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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

Question 1

A patient presents with muscle spasms caused by hypocalcaemia What is the most likely physiological response to this abnormality?

A. Increased parathyroid secretion
B. Decreased renal excretion of phosphate
C. Increased calcitonin secretion
D. Decreased vitamin D synthesis
E. Decreased secretion of calcium from bone

Question 2

A five year old girl is brought to the ED by her parents She is pyrexial and has coryzal symptoms. Which diagnosis would require notification to a UK Public Health department?

A. Respiratory syncytial virus
B. Whooping cough
C. Kawasaki's disease
D. Influenza type A
E. Pneumococcal pneumonia

Question 3

A 45 year old man with type II diabetes presents after a hypoglycaemic episode He has a history of diabetic eye disease He asks your advice about diabetes and driving.
Which situation is most likely to allow him to continue driving according to the DVLA?

A. Having more than one episode of severe hypoglycaemia in 12 months
B. An episode of severe hypoglycaemia while driving
C. Needing laser treatment to both eyes
D. Development of impaired awareness of hypoglycaemia
E. Having type II diabetes treated with oral medications

Question 4

A 45 year old woman requires procedural sedation for a dislocated shoulder She has recently eaten a fatty meal Which substance is most likely to be secreted when the food reaches the small intestine''

A. Gastrin
B. Gastrointestinal peptide
C. Secretin
D. Cholecystokmin
E. Vasoactive intestinal peptide

Question 5

You suspect cauda equina syndrome in an 85 year old man with metastatic cancer On examination there is loss of anal tone Which myotomes are most likely to be affected and causing this examination finding?

A. S2, 3, 4
B. L12
C. S1.2
D. L5
E. L3,4

Solutions: