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RCEM FRCEM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Pathology and Microbiology | - Disease mechanisms and infection
|
| Evidence-Based Medicine | - Research methods and statistics
|
| Physiology | - Core human physiology
|
| Anatomy | - System-based anatomy relevant to emergency medicine
|
| Pharmacology | - Principles of drug action
|
RCEM FRCEM Primary Examination Sample Questions:
A 35 year old man presents with extensive burns His circulating volume and renal perfusion pressure drop.
Concentration of NaCI in the intraluminal fluid in the kidney decreases.
Which hormone is most likely to be released by the juxtaglomerular apparatus in response?
- A. Aldosterone
- B. Angiotensin
- C. Renin
- D. Adenosine
- E. Anti-diuretic hormone
Correct Answer: C 🗳️
A clinical pathway uses a predictive tool to guide use of diagnostic tests. Your patient has a high risk score, but a negative test They ask you how likely it is that they have the disease in question.
Which statistic are you most likely to use in your explanation?
- A. Negative predictive value
- B. Specificity
- C. Post-test probability
- D. Likelihood ratio
- E. Sensitivity
Correct Answer: D 🗳️
A 43 year old Afghan national presents to the ED with a four month history of cough, weight loss and night sweats What test is most consistent with active tuberculosis?
- A. Positive mantoux test
- B. Absence of a bacille calmette-guenn scar
- C. Chest x-ray showing a cavitating lesion
- D. Chest x-ray showing lobar consolidation
- E. Sputum sample showing ziehl-nielsen stain negative bactena
Correct Answer: C 🗳️
An 85 year old man complains of double vision on looking down. You note his right eye does not move when he looks down and medially.
Impaired (unction of which nerve is most likely responsible?
- A. Trigeminal
- B. Oculomotor
- C. Vestibulocochlear
- D. Trochlear
- E. Abducens
Correct Answer: A 🗳️
A 34 year old woman presents with flank pain She has recently been diagnosed with glomerulosclerosis.
Which part of the kidney is most likely to be affected in this condition?
- A. Medulla
- B. Calyx
- C. Pelvis
- D. Cortex
- E. Capsule
Correct Answer: D 🗳️
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