Exam Name: FRCEM Primary Examination
Certification Provider: RCEM
Corresponding Certification: FRCEM Certification
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RCEM FRCEM Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Anatomy | - System-based anatomy relevant to emergency medicine
|
| Topic 2: Pathology and Microbiology | - Disease mechanisms and infection
|
| Topic 3: Physiology | - Core human physiology
|
| Topic 4: Evidence-Based Medicine | - Research methods and statistics
|
| Topic 5: Pharmacology | - Principles of drug action
|
RCEM FRCEM Primary Examination Sample Questions:
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. Damage to presynaptic calcium channels.
- B. Sodium channel blockade at nodes of Ranvier
- C. Loss of saltatory conduction.
- D. Axonal loss
- E. Compression of the nerve
Correct Answer: C 🗳️
You are treating a patient with left ventricular failure and decide to revise some cardiovascular physiology to help you understand the likely response to treatment Which statement best describes Starling's law in relation to cardiac output?
- A. Increased heart rate due to an increase in sympathetic stimulation
- B. Increased force of contraction due to an increase in preload
- C. Increased afterload due to an increase in cardiac output
- D. Increased filling pressure leading to an increase in heart rate ID.
- E. Increased contractility leading to an increase in stroke volume
Correct Answer: A 🗳️
A 60 year old man with alcoholic liver cirrhosis and portal hypertension is brought to the ED because he has been vomiting blood Which vein is the most likely origin of his haematemesis?
- A. Superior vena cava
- B. Periumbilical
- C. Azygos
- D. Inferior mesenteric
- E. Left gastric
Correct Answer: E 🗳️
A 50 year old man with HIV has not been taking his treatment and presents with severe headache and neck stiffness His current CD4+ count is 180/mmc (normal 500-1400/mmc) What is the most likely causative agent of his meningitis?
- A. Aspergillus
- B. Malassezia
- C. Candida
- D. Sporothrix
- E. Cryptococcus
Correct Answer: E 🗳️
A 24 year old man sustains an injury to his right eye The x-rays confirm an orbital floor fracture He complains of double vision on upward gaze Entrapment of which muscle is most likely responsible for his symptom?
- A. Inferior oblique
- B. Levator palpebrae superioris
- C. Superior rectus
- D. Superior oblique
- E. Inferior rectus
Correct Answer: E 🗳️
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