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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 77 year old woman is brought to the ED following a house fire Arterial blood gas confirms she has an increased carboxyhaemoglobin level What is the most likely effect on the oxygen dissociation curve?

A) Shift to the left
B) No effect
C) Shift to the right
D) Bohr effect
E) Hyperbolic curve

2. A 14 year old boy presents after a bicycle accident He has a suspected pelvic fracture and the cremasteric reflex is absent Which nerve is most likely to be affected1?

A) Subcostal
B) Lateral femoral cutaneous
C) Iliohypogastric .
D) Genitofemoral
E) Femoral

3. 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) Costal cartilage of 7-10th ribs
B) Lumbar vertebrae
C) 11-12th ribs
D) Xiphoid process
E) Central tendon

4. A 68 year old man with a history of Addison's disease presents having recently been diagnosed with a urinary tract infection He is hypotensive, tachycardic and clammy His biochemistry shows hyponatraemia and hyperkalemia.
Which hormone imbalance best explains his biochemical abnormalities?

A) Cortisol deficiency
B) Beta lipotropin excess
C) Glucocorticoid deficiency
D) Adrenocorticotropic hormone excess
E) Mineralocorticoid deficiency

5. A 25 year old woman sustains damage to the hypothalamus as a result of head injury This would most likely result in excess secretion of which hormone?

A) Follicle-stimulating
B) Prolactin
C) Adrenocorticotropic
D) Luteinizing
E) Thyroid stimulating

Solutions: