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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. 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) Staphylococcus aureus
B) Haemophilus influenza
C) Streptococcus pneumoniae
D) Streptococcus pyogenes
E) Salmonella typhimunum

2. You are treating a patient with an acute exacerbation of COPD and they remain wheezy after two doses of nebulised salbutamol You decide to add nebulised ipratropium to improve bronchodilation Which receptors are most likely to be targeted by this treatment?

A) Alpha 1
B) Muscarinic
C) Beta 1
D) Nicotinic
E) Beta 2

3. A 21 year old man with a history of epilepsy presents following a generalised seizure A deformity in his left shoulder was noted and an x-ray confirms a dislocation You plan to reduce the dislocation using midazolam for procedural sedation Sedation will occur as a result of mediation of which neurotransmitter?

A) Gamma-aminobutyric acid
B) Dopamine
C) Acetylcholine
D) Glutamate
E) Serotonin

4. A 45 year old man with an acute kidney injury is found to have a metabolic acidosis What renal response is most likely to be involved in compensating for this metabolic abnormality?

A) Secretion of ammonium into the tubular lumen
B) Carbonic anhydrase - mediated production of phosphate
C) Secretion of HC03" into the tubular lumen
D) Reabsorption of H*
E) Secretion of glutamine into the interstitial fluid

5. A 46 year old woman arrives after being hit by a car She has sustained a head injury You suspect she may have increased intracranial pressure due to a traumatic brain injury.
Which is the earliest clinical finding you are likely to see?

A) Dilated ipsilateral pupil
B) Bilateral fixed dilated pupils
C) Papilledema
D) Impaired corneal reflex
E) Cushmg's triad

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