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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. 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

2. 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

3. 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

4. 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

5. 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

Solutions: