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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pathology | 5% | - Haematology and haemostasis - Inflammation and immune response - Cell injury and repair - Neoplasia and systemic pathology |
| Topic 2: Evidence-Based Medicine | 6% | - Critical appraisal and clinical guidelines - Study design and methodology - Biostatistics and data interpretation |
| Topic 3: Pharmacology | 13% | - Respiratory drugs - Fluids, electrolytes and emergency drugs - Central nervous system and analgesics - Cardiovascular drugs - Antimicrobials and anti-infectives - Principles of pharmacology |
| Topic 4: Anatomy | 33% | - Abdomen and pelvis - Head, neck and central nervous system - Thorax - Lower limb - Upper limb |
| Topic 5: Physiology | 33% | - Cellular physiology - Cardiovascular system - Respiratory system - Renal and fluid balance - Gastrointestinal system - Endocrine and metabolic physiology |
| Topic 6: Microbiology | 9% | - Bacterial, viral, fungal and parasitic pathogens - Infection control and immunity - General microbiology principles |
RCEM FRCEM Primary Examination Sample Questions:
Question 1
A 21 year old woman is confirmed to have giardiasis
Which characteristic of this specific parasite best explains its persistent intestinal attachment?
A. Sucking disc
B. Vacule formation
C. Hooks
D. Oral sucker
E. Intestinal mucosa penetration
Question 2
You are discussing the different muscles within the medial thigh and movements at the hip joint with a medical student. Which muscle within this compartment is most likely to be involved in hip extension?
A. Adductor longus
B. Adductor magnus
C. Gracilis
D. Pectineus
E. Adductor brevis
Question 3
A 55 year old heavy smoker presents with cough, sputum production and dyspnoea A chest x-ray shows hyperinflation with diminished pulmonary vasculature Which measurement is likely to be increased on lung function testing?
A. Peak expiratory flow rate
B. Physiological dead space
C. Forced expiratory volume
D. Vital capacity
E. Tidal volume
Question 4
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
Question 5
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. Nicotinic
C. Beta 1
D. Beta 2
E. Muscarinic
Solutions:
| Question 1 Answer: C | Question 2 Answer: B | Question 3 Answer: C | Question 4 Answer: B | Question 5 Answer: E |
