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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. When taking a history from a 74 year old woman, she tells you she has pernicious anaemia Where are the cells that are attacked in this autoimmune condition most likely to be located?

A) Ileum
B) Stomach
C) Duodenum
D) Jejunum
E) Ascending colon

2. A five year old girl presents with a fever, a non-blanching rash and drowsiness. You suspect meningococcal infection What is most likely mode of spread for this infection?

A) Faecal-oral
B) Blood
C) Droplet
D) Skin contact
E) Airborne

3. An 87 year old man is brought to the ED from his nursing home with loose stools and abdominal pain. You suspect Clostridium difficile infection because he had a recent course of antibiotics for pneumonia.
What measure is most likely to reduce the spread of infection to other patients?

A) Isolation of the patient in a side room
B) Wearing gloves and aprons for patient contact
C) Use of alcohol hand gel
D) Hand washing with soap and water
E) Treatment with metronidazole

4. 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) Sphenoid
B) Nasal
C) Ethmoid
D) Zygoma
E) Maxilla

5. A 77 year old woman is brought to the ED following a house fire Arterial blood gas confirms she has an increased carboxyhaemoglobin level What is the most likely effect on the oxygen dissociation curve?

A) No effect
B) Hyperbolic curve
C) Shift to the right
D) Bohr effect
E) Shift to the left

Solutions: