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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 23 year old man presents to the ED after cutting his wrist with a kitchen knife There is a wound on the flexor aspect of the wrist and you are concerned about median nerve injury.
Which examination of motor function would best test for damage to this nerve?

A) Adduction of the fingers
B) Opposition of the thumb
C) Pronation of the forearm
D) Extension of the wrist
E) Extension of finger metacarpophalangeal joints

2. A 24 year old woman is admitted to your observation ward with a sudden onset headache. Her CT showed no abnormality and you decide to perform a lumbar puncture What is the next structure the needle will puncture after going through the skin and subcutaneous fat?

A) Supraspinous ligament
B) Interspmous ligament
C) Epidural space
D) Ligamentum flavum
E) Dura

3. A 23 year old woman presents with facial swelling She has hereditary angioedema due to complement deficiency Which organism is it most important for this patient to be vaccinated agains?

A) Clostridium tetani
B) Neisseria meningitidis
C) Herpes zoster
D) Influenza
E) Parainfluenza

4. A 75 year old woman is prescribed aspirin for secondary prevention following myocardial infarction The formation by platelets of what substance is most likely to be inhibited by this medication?

A) Thromboxane
B) Fibrinogen
C) Fibrin
D) Prostacyclin
E) Plasminogen

5. A16 year old girl is diagnosed with nephrotic syndrome
What is the most likely mechanism responsible for generalised oedema in this condition?

A) Arterial occlusion
B) Capillary hydrostatic pressure
C) Venous obstruction
D) Lymphatic obstruction
E) Oncotic pressure

Solutions: