Exam Name: FRCEM Primary Examination
Certification Provider: RCEM
Corresponding Certification: FRCEM Certification
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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pathology | 5% | - Cell injury and repair - Neoplasia and systemic pathology - Inflammation and immune response - Haematology and haemostasis |
| Topic 2: Evidence-Based Medicine | 6% | - Study design and methodology - Biostatistics and data interpretation - Critical appraisal and clinical guidelines |
| Topic 3: Anatomy | 33% | - Head, neck and central nervous system - Abdomen and pelvis - Upper limb - Lower limb - Thorax |
| Topic 4: Physiology | 33% | - Endocrine and metabolic physiology - Renal and fluid balance - Gastrointestinal system - Respiratory system - Cellular physiology - Cardiovascular system |
| Topic 5: Microbiology | 9% | - Bacterial, viral, fungal and parasitic pathogens - Infection control and immunity - General microbiology principles |
| Topic 6: Pharmacology | 13% | - Central nervous system and analgesics - Cardiovascular drugs - Fluids, electrolytes and emergency drugs - Principles of pharmacology - Respiratory drugs - Antimicrobials and anti-infectives |
RCEM FRCEM Primary Examination Sample Questions:
A 40 year old woman taking the oral contraceptive pill was prescribed phenytom following a seizure Some months later she becomes pregnant What is the most likely mechanism by which this treatment has led to tailure of her contraception?
- A. Liver enzyme induction
- B. Increased renal clearance of the contraceptive pill
- C. Interference with protein binding of the contraceptive pill
- D. Inhibition of oestrogen receptors
- E. Alteration of intestinal flora
A newborn infant is brought to your ED He was born at 39 weeks gestation with low birthweight, a purpuric rash, hepatosplenomegaly and bilateral cataracts You suspect the signs are secondary to an infection acquired while khe baby was still in utero Which organism is most likely to cause this clinical presentation?
- A. Group B streptococcus
- B. Toxoplasma gondii
- C. Treponema pallidum
- D. Cytomegalovirus
- E. Rubella
A comatose patient has a respiratory rate of live breaths per minute following an overdose of heroin He receives naloxone and his respiratory rate rapidly improves to 16 breaths per minute Which component of arterial blood gas sampling is most likely to rapidly decrease following this intervention?
- A. Pa02
- B. pH
- C. Base Excess
- D. PaC02
- E. HC03
A 60 year old woman presents following blunt trauma to her abdomen A CT scan demonstrates herniation of small intestine into the chest At what site is the diaphragmatic injury most likely to have occurred1?
- A. Xiphoid process
- B. Central tendon
- C. Costal cartilage of 7-10th ribs
- D. 11-12th ribs
- E. Lumbar vertebrae
A patient presents with muscle spasms caused by hypocalcaemia Which substance is used to adjust (or an abnormality in the calcium level?
- A. Vitamin D
- B. Phosphate
- C. Chloride
- D. Albumin
- E. Sodium
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