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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Physiology | 33% | - Renal and fluid balance - Gastrointestinal system - Cardiovascular system - Cellular physiology - Endocrine and metabolic physiology - Respiratory system |
| Topic 2: Pharmacology | 13% | - Respiratory drugs - Antimicrobials and anti-infectives - Fluids, electrolytes and emergency drugs - Principles of pharmacology - Cardiovascular drugs - Central nervous system and analgesics |
| Topic 3: Pathology | 5% | - Haematology and haemostasis - Cell injury and repair - Inflammation and immune response - Neoplasia and systemic pathology |
| Topic 4: Evidence-Based Medicine | 6% | - Critical appraisal and clinical guidelines - Biostatistics and data interpretation - Study design and methodology |
| Topic 5: Microbiology | 9% | - General microbiology principles - Infection control and immunity - Bacterial, viral, fungal and parasitic pathogens |
| Topic 6: Anatomy | 33% | - Lower limb - Upper limb - Abdomen and pelvis - Thorax - Head, neck and central nervous system |
RCEM FRCEM Primary Examination Sample Questions:
A 21 year old man is diagnosed with diabetic ketoacidosis. A medical student asks you to assist them in calculating the patients blood pH using the Henderson-Hasselbach equation.
What best describes the two required constituents for this equation?
- A. Sodium and calcium
- B. Bicarbonate and PaC02
- C. Chloride and PaC02
- D. Bicarbonate and sodium
- E. Bicarbonate and Pa02
Correct Answer: B 🗳️
A 32 year old woman presents with dizziness She has been laking medication tor low back pain Blood tests reveal a haemolytic anaemia.
Which drug is most likely to be responsible?
- A. Diclofenac
- B. Naproxen
- C. Ibuprofen
- D. Mefenamic acid
- E. Aspirin
Correct Answer: D 🗳️
You are considering procedural sedation for a patient with vascular compromise due to a fracture They ate a meal two hours ago You are trying to remember the factors that affect gastric emptytng in healthy patients What factor will delay gastric emptying?
- A. Release of gastrin
- B. Decreased duodenal luminal pH
- C. More liquids than solids in the stomach
- D. Increased gastric distention
- E. Low fat content of chyme
Correct Answer: B 🗳️
A 57 year old man has had a myocardial infarction His coronary angiogram has shown a 50% decrease in the radius of the right coronary artery.
Which parameter is most likely to increase by a factor of 16 as a result?
- A. Elasticity
- B. Capacitance
- C. Blood flow
- D. Resistance
- E. Pressure gradient
Correct Answer: D 🗳️
A 53 year old man on anticoagulation presents with pain over his anterior abdomen following an episode of coughing A CT scan identifies an isolated haematoma within the rectus sheath above the arcuate line Which artery is most likely to have been injured?
- A. Superficial epigastric
- B. Deep circumflex
- C. Inferior epigastric
- D. Superficial circumflex
- E. Superior epigastric
Correct Answer: E 🗳️
