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RCEM FRCEM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Microbiology | - Principles of microbiology - Pathogen groups |
| Topic 2: Pathology | - Haematology - Wound healing - Inflammatory responses - Immune responses - Infection |
| Topic 3: Pharmacology | - Fluids and electrolytes - Gastrointestinal pharmacology - Anaesthesia pharmacology - Respiratory system - Central nervous system - Endocrine system - Cardiovascular system - Musculoskeletal system - Infections - Immunological products and vaccines |
| Topic 4: Evidence-Based Medicine | - Statistics - Study methodology - Principles of critical appraisal |
| Topic 5: Physiology | - Cardiovascular physiology - Gastrointestinal physiology - Respiratory physiology - Endocrine physiology - Basic cellular physiology - Renal physiology |
| Topic 6: Anatomy | - Central Nervous System - Cranial nerve lesions - Lower limb - Upper limb - Thorax - Abdomen - Head and Neck |
RCEM FRCEM Primary Examination Sample Questions:
A patient with severe renal impairment requires regular opioid analgesia for their pain You are concerned about opiate accumulation Which drug in this class is most appropriate in this patient?
- A. Dihydrocodeine
- B. Oxycodone
- C. Codeine
- D. Pethidine
- E. Morphine
Correct Answer: D 🗳️
A clinical pathway uses a predictive tool to guide use of diagnostic tests. Your patient has a high risk score, but a negative test They ask you how likely it is that they have the disease in question.
Which statistic are you most likely to use in your explanation?
- A. Specificity
- B. Post-test probability
- C. Likelihood ratio
- D. Sensitivity
- E. Negative predictive value
Correct Answer: C 🗳️
A 40 year old man attends with a fracture of the shaft of femur and you performed a femoral nerve block for pain relief. Which structure lies immediately medial to your needle insertion in the groins A
- A. Inguinal ligament
- B. Iliacus muscle
- C. Femoral artery
- D. Femoral vein
- E. Psoas muscle
Correct Answer: C 🗳️
A 32 year old builder slips with an angle grinder causing a deep facial wound which intersects with the inferomedial edge of the orbit and leaves exposed damaged bone.
What bone is most likely affected?
- A. Sphenoid
- B. Maxilla
- C. Ethmoid
- D. Zygoma
- E. Nasal
Correct Answer: A 🗳️
A 45 year old man with type II diabetes presents after a hypoglycaemic episode He has a history of diabetic eye disease He asks your advice about diabetes and driving.
Which situation is most likely to allow him to continue driving according to the DVLA?
- A. An episode of severe hypoglycaemia while driving
- B. Having type II diabetes treated with oral medications
- C. Having more than one episode of severe hypoglycaemia in 12 months
- D. Development of impaired awareness of hypoglycaemia
- E. Needing laser treatment to both eyes
Correct Answer: B 🗳️
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