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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 72 year old diabetic man develops an oculomotor nerve palsy.
Which clinical sign are you most likely to find?

A) Deviation of the eye inferolaterally
B) Increased lacrimation
C) Constriction of the pupil
D) Absence of sweating on the face
E) Absent corneal reflex

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

3. A 33 year old man presents with epigastric pain
What best describes the function of the gastric chief cell'?

A) Secretes hydrochloric acid
B) Absorbs vitamin B12
C) Secretes pepsinogen
D) Secretes intrinsic factor
E) Absorbs vitamin B1

4. A 34 year old man presents with bruising and swelling over the anterior arm after lifting weights at the gym.
There is pain and weakness on attempted internal rotation and adduction of the shoulder.
Rupture of which muscle best explains these findings?

A) Pectoralis major
B) Latissimus dorsi
C) Pectoralis minor
D) Serratus anterior
E) Trapezius

5. A 22 year old woman sustained an incised wound to the sole of her foot from standing on glass. Examination of the wound under local anaesthetic identifies the wound depth is limited to the first plantar layer.
Which structure is most likely to be injured?

A) Peroneus longus
B) Medial plantar artery
C) Flexor digitorum brevis
D) Tibialis posterior
E) Lateral plantar artery

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