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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Anatomy | 33% | - Thorax - Abdomen and pelvis - Upper limb - Head, neck and central nervous system - Lower limb |
| Pathology | 5% | - Inflammation and immune response - Neoplasia and systemic pathology - Haematology and haemostasis - Cell injury and repair |
| Physiology | 33% | - Endocrine and metabolic physiology - Respiratory system - Gastrointestinal system - Cardiovascular system - Renal and fluid balance - Cellular physiology |
| Microbiology | 9% | - General microbiology principles - Infection control and immunity - Bacterial, viral, fungal and parasitic pathogens |
| Pharmacology | 13% | - Principles of pharmacology - Cardiovascular drugs - Respiratory drugs - Fluids, electrolytes and emergency drugs - Antimicrobials and anti-infectives - Central nervous system and analgesics |
| Evidence-Based Medicine | 6% | - Study design and methodology - Biostatistics and data interpretation - Critical appraisal and clinical guidelines |
RCEM FRCEM Primary Examination Sample Questions:
An 80 year old man presents to the ED with clinical features suggestive of ischaemic bowel Which artery is most commonly occluded in this condition?
- A. Superior mesenteric
- B. Left colic
- C. Coeliac
- D. Gastroduodenal
- E. Inferior mesenteric
A 20 year old woman presents with symptoms and signs suggestive of infectious mononucleosis Proliferation of which cells on the peripheral blood film would best support your diagnosis?
- A. Basophils
- B. Eosinophils
- C. Neutrophils
- D. Monocytes
- E. Lymphocytes
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. Antagonises the renm-angiotensm-aldosterone system
- E. Decreases angiotensin II
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. Mitral valve
- B. Tricuspid valve
- C. Foramen ovale
- D. Aortic valve
- E. Pulmonary valve
You plan to use a local anaesthetic to provide intravenous regional anaesthesia to reduce a patient's wrist fracture Which local anaesthetic is most appropriate?
- A. Prilocaine
- B. Ropivacame
- C. Tetracaine
- D. Lidocaine
- E. Bupivacaine
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