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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 34 year old man presents wrth shortness of breath He has a normal alveolar-arterial <A-a) gradient What is the most likely diagnosis?

A) Atelectasis
B) Pulmonary thromboembolism
C) Acute respiratory distress syndrome
D) Neuromuscular disorder
E) Congestive cardiac failure

2. A 35 year old man presents with extensive burns His circulating volume and renal perfusion pressure drop.
Concentration of NaCI in the intraluminal fluid in the kidney decreases.
Which hormone is most likely to be released by the juxtaglomerular apparatus in response?

A) Angiotensin
B) Aldosterone
C) Adenosine
D) Renin
E) Anti-diuretic hormone

3. You are discussing the different muscles within the medial thigh and movements at the hip joint with a medical student. Which muscle within this compartment is most likely to be involved in hip extension?

A) Adductor magnus
B) Adductor longus
C) Pectineus
D) Gracilis
E) Adductor brevis

4. A patient presents with a fracture to the mid-clavicle after a fall The medial part of the clavicle is displaced superiorly Which muscle is most likely to cause this displacement?

A) Sternocleidomastoid
B) Scalenus anterior
C) Pectoralis major
D) Platysma
E) Trapezius

5. You are caring for a 68 year old patient with known heart failure and significant tachypnoea Stimulation of which receptor type is most likely to cause this increase in respiratory rate?

A) Stretch receptors
B) Juxtacapillary receptors
C) Mechanoreceptors
D) Irritant receptors
E) Chemoreceptors

Solutions: