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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Evidence-Based Medicine | 6% | - Study design and methodology - Biostatistics and data interpretation - Critical appraisal and clinical guidelines |
| Topic 2: Pharmacology | 13% | - Central nervous system and analgesics - Fluids, electrolytes and emergency drugs - Principles of pharmacology - Antimicrobials and anti-infectives - Respiratory drugs - Cardiovascular drugs |
| Topic 3: Anatomy | 33% | - Abdomen and pelvis - Thorax - Lower limb - Head, neck and central nervous system - Upper limb |
| Topic 4: Physiology | 33% | - Renal and fluid balance - Cardiovascular system - Cellular physiology - Endocrine and metabolic physiology - Respiratory system - Gastrointestinal system |
| Topic 5: Microbiology | 9% | - General microbiology principles - Bacterial, viral, fungal and parasitic pathogens - Infection control and immunity |
| Topic 6: Pathology | 5% | - Neoplasia and systemic pathology - Cell injury and repair - Inflammation and immune response - Haematology and haemostasis |
RCEM FRCEM Primary Examination Sample Questions:
A 75 year old man is concerned about having frequent chest infections He is a heavy smoker and you explain to him that this can affect the normal mechanism of mucociliary clearance of microorganisms and pollutants What type of cell is primarily responsible for this method of pathogen clearance?
- A. Columnar epithelial cells
- B. Mast cells
- C. Goblet cells
- D. Acinar cells
- E. Club cells
Correct Answer: A 🗳️
A 34 year old woman presents with flank pain She has recently been diagnosed with glomerulosclerosis.
Which part of the kidney is most likely to be affected in this condition?
- A. Medulla
- B. Pelvis
- C. Capsule
- D. Calyx
- E. Cortex
Correct Answer: E 🗳️
You are teaching a medical student and are discussing how fluid compartment ratios can change in relation to age and gender You note that some population groups have proportionally higher total body water which increases the extracellular to intracellular fluid ratio What population group best demonstrates this?
- A. Neonate
- B. Child
- C. Elderly
- D. Adult female
- E. Adult male
Correct Answer: D 🗳️
A 20 year old man presents lo the ED with a slab wound to the antecubital fossa Exploration of the wound reveals a large nerve has been transected Which function is most likely to be preserved on clinical examination'?
- A. Flexion of the proximal interphalangeal joints
- B. Opposition of the thumb
- C. Abduction of the little finger
- D. Flexion of the distal interphalangeal joints
- E. Flexion of the wrist
Correct Answer: C 🗳️
A 40 year old woman taking the oral contraceptive pill was prescribed phenytom following a seizure Some months later she becomes pregnant What is the most likely mechanism by which this treatment has led to tailure of her contraception?
- A. Interference with protein binding of the contraceptive pill
- B. Alteration of intestinal flora
- C. Increased renal clearance of the contraceptive pill
- D. Liver enzyme induction
- E. Inhibition of oestrogen receptors
Correct Answer: D 🗳️
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