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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

Question 1

A clinical pathway uses a predictive tool to guide use of diagnostic tests. Your patient has a high risk score, but a negative test They ask you how likely it is that they have the disease in question.
Which statistic are you most likely to use in your explanation?

A. Post-test probability
B. Specificity
C. Negative predictive value
D. Likelihood ratio
E. Sensitivity

Question 2

You are leaching medical students cardiovascular examination and the link between heart sounds and the cardiac cycle. Which phase best correlates with the start of the first heart sound?

A. Atrial systole
B. Isovolumetric relaxation
C. Ventricular ejection
D. Isovolumetric contraction
E. Ventricular filling

Question 3

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

Question 4

A four year old girl presents with a fever Her skin feels warm to touch What is the most likely mechanism of effective thermoregulation?

A. Increased cutaneous blood pressure
B. Cutaneous vasoconstriction
C. Increased sympathetic supply to cutaneous vessels
D. Reduced blood velocity in cutaneous vessels
E. Reduced blood volume in cutaneous vessels

Question 5

A 54 year old man presents with an incised wound to the anterior compartment of his lower leg Exploration of the wound identifies a complete transection at the origin of the tibialis anterior muscle What associated motor deficit of the toot is most likely in this patient?

A. Plantarflexion
B. Dorsiflexion and inversion
C. Plantarflexion and inversion
D. Dorsiflexion and eversion
E. Plantarflexion and eversion

Solutions: