RCEM FRCEM

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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

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

2. A pregnant patient presents to the department following an eclamptic seizure She requires management for her hypertension.
Which drug would be most appropriate in this case?

A) Labetalol
B) Nifedipine
C) Glyceryl trinitrate
D) Atenolol
E) Sodium nitroprusside

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

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

4. A 56 year old woman with severe ascites attends the ED with breathlessness Chest auscultation is normal What findings would you expect on spirometry?

A) Increased vital capacity
B) Increased FEV,/FVC ratio
C) Increased inspiratory capacity
D) Increased total lung capacity
E) Increased FVC

5. A young man arrives by ambulance having dislocated his patella playing football. Rehabilitation should focus on which muscle to reduce chances of recurrent dislocation?

A) Gracilis
B) Vastus lateralis
C) Adductor magnus
D) Vastus mediahs
E) Sartonus

Solutions: