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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A three year old girl is diagnosed with measles in the ED and is well enough to be discharged Her dad wants to know when she can return to nursery.
What is the recommended absence period?

A) Until fever has settled for 24 hours
B) Until conjunctivitis and mucous membrane rash has resolved
C) Until the rash has disappeared
D) Four days after the onset of rash
E) Seven days after the rash has disappeared

2. You are prescribing gentamicin for a patienl. Her serum creatinine level is raised Which property of creatinine best explains why it is used as a marker of glomerular filtration rate?

A) Active secretion by the peritubular capillaries
B) Free filtration by the glomerulus
C) Estimation of the 24 hour excretion rate
D) Steady state concentration existence in the blood
E) Indicative of body muscle mass IE.

3. A 56 year old woman with severe ascites attends the ED with breathlessness Chest auscultation is normal What findings would you expect on spirometry?

A) Increased inspiratory capacity
B) Increased FEV,/FVC ratio
C) Increased total lung capacity
D) Increased vital capacity
E) Increased FVC

4. A 56 year old man presents with a spiral fracture of the humerus and wrist drop Which structure is most likely to be damaged?

A) Brachial artery
B) Ulnar nerve
C) Musculocutaneous nerve
D) Axillary artery
E) Radial nerve

5. An eight year old boy presents with headache fever, fatigue and leg pain There is erythema and swelling over his thigh You suspect osteomyelitis.
What is the most likely causative organism?

A) Salmonella typhimunum
B) Haemophilus influenza
C) Streptococcus pneumoniae
D) Streptococcus pyogenes
E) Staphylococcus aureus

Solutions: