RCEM FRCEM : FRCEM Primary Examination

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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 28 year old woman with a dislocated left shoulder has altered sensation along the radial aspect of her left forearm and loss of flexion at the elbow and wrist Injury at which location of the brachial plexus best explains her neurological symptoms?

A) Lower trunk
B) Medial cord
C) Posterior cord
D) Lateral cord
E) Upper trunk

2. 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) Supraspinous ligament
C) Dura
D) Interspmous ligament
E) Ligamentum flavum

3. A premature baby is born at 28 weeks' gestation in your ED. They are at risk of respiratory distress syndrome due to lack of surfactant What best describes the composition of this substance?

A) Fatty acid
B) Phosphoglyceride
C) Sphingolipid
D) Glycolipid
E) Phospholipid

4. A 40 year old woman wilh a new diagnosis of type II diabetes has significant hyperglycaemia What is the most likely cause of her elevated blood glucose?

A) Reduced glucagon secretion
B) Excessive glucocorticoid production
C) Production of abnormal insulin
D) Increased cellular resistance to insulin
E) Reduced insulin production by pancreatic beta cells

5. A 23 year old woman presents with facial swelling She has hereditary angioedema due to complement deficiency Which organism is it most important for this patient to be vaccinated agains?

A) Clostridium tetani
B) Parainfluenza
C) Influenza
D) Neisseria meningitidis
E) Herpes zoster

Solutions: