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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 20 year old man presents lo the ED with a slab wound to the antecubital fossa Exploration of the wound reveals a large nerve has been transected Which function is most likely to be preserved on clinical examination'?

A) Flexion of the proximal interphalangeal joints
B) Opposition of the thumb
C) Abduction of the little finger
D) Flexion of the distal interphalangeal joints
E) Flexion of the wrist

2. When taking a history from a 74 year old woman, she tells you she has pernicious anaemia Where are the cells that are attacked in this autoimmune condition most likely to be located?

A) Ascending colon
B) Duodenum
C) Jejunum
D) Ileum
E) Stomach

3. 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) Apex beat
B) Xiphisternum
C) Umbilicus
D) Sternal notch
E) Nipple line

4. A 27 year old woman presents with visual problems and has known optic neuritis. What is the most likely cause of the slowing of impulse conduction in her optic nerve?

A) Sodium channel blockade at nodes of Ranvier
B) Compression of the nerve
C) Damage to presynaptic calcium channels.
D) Axonal loss
E) Loss of saltatory conduction.

5. A four year old boy presents with a cough and fever for the last few weeks which became worse in the last 24 hours. There is no record of his vaccination history His temperature is 38.5 °C, heart rate 135 beats per minute, and oxygen saturations are 97% He is coughing frequently and has bilateral subconjunctival haemorrhages.
Which organism is most likely to have caused his condition?

A) Bordetella pertussis
B) Haemophilus influenzae
C) Respiratory syncytial virus
D) Cornebactenum diphthenae
E) Mycobacterium tuberculosis

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