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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 26 year old man sustains a stab wound to the anterior aspect of the left side of his neck The wound involves the thoracic inlet Which structure is most likely to be encountered and injured first?

A) Subclavian vein
B) Thoracic duct
C) Pleura
D) Oesophagus
E) Subclavian artery

2. A patient is noted to have a low sodium level. The urinary biochemistry suggests a diagnosis of syndrome of inappropriate anti-diuretic hormone secretion.
Which of these medications is the most likely cause of this abnormality?

A) Prednisolone
B) Fluoxetine
C) Furosemtde
D) Ramipnl
E) Spironolactone

3. A 20 year old woman with known diabetes presents with hypoglycaemia She was given glucagon with good recovery. Which cells ot the pancreas normally secrete this hormone?

A) Exocrine
B) Delta
C) Gamma
D) Alpha
E) Beta

4. A father brings his febrile eight week old child to the ED. He tells you that the child's vaccinations are fully up to date. Which of the following vaccines has the child not yet received'?

A) Diptheria
B) Pertussis
C) Haemophilus influenzae B
D) Meningococcal
E) Polio

5. A newborn infant is brought to your ED He was born at 39 weeks gestation with low birthweight, a purpuric rash, hepatosplenomegaly and bilateral cataracts You suspect the signs are secondary to an infection acquired while khe baby was still in utero Which organism is most likely to cause this clinical presentation?

A) Group B streptococcus
B) Toxoplasma gondii
C) Rubella
D) Cytomegalovirus
E) Treponema pallidum

Solutions: