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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 24 year old man sustains an injury to his right eye The x-rays confirm an orbital floor fracture He complains of double vision on upward gaze Entrapment of which muscle is most likely responsible for his symptom?

A) Superior rectus
B) Inferior oblique
C) Levator palpebrae superioris
D) Inferior rectus
E) Superior oblique

2. A 43 year old woman has fallen from a horse and has paralysis of the legs She has full movement at the shoulder and wrist but is unable to flex or abduct/adduct her fingers What is the most likely vertebral level of the spinal injury1?

A) C7/T1
B) T1/T2
C) C6/C7
D) C4/C5
E) C5/C6

3. A patient presents with an area of cellulitis with discharge on their foot following a puncture wound A swab shows a large number of gram positive rods on initial culture.
Which organism does this most likely represent?

A) Helicobacter cinaedi
B) Staphylococcal aureus
C) Pseudomonas aeruginosa
D) Streptococcus pyogenes
E) Clostridium perfnngens

4. A16 year old girl is diagnosed with nephrotic syndrome
What is the most likely mechanism responsible for generalised oedema in this condition?

A) Lymphatic obstruction
B) Capillary hydrostatic pressure
C) Arterial occlusion
D) Venous obstruction
E) Oncotic pressure

5. 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) Magnesium
B) Potassium
C) Chloride
D) Sodium
E) Calcium

Solutions: