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RCEM FRCEM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Anatomy | - System-based anatomy relevant to emergency medicine
|
| Physiology | - Core human physiology
|
| Evidence-Based Medicine | - Research methods and statistics
|
| Pathology and Microbiology | - Disease mechanisms and infection
|
| Pharmacology | - Principles of drug action
|
RCEM FRCEM Primary Examination Sample Questions:
A two year old child is diagnosed with meningitis likely due to Neisseria meningitidis A medical student asks you why this organism is able to cross the blood brain barrier more easily than other pathogens To which characteristic is your explanation most likely to refer?
- A. Binding to CD4 antigen
- B. Attachment using haemagglutmin antigen
- C. Adhesins on the fimbriae
- D. IgA protease production
- E. Expression of Protein A
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. Salmonella typhimunum
- B. Staphylococcus aureus
- C. Haemophilus influenza
- D. Streptococcus pneumoniae
- E. Streptococcus pyogenes
Correct Answer: B 🗳️
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. Vestibulocochlear
- C. Oculomotor
- D. Trochlear
- E. Abducens
Correct Answer: A 🗳️
A patient presents with muscle spasms caused by hypocalcaemia What is the most likely physiological response to this abnormality?
- A. Increased calcitonin secretion
- B. Decreased secretion of calcium from bone
- C. Decreased vitamin D synthesis
- D. Decreased renal excretion of phosphate
- E. Increased parathyroid secretion
Correct Answer: E 🗳️
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. 20-29%
- B. 50-59%
- C. 30-39%
- D. 40-49%
- E. 10-19%
Correct Answer: D 🗳️


