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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A patient presents with an area of cellulitis with discharge on their foot following a puncture wound A swab shows a large number of gram positive rods on initial culture.
Which organism does this most likely represent?

A) Streptococcus pyogenes
B) Helicobacter cinaedi
C) Clostridium perfnngens
D) Staphylococcal aureus
E) Pseudomonas aeruginosa

2. A patient presents with muscle spasms caused by hypocalcaemia What is the most likely physiological response to this abnormality?

A) Increased calcitonin secretion
B) Decreased vitamin D synthesis
C) Decreased secretion of calcium from bone
D) Increased parathyroid secretion
E) Decreased renal excretion of phosphate

3. You are managing a patient with life threatening asthma and you start IV aminophylline Which electrolyte is it most important to monitor in this patient?

A) Chloride
B) Magnesium
C) Potassium
D) Sodium
E) Calcium

4. An 18 year old man presents with persistent vomiting You diagnose type I diabetes mellitus He asks you the implications of his diagnosis for driving a car What is the most accurate advice according to the DVLA?

A) You do not need to contact DVLA
B) Inform the DVLA if any episodes of hypoglycaemia
C) Inform the DVLA if insulin dependent
D) Only inform the DVLA if disabling hypoglycaemia
E) Inform the DVLA if insulin treatment for >3 months

5. 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 1 error
B) False positive
C) Type 2 error
D) Alternative hypothesis
E) False negative

Solutions: