man with an atrial septal defect complains of chest pain. On auscultation you hear a loud and split second heart sound in the second intercostal space, left parasternal region.
Closure of which structure is most likely responsible for this finding?
- A. Aortic valve
- B. Tricuspid valve
- C. Mitral valve
- D. Foramen ovale
- E. Pulmonary valve
Correct Answer: D 🗳️
A 65 year old patient presents to the ED with a three hour history of expressive dysphasia. You suspect a stroke and order a CT scan Which area of the brain is the most likely site of the infarct?
- A. Parietal
- B. Occipital
- C. Temporal
- D. Frontal
- E. Cerebellum
Correct Answer: D 🗳️
A 37 year old man is injured and has significant blood loss Following blood transfusion his systolic blood pressure increases from 70 to 100 Which physiological parameter is most likely to decrease in response?
- A. Cardiac output
- B. Right atrial pressure
- C. Total peripheral resistance
- D. Stroke volume
- E. Pulmonary artery pressure
Correct Answer: C 🗳️
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