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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pharmacology | 13% | - Principles of pharmacology - Respiratory drugs - Antimicrobials and anti-infectives - Central nervous system and analgesics - Fluids, electrolytes and emergency drugs - Cardiovascular drugs |
| Topic 2: Evidence-Based Medicine | 6% | - Study design and methodology - Critical appraisal and clinical guidelines - Biostatistics and data interpretation |
| Topic 3: Physiology | 33% | - Gastrointestinal system - Cardiovascular system - Cellular physiology - Renal and fluid balance - Respiratory system - Endocrine and metabolic physiology |
| Topic 4: Anatomy | 33% | - Head, neck and central nervous system - Thorax - Abdomen and pelvis - Lower limb - Upper limb |
| Topic 5: Microbiology | 9% | - General microbiology principles - Bacterial, viral, fungal and parasitic pathogens - Infection control and immunity |
| Topic 6: Pathology | 5% | - Neoplasia and systemic pathology - Cell injury and repair - Inflammation and immune response - Haematology and haemostasis |
RCEM FRCEM Primary Examination Sample Questions:
A 70 year old woman presents to the ED with symptoms and signs suggestive of sepsis Her BP is 80/40 You think her low BP is because of a drop in the systemic vascular resistance Which type of blood vessels are most likely implicated in causing her hypotension?
- A. Venules
- B. Capillaries
- C. Veins
- D. Arteries
- E. Arterioles
A 78 year old woman presents with a painful shoulder after a fall. On examination she is unable to lift the dorsum of her hand off her mid-lumbar spine (lift-off test).
Which muscle is most likely to have been injured?
- A. Supraspinatus
- B. Teres major
- C. Teres minor
- D. Subscapulars
- E. Infraspinatus
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. Hypoglossal
- B. Chorda tympanae
- C. Vagus
- D. Glossopharyngeal
- E. Lingual
A 40 year old woman wilh a new diagnosis of type II diabetes has significant hyperglycaemia What is the most likely cause of her elevated blood glucose?
- A. Excessive glucocorticoid production
- B. Reduced glucagon secretion
- C. Reduced insulin production by pancreatic beta cells
- D. Increased cellular resistance to insulin
- E. Production of abnormal insulin
A 72 year old diabetic man develops an oculomotor nerve palsy.
Which clinical sign are you most likely to find?
- A. Increased lacrimation
- B. Constriction of the pupil
- C. Absence of sweating on the face
- D. Absent corneal reflex
- E. Deviation of the eye inferolaterally
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