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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. You suspect cauda equina syndrome in an 85 year old man with metastatic cancer On examination there is loss of anal tone Which myotomes are most likely to be affected and causing this examination finding?

A) S2, 3, 4
B) S1.2
C) L12
D) L5
E) L3,4

2. A patient is noted to have a low sodium level. The urinary biochemistry suggests a diagnosis of syndrome of inappropriate anti-diuretic hormone secretion.
Which of these medications is the most likely cause of this abnormality?

A) Prednisolone
B) Furosemtde
C) Ramipnl
D) Fluoxetine
E) Spironolactone

3. A two year old child is diagnosed with meningitis likely due to Neisseria meningitidis A medical student asks you why this organism is able to cross the blood brain barrier more easily than other pathogens To which characteristic is your explanation most likely to refer?

A) IgA protease production
B) Binding to CD4 antigen
C) Expression of Protein A
D) Adhesins on the fimbriae
E) Attachment using haemagglutmin antigen

4. You are treating a patient with a dysrhythmia You are teaching your students about the phases of the cardiac action potential and emphasize the absolute refractory period as a means of preventing another action potential being generated Which factor is most important for this period?

A) Potassium channel mactivation
B) Sodium channel inactivation
C) Calcium channel activation
D) Potassium channel activation
E) Sodium channel activation

5. A 34 year old woman with Graves' disease presents with fever, palpitations, tremor and anxiety Which hormone is most likely to be causing her symptoms?

A) Thyroxine (T4)
B) Thyroid stimulating hormone
C) Adrenaline
D) Triiodothyronine (T3)
E) Thyroid receptor hormone

Solutions: