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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. You are leaching medical students cardiovascular examination and the link between heart sounds and the cardiac cycle. Which phase best correlates with the start of the first heart sound?

A) Atrial systole
B) Isovolumetric contraction
C) Isovolumetric relaxation
D) Ventricular filling
E) Ventricular ejection

2. A 24 year old woman presents with an abscess over her buttock. Examination reveals palpable groin lymphadenopathy. Which group of lymph nodes are most likely to be initially involved?

A) Inferior superficial
B) Superolateral superficial
C) Deep inguinal
D) Superomedial superficial
E) External iliac

3. A 45 year old man is brought into the ED by the police following a witnessed seizure. He is suspected to be alcohol dependent Which haematological index best suggests this dependence?

A) Low haemoglobin
B) Low white blood cell count
C) Raised mean corpuscular haemoglobin
D) High red cell distribution width
E) Raised mean corpuscular volume

4. A 48 year old man presents with a flare up of gout You recommend treatment with a non-steroidal anti-inflammatory drug (NSAID) He is concerned because his wife suffered a peptic ulcer associated with NSAID use Which medication would be your first choice NSAID to minimise his risk of gastrointestinal side effects?

A) Ibuprofen
B) Diclofenac
C) Naproxen
D) Piroxicam
E) Indomethacin

5. A 23 year old woman presents with facial swelling She has hereditary angioedema due to complement deficiency Which organism is it most important for this patient to be vaccinated agains?

A) Influenza
B) Herpes zoster
C) Parainfluenza
D) Neisseria meningitidis
E) Clostridium tetani

Solutions: