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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 55 year old heavy smoker presents with cough, sputum production and dyspnoea A chest x-ray shows hyperinflation with diminished pulmonary vasculature Which measurement is likely to be increased on lung function testing?

A) Physiological dead space
B) Vital capacity
C) Tidal volume
D) Peak expiratory flow rate
E) Forced expiratory volume

2. A 21 year old woman attends with an earring becoming lodged in the lobule of her ear You decide to perform a nerve block to allow removal of the earring Which nerve are you most likely to need to block?

A) Auricular branch of vagus
B) Posterior auncular branch of facial
C) Auriculotemporal
D) Greater auricular
E) Lesser occipital

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

4. A premature baby is born at 28 weeks' gestation in your ED. They are at risk of respiratory distress syndrome due to lack of surfactant What best describes the composition of this substance?

A) Phosphoglyceride
B) Sphingolipid
C) Phospholipid
D) Glycolipid
E) Fatty acid

5. A patient arrives with shortness of breath Their venous blood gas shows they have a low haemoglobin They have a past medical history of pernicious anaemia Which cells in the gastrointestinal tract are most likely to be attacked in this autoimmune condition1?

A) Somatic
B) Parietal
C) Epithelial
D) Delta
E) Chief

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