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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Microbiology | 9% | - Bacterial, viral, fungal and parasitic pathogens - General microbiology principles - Infection control and immunity |
| Topic 2: Evidence-Based Medicine | 6% | - Critical appraisal and clinical guidelines - Biostatistics and data interpretation - Study design and methodology |
| Topic 3: Pharmacology | 13% | - Respiratory drugs - Cardiovascular drugs - Fluids, electrolytes and emergency drugs - Principles of pharmacology - Antimicrobials and anti-infectives - Central nervous system and analgesics |
| Topic 4: Anatomy | 33% | - Thorax - Abdomen and pelvis - Lower limb - Upper limb - Head, neck and central nervous system |
| Topic 5: Physiology | 33% | - Gastrointestinal system - Cellular physiology - Endocrine and metabolic physiology - Cardiovascular system - Respiratory system - Renal and fluid balance |
| Topic 6: Pathology | 5% | - Haematology and haemostasis - Inflammation and immune response - Cell injury and repair - Neoplasia and systemic pathology |
RCEM FRCEM Primary Examination Sample Questions:
1. 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) Adductor magnus
B) Vastus lateralis
C) Sartonus
D) Gracilis
E) Vastus mediahs
2. A 75 year old man is concerned about having frequent chest infections He is a heavy smoker and you explain to him that this can affect the normal mechanism of mucociliary clearance of microorganisms and pollutants What type of cell is primarily responsible for this method of pathogen clearance?
A) Goblet cells
B) Club cells
C) Columnar epithelial cells
D) Mast cells
E) Acinar cells
3. A 60 year old man with alcoholic liver cirrhosis and portal hypertension is brought to the ED because he has been vomiting blood Which vein is the most likely origin of his haematemesis?
A) Superior vena cava
B) Left gastric
C) Periumbilical
D) Azygos
E) Inferior mesenteric
4. A 45 year old man has been in a motorbike crash A CT scan shows a fracture dislocation at T4 The sensory level is most likely to be found at which surface landmark?
A) Umbilicus
B) Nipple line
C) Apex beat
D) Sternal notch
E) Xiphisternum
5. A 24 year old woman is admitted to your observation ward with a sudden onset headache. Her CT showed no abnormality and you decide to perform a lumbar puncture What is the next structure the needle will puncture after going through the skin and subcutaneous fat?
A) Epidural space
B) Ligamentum flavum
C) Supraspinous ligament
D) Dura
E) Interspmous ligament
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: C |



