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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pharmacology | 13% | - Central nervous system and analgesics - Antimicrobials and anti-infectives - Principles of pharmacology - Respiratory drugs - Cardiovascular drugs - Fluids, electrolytes and emergency drugs |
| Topic 2: Physiology | 33% | - Respiratory system - Renal and fluid balance - Gastrointestinal system - Cellular physiology - Cardiovascular system - Endocrine and metabolic physiology |
| Topic 3: Anatomy | 33% | - Thorax - Lower limb - Abdomen and pelvis - Upper limb - Head, neck and central nervous system |
| Topic 4: Evidence-Based Medicine | 6% | - Biostatistics and data interpretation - Critical appraisal and clinical guidelines - Study design and methodology |
| Topic 5: Pathology | 5% | - Haematology and haemostasis - Inflammation and immune response - Neoplasia and systemic pathology - Cell injury and repair |
| Topic 6: Microbiology | 9% | - Infection control and immunity - General microbiology principles - Bacterial, viral, fungal and parasitic pathogens |
RCEM FRCEM Primary Examination Sample Questions:
A 15 year old girl with sickle cell anaemia attends with left leg swelling and pain Further investigations suggest a diagnosis of osteomyelitis of her tibia.
What is the most likely causative organism?
- A. Streptococcus pneumoniae
- B. Pseudomonas aeruginosa
- C. Escherichia coli
- D. Haemophilus influenza
- E. Salmonella typhimunum
Correct Answer: E 🗳️
A 52 year old woman (alls from a root sustaining a fracture dislocation at T12/L1 level Which muscle is most likely to be injured*?
- A. Pectineus
- B. Rhomboid major
- C. lliacus
- D. Psoas minor
- E. Latissimus dorsi
Correct Answer: E 🗳️
A 75 year old man presents to the ED with burning epigastric abdominal pain You note that he has rheumatoid arthritis and is on diclofenac.
Which step would have been the most beneficial in preventing the development ot ulcers in this patient?
- A. Eradication of Helicobacter pylori
- B. Starting misoprostol
- C. Combining diclofenac with omeprazole
- D. Use of enteric coated medication
- E. Change diclofenac to indomethacm
Correct Answer: E 🗳️
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. Vagus
- C. Glossopharyngeal
- D. Chorda tympanae
- E. Lingual
Correct Answer: C 🗳️
An eight year old boy presents with headache fever, fatigue and leg pain There is erythema and swelling over his thigh You suspect osteomyelitis.
What is the most likely causative organism?
- A. Streptococcus pneumoniae
- B. Streptococcus pyogenes
- C. Haemophilus influenza
- D. Staphylococcus aureus
- E. Salmonella typhimunum
Correct Answer: D 🗳️
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