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RCEM FRCEM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Microbiology | - Pathogen groups - Principles of microbiology |
| Pharmacology | - Cardiovascular system - Musculoskeletal system - Fluids and electrolytes - Respiratory system - Gastrointestinal pharmacology - Infections - Immunological products and vaccines - Endocrine system - Anaesthesia pharmacology - Central nervous system |
| Pathology | - Inflammatory responses - Haematology - Wound healing - Immune responses - Infection |
| Evidence-Based Medicine | - Statistics - Principles of critical appraisal - Study methodology |
| Anatomy | - Central Nervous System - Thorax - Cranial nerve lesions - Abdomen - Upper limb - Lower limb - Head and Neck |
| Physiology | - Renal physiology - Gastrointestinal physiology - Respiratory physiology - Endocrine physiology - Cardiovascular physiology - Basic cellular physiology |
RCEM FRCEM Primary Examination Sample Questions:
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. Abductor pollicis brevis
- B. Adductor pollicis
- C. Opponens pollicis
- D. First dorsal interosseous
- E. Extensor pollicis brevis
Correct Answer: C 🗳️
You are managing a patient with life threatening asthma and you start IV aminophylline Which electrolyte is it most important to monitor in this patient?
- A. Chloride
- B. Magnesium
- C. Sodium
- D. Potassium
- E. Calcium
Correct Answer: D 🗳️
A 33 year old man presents with signs of sepsis. A venous blood gas is taken which confirms an elevated haematocnt level What best describes the normal range of haematocnt you expect to find in a healthy male of this age?
- A. 10-19%
- B. 30-39%
- C. 20-29%
- D. 50-59%
- E. 40-49%
Correct Answer: E 🗳️
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. PaC02
- D. Base Excess
- E. Pa02
Correct Answer: D 🗳️
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. Release of gastrin
- B. Decreased duodenal luminal pH
- C. More liquids than solids in the stomach
- D. Increased gastric distention
- E. Low fat content of chyme
Correct Answer: B 🗳️
