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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A patient presents with anaphylaxis requiring adrenaline She is markedly vasodilated Which substance is most likely to be responsible for this appearance?

A) Platelet activating factor.
B) Prostaglandin
C) Tumour necrosis factor alpha
D) Leukotrienes
E) Histamine

2. A four year old girl presents with a fever Her skin feels warm to touch What is the most likely mechanism of effective thermoregulation?

A) Increased cutaneous blood pressure
B) Cutaneous vasoconstriction
C) Reduced blood velocity in cutaneous vessels
D) Increased sympathetic supply to cutaneous vessels
E) Reduced blood volume in cutaneous vessels

3. A 23 year old man presents to the ED after cutting his wrist with a kitchen knife There is a wound on the flexor aspect of the wrist and you are concerned about median nerve injury.
Which examination of motor function would best test for damage to this nerve?

A) Adduction of the fingers
B) Extension of finger metacarpophalangeal joints
C) Pronation of the forearm
D) Opposition of the thumb
E) Extension of the wrist

4. A patient is noted to have a low sodium level. The urinary biochemistry suggests a diagnosis of syndrome of inappropriate anti-diuretic hormone secretion.
Which of these medications is the most likely cause of this abnormality?

A) Ramipnl
B) Furosemtde
C) Spironolactone
D) Fluoxetine
E) Prednisolone

5. A patient presents following a stabbing to his chest and has a cardiac arrest You perform an anterolateral thoracotomy. Which muscle in addition to pectoralis major are you most likely to incise?

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

Solutions: