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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Pharmacology | 13% | - Fluids, electrolytes and emergency drugs - Respiratory drugs - Principles of pharmacology - Antimicrobials and anti-infectives - Central nervous system and analgesics - Cardiovascular drugs |
| Pathology | 5% | - Haematology and haemostasis - Cell injury and repair - Neoplasia and systemic pathology - Inflammation and immune response |
| Physiology | 33% | - Cardiovascular system - Renal and fluid balance - Respiratory system - Cellular physiology - Endocrine and metabolic physiology - Gastrointestinal system |
| Evidence-Based Medicine | 6% | - Critical appraisal and clinical guidelines - Study design and methodology - Biostatistics and data interpretation |
| Microbiology | 9% | - Infection control and immunity - Bacterial, viral, fungal and parasitic pathogens - General microbiology principles |
| Anatomy | 33% | - Head, neck and central nervous system - Abdomen and pelvis - Upper limb - Lower limb - Thorax |
RCEM FRCEM Primary Examination Sample Questions:
1. A 32 year old builder slips with an angle grinder causing a deep facial wound which intersects with the inferomedial edge of the orbit and leaves exposed damaged bone.
What bone is most likely affected?
A) Nasal
B) Sphenoid
C) Ethmoid
D) Maxilla
E) Zygoma
2. A patient presents with muscle spasms caused by hypocalcaemia Which substance is used to adjust (or an abnormality in the calcium level?
A) Albumin
B) Phosphate
C) Sodium
D) Chloride
E) Vitamin D
3. An 80 year old man presents to the ED with clinical features suggestive of ischaemic bowel Which artery is most commonly occluded in this condition?
A) Left colic
B) Coeliac
C) Gastroduodenal
D) Superior mesenteric
E) Inferior mesenteric
4. A 19 year old old runner presents with pain in the lateral compartment of the lower leg when running and you suspect intermittent compartment syndrome Which movement of the ankle and foot would most likely replicate the pain?
A) Dorsiflexion and eversion
B) Dorsiflexion and inversion
C) Plantarflexion and eversion
D) External rotation
E) Plantarflexion and inversion
5. A 35 year old man is hypotensive following a fracture of the right femoral shaft.
Which receptors are initially involved in increasing his BP?
A) Atrial stretch receptors
B) Baroreceptors
C) Carotid body receptors
D) Beta 2 vascular receptors
E) Cardiac receptors
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: B |






