RCEM FRCEM Exam : FRCEM Primary Examination

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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

Question 1

A patient presents with muscle spasms caused by hypocalcaemia Which substance is used to adjust (or an abnormality in the calcium level?

A. Sodium
B. Albumin
C. Phosphate
D. Chloride
E. Vitamin D

Question 2

A four year old boy presents with a cough and fever for the last few weeks which became worse in the last 24 hours. There is no record of his vaccination history His temperature is 38.5 °C, heart rate 135 beats per minute, and oxygen saturations are 97% He is coughing frequently and has bilateral subconjunctival haemorrhages.
Which organism is most likely to have caused his condition?

A. Respiratory syncytial virus
B. Bordetella pertussis
C. Haemophilus influenzae
D. Mycobacterium tuberculosis
E. Cornebactenum diphthenae

Question 3

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

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

Question 4

A 78 year old woman presents with a painful shoulder after a fall. On examination she is unable to lift the dorsum of her hand off her mid-lumbar spine (lift-off test).
Which muscle is most likely to have been injured?

A. Supraspinatus
B. Teres major
C. Infraspinatus
D. Subscapulars
E. Teres minor

Question 5

A 28 year old woman has an expanding skin rash: lethargy and body ache You suspect Lyme disease Which microorganism is most likely to be the cause?

A. Theilena microti
B. Bartonella qumtana .
C. Anaplasma phagocytophilum
D. Brucella abortus
E. Borrelia burgdorferi

Solutions: