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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

Question 1

A 70 year old woman presents to the ED with symptoms and signs suggestive of sepsis Her BP is 80/40 You think her low BP is because of a drop in the systemic vascular resistance Which type of blood vessels are most likely implicated in causing her hypotension?

A. Venules
B. Veins
C. Arterioles
D. Capillaries
E. Arteries

Question 2

A 40 year old man attends with a fracture of the shaft of femur and you performed a femoral nerve block for pain relief. Which structure lies immediately medial to your needle insertion in the groins A

A. Iliacus muscle
B. Inguinal ligament
C. Psoas muscle
D. Femoral artery
E. Femoral vein

Question 3

An 18 year old man presents with persistent vomiting You diagnose type I diabetes mellitus He asks you the implications of his diagnosis for driving a car What is the most accurate advice according to the DVLA?

A. You do not need to contact DVLA
B. Inform the DVLA if insulin treatment for >3 months
C. Inform the DVLA if insulin dependent
D. Inform the DVLA if any episodes of hypoglycaemia
E. Only inform the DVLA if disabling hypoglycaemia

Question 4

You intubate a patient in the resuscitation room After inducing anaesthesia you lie the patient supine. Which lung volume is most affected by this change in posture?

A. Inspiratory capacity
B. Residual volume
C. Inspiratory reserve volume
D. Tidal volume
E. Functional residual capacity

Question 5

A therapeutic trial demonstrates that everyone who received the drug has improved while no one improved with placebo What best describes the expected number needed to treat?

A. 100
B. 2
C. 1
D. 50
E. 10

Solutions: