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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. An eight year old boy presents with headache fever, fatigue and leg pain There is erythema and swelling over his thigh You suspect osteomyelitis.
What is the most likely causative organism?

A) Salmonella typhimunum
B) Haemophilus influenza
C) Streptococcus pyogenes
D) Staphylococcus aureus
E) Streptococcus pneumoniae

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

3. A clinical trial suggests that a new dressing for burns works better on men than women, but there is in fact no difference Which term best describes this situation?

A) Type 2 error
B) False negative
C) Type 1 error
D) Alternative hypothesis
E) False positive

4. An 80 year old man presents with abdominal pain and diarrhoea He is diagnosed with Clostridium difficile colitis. What is the most likely cause of the toxic effects of this bacteria?

A) Endotoxin
B) Necrotoxin
C) Tetrodotoxm
D) Cytotoxin
E) Haemotoxm

5. A 24 year old man sustains an injury to his right eye The x-rays confirm an orbital floor fracture He complains of double vision on upward gaze Entrapment of which muscle is most likely responsible for his symptom?

A) Levator palpebrae superioris
B) Inferior rectus
C) Inferior oblique
D) Superior oblique
E) Superior rectus

Solutions: