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RCEM FRCEM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Pathology5%- Haematology and haemostasis
- Inflammation and immune response
- Neoplasia and systemic pathology
- Cell injury and repair
Topic 2: Physiology33%- Respiratory system
- Gastrointestinal system
- Cardiovascular system
- Endocrine and metabolic physiology
- Cellular physiology
- Renal and fluid balance
Topic 3: Anatomy33%- Lower limb
- Thorax
- Abdomen and pelvis
- Upper limb
- Head, neck and central nervous system
Topic 4: Pharmacology13%- Central nervous system and analgesics
- Cardiovascular drugs
- Fluids, electrolytes and emergency drugs
- Antimicrobials and anti-infectives
- Principles of pharmacology
- Respiratory drugs
Topic 5: Evidence-Based Medicine6%- Critical appraisal and clinical guidelines
- Study design and methodology
- Biostatistics and data interpretation
Topic 6: Microbiology9%- General microbiology principles
- Infection control and immunity
- Bacterial, viral, fungal and parasitic pathogens

RCEM FRCEM Primary Examination Sample Questions:

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 and inversion
  • B. Plantarflexion
  • C. Dorsiflexion and inversion
  • D. Dorsiflexion and eversion
  • E. Plantarflexion and eversion
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

A 57 year old man has had a myocardial infarction His coronary angiogram has shown a 50% decrease in the radius of the right coronary artery.
Which parameter is most likely to increase by a factor of 16 as a result?

  • A. Capacitance
  • B. Blood flow
  • C. Pressure gradient
  • D. Resistance
  • E. Elasticity
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

A 63 year old woman has confirmed Leptospirosis
Which is the most common way people contract this infection?

  • A. Invasion of intact skin
  • B. Faeco-oral
  • C. Droplet
  • D. Invasion of breached skin
  • E. Sexually
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

A 34 year old man presents to the ED with chest and left shoulder pain A diagnosis of pericarditis is made Involvement of which nerve best explains hts symptoms?

  • A. Left vagus
  • B. Right vagus
  • C. Phrenic
  • D. Recurrent laryngeal
  • E. Cervical ganglia of sympathetic trunk
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

A 34 year old woman presents with flank pain She has recently been diagnosed with glomerulosclerosis.
Which part of the kidney is most likely to be affected in this condition?

  • A. Cortex
  • B. Medulla
  • C. Calyx
  • D. Capsule
  • E. Pelvis
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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