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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 43 year old woman has fallen from a horse and has paralysis of the legs She has full movement at the shoulder and wrist but is unable to flex or abduct/adduct her fingers What is the most likely vertebral level of the spinal injury1?

A) C6/C7
B) C4/C5
C) C7/T1
D) C5/C6
E) T1/T2

2. 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) Cyanocobalamin
B) Thiamine
C) Vitamin D
D) Ascorbic acid
E) Glutathione

3. A patient presents with an arrhythmia and as you are treating them you discuss with a student the depolarisation phase of the cardiac action potential Which change initiates this phase of the action potential?

A) Opening of potassium channel
B) Opening of calcium channel
C) Closure of potassium channel
D) Opening of sodium channel
E) Closure of sodium channel

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

5. A 67 year old man presenls one month post resection for cancer with breathlessness He is found to have iron deficiency anaemia Resection of what part of the gastrointestinal tract is most likely to be responsible for this deficiency''

A) Caecum
B) Ileum
C) Stomach
D) Duodenum
E) Colon

Solutions: