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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A ten day old baby is brought in with purulent conjunctivitis. The gram stain of the purulent exudate did not show any organisms. Which bacteria is the most likely cause?

A) Streptococcus pneumoniae
B) Listeria monocytogenes
C) Chlamydia trachomatis
D) Neisseria gonorrhoeae
E) Escherichia coli

2. A 45 year old builder attends with an elbow injury An x-ray confirms fracture of the medial epicondyle On examination there is hyperextension of the metacarpophalangeal joint and flexion of the interphalangeal joint of ring and little fingers.
Which nerve is most likely to be injured?

A) Musculocutaneous
B) 'I'M'
C) Median
D) Axillary
E) Radial

3. A 72 year old diabetic man develops an oculomotor nerve palsy.
Which clinical sign are you most likely to find?

A) Deviation of the eye inferolaterally
B) Absence of sweating on the face
C) Absent corneal reflex
D) Increased lacrimation
E) Constriction of the pupil

4. A premature baby is born at 28 weeks' gestation in your ED. They are at risk of respiratory distress syndrome due to lack of surfactant What best describes the composition of this substance?

A) Fatty acid
B) Phosphoglyceride
C) Glycolipid
D) Sphingolipid
E) Phospholipid

5. A 55 year old heavy smoker presents with cough, sputum production and dyspnoea A chest x-ray shows hyperinflation with diminished pulmonary vasculature Which measurement is likely to be increased on lung function testing?

A) Physiological dead space
B) Vital capacity
C) Peak expiratory flow rate
D) Forced expiratory volume
E) Tidal volume

Solutions: