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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Evidence-Based Medicine | 6% | - Study design and methodology - Critical appraisal and clinical guidelines - Biostatistics and data interpretation |
| Topic 2: Pharmacology | 13% | - Antimicrobials and anti-infectives - Respiratory drugs - Principles of pharmacology - Cardiovascular drugs - Fluids, electrolytes and emergency drugs - Central nervous system and analgesics |
| Topic 3: Anatomy | 33% | - Lower limb - Head, neck and central nervous system - Thorax - Upper limb - Abdomen and pelvis |
| Topic 4: Physiology | 33% | - Gastrointestinal system - Respiratory system - Cellular physiology - Cardiovascular system - Endocrine and metabolic physiology - Renal and fluid balance |
| Topic 5: Microbiology | 9% | - Infection control and immunity - Bacterial, viral, fungal and parasitic pathogens - General microbiology principles |
| Topic 6: Pathology | 5% | - Inflammation and immune response - Cell injury and repair - Haematology and haemostasis - Neoplasia and systemic pathology |
RCEM FRCEM Primary Examination Sample Questions:
A two year old child presents with a barking cough You suspect croup Which virus is most likely to be implicated?
- A. Measles
- B. Respiratory syncytial virus
- C. Rhinovirus
- D. Parainfluenza
- E. Adenovirus
Correct Answer: D 🗳️
A 75 year old woman is prescribed aspirin for secondary prevention following myocardial infarction The formation by platelets of what substance is most likely to be inhibited by this medication?
- A. Prostacyclin
- B. Fibrin
- C. Fibrinogen
- D. Plasminogen
- E. Thromboxane
Correct Answer: E 🗳️
A 30 year old woman attends the ED with a worsening headache and tight periorbital pain over the last (ew hours You suspect cavernous sinus thrombosis Her right eye has ptosis, mydriasis and is deviated laterally and downward Which nerve is most likely to be affected?
- A. Optic
- B. Trigeminal
- C. Oculomotor
- D. Abducens
- E. Trochlear
Correct Answer: C 🗳️
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. Increased gastric distention
- B. Release of gastrin
- C. Low fat content of chyme
- D. Decreased duodenal luminal pH
- E. More liquids than solids in the stomach
Correct Answer: D 🗳️
A 21 year old woman is confirmed to have giardiasis
Which characteristic of this specific parasite best explains its persistent intestinal attachment?
- A. Vacule formation
- B. Hooks
- C. Sucking disc
- D. Oral sucker
- E. Intestinal mucosa penetration
Correct Answer: B 🗳️
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