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RCEM FRCEM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Evidence-Based Medicine | - Research methods and statistics
|
| Topic 2: Pharmacology | - Principles of drug action
|
| Topic 3: Physiology | - Core human physiology
|
| Topic 4: Pathology and Microbiology | - Disease mechanisms and infection
|
| Topic 5: Anatomy | - System-based anatomy relevant to emergency medicine
|
RCEM FRCEM Primary Examination Sample Questions:
Question 1
A keen cyclist attends the ED complaining of clumsiness and tingling in his right hand When he attempts to grip paper in his first web space he is only able to achieve this by flexing his right thumb.
Innervation of which muscle is most likely compromised?
A. First dorsal interosseous
B. Opponens pollicis
C. Adductor pollicis
D. Abductor pollicis brevis
E. Extensor pollicis brevis
Question 2
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. PaC02
B. Base Excess
C. HC03
D. Pa02
E. pH
Question 3
A 54 year old man presents with headaches, palpitations and diaphoresis Imaging findings are consistent with a phaeochromocytoma The cells affected in this condition are most likely to be found in which region?
A. Adrenal medulla.
B. Zona fasciculata
C. Adrenal cortex
D. Zona glomerulosa
E. Zona reticularis
Question 4
A 45 year old man has been in a motorbike crash A CT scan shows a fracture dislocation at T4 The sensory level is most likely to be found at which surface landmark?
A. Apex beat
B. Umbilicus
C. Sternal notch
D. Nipple line
E. Xiphisternum
Question 5
A 34 year old man presents with bruising and swelling over the anterior arm after lifting weights at the gym.
There is pain and weakness on attempted internal rotation and adduction of the shoulder.
Rupture of which muscle best explains these findings?
A. Pectoralis major
B. Serratus anterior
C. Trapezius
D. Latissimus dorsi
E. Pectoralis minor
Solutions:
| Question 1 Answer: B | Question 2 Answer: B | Question 3 Answer: A | Question 4 Answer: D | Question 5 Answer: E |


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