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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

Question 1

A three year old girl is diagnosed with measles in the ED and is well enough to be discharged Her dad wants to know when she can return to nursery.
What is the recommended absence period?

A. Until fever has settled for 24 hours
B. Until conjunctivitis and mucous membrane rash has resolved
C. Until the rash has disappeared
D. Four days after the onset of rash
E. Seven days after the rash has disappeared

Question 2

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. Pressure gradient
B. Resistance
C. Capacitance
D. Blood flow
E. Elasticity

Question 3

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. Beta 2
B. Beta 1
C. Nicotinic
D. Alpha 1
E. Muscarinic

Question 4

You are teaching a medical student and are discussing how fluid compartment ratios can change in relation to age and gender You note that some population groups have proportionally higher total body water which increases the extracellular to intracellular fluid ratio What population group best demonstrates this?

A. Adult male
B. Neonate
C. Elderly
D. Adult female
E. Child

Question 5

A 50 year old man presenls with a history of a productive cough and fever Chest x-ray shows right middle lobe consolidation Which is the most likely causative organism?

A. Pseudomonas aeruginosa
B. Influenza virus
C. Streptococcus pneumoniae
D. Klebsiella pneumoniae
E. Mycoplasma pneumoniae

Solutions: