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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

Question 1

A 34 year old woman with Graves' disease presents with fever, palpitations, tremor and anxiety Which hormone is most likely to be causing her symptoms?

A. Thyroxine (T4)
B. Triiodothyronine (T3)
C. Thyroid receptor hormone
D. Thyroid stimulating hormone
E. Adrenaline

Question 2

A five year old girl is brought to the ED by her parents She is pyrexial and has coryzal symptoms. Which diagnosis would require notification to a UK Public Health department?

A. Whooping cough
B. Pneumococcal pneumonia
C. Kawasaki's disease
D. Influenza type A
E. Respiratory syncytial virus

Question 3

A 78 year old has a (all and hits her forehead During (he fall she hyperexlended her neck and now complains of weakness in her arms You suspect she may have central cord syndrome What is the most likely anatomical cause of this injury during hyperextension?

A. Compression of the posterior vertebral artery
B. Herniation of a cervical disc
C. Infarction of the anterior spinal artery
D. Anterior osteophytes causing compression
E. Laxity of the ligamentum flavum

Question 4

A father brings his febrile eight week old child to the ED. He tells you that the child's vaccinations are fully up to date. Which of the following vaccines has the child not yet received'?

A. Diptheria
B. Polio
C. Pertussis
D. Haemophilus influenzae B
E. Meningococcal

Question 5

A 45 year old man is brought into the ED by the police following a witnessed seizure. He is suspected to be alcohol dependent Which haematological index best suggests this dependence?

A. Low white blood cell count
B. High red cell distribution width
C. Raised mean corpuscular haemoglobin
D. Low haemoglobin
E. Raised mean corpuscular volume

Solutions: