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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 40 year old woman with history o! anorexia, presents with sudden onset of confusion, loss of balance and a wide based gait. Which medication is most likely to be prescribed in the early stages of her treatment?

A) Thiamine
B) Cyanocobalamin
C) Ascorbic acid
D) Glutathione
E) Vitamin D

2. A 75 year old man presents to the ED with burning epigastric abdominal pain You note that he has rheumatoid arthritis and is on diclofenac.
Which step would have been the most beneficial in preventing the development ot ulcers in this patient?

A) Combining diclofenac with omeprazole
B) Change diclofenac to indomethacm
C) Use of enteric coated medication
D) Eradication of Helicobacter pylori
E) Starting misoprostol

3. A two year old child is diagnosed with meningitis likely due to Neisseria meningitidis A medical student asks you why this organism is able to cross the blood brain barrier more easily than other pathogens To which characteristic is your explanation most likely to refer?

A) Binding to CD4 antigen
B) Expression of Protein A
C) IgA protease production
D) Attachment using haemagglutmin antigen
E) Adhesins on the fimbriae

4. 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) Chloride
D) Vitamin D
E) Sodium

5. A patient presents with acute cardiac failure and is prescribed a loop diuretic In which part of the nephron will the diuretic inhibit the sodium-potassium-chloride cotransporter?

A) Proximal tubule
B) Collecting duct
C) Thick ascending limb
D) Distal convoluted tubule
E) Thin ascending limb

Solutions: