RCEM FRCEM Primary Examination - FRCEM

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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 21 year old man with a history of epilepsy presents following a generalised seizure A deformity in his left shoulder was noted and an x-ray confirms a dislocation You plan to reduce the dislocation using midazolam for procedural sedation Sedation will occur as a result of mediation of which neurotransmitter?

A) Dopamine
B) Glutamate
C) Serotonin
D) Acetylcholine
E) Gamma-aminobutyric acid

2. A patient with major trauma requires a central line. They have right sided neck and chest burns You decide to insert a left subclavian central line.
Which complication is more likely to occur during this procedure on the left in comparison to the right?

A) Injury to the thoracic duct ID.
B) Injury to the recurrent laryngeal nerve
C) Perforation of the oesophagus.
D) Pneumothorax
E) Injury to the phrenic nerve

3. A 35 year old man is hypotensive following a fracture of the right femoral shaft.
Which receptors are initially involved in increasing his BP?

A) Beta 2 vascular receptors
B) Carotid body receptors
C) Atrial stretch receptors
D) Baroreceptors
E) Cardiac receptors

4. A 70 year old woman presents with reduced I6vel of consciousness following a recent chest infection She has signs of meningeal irritation Gram staining of CSF demonstrates gram positive diplococci.
Which organism is most likely in this case1?

A) Moraxella catarrhalis
B) Acinetobacter baumannii
C) Streptococcus pneumoniae
D) Neisseria meningitidis
E) Staphylococcus aureus

5. A patient is brought in unconscious following a collapse and a subsequent CT shows a pontine haemorrhage Which clinical tindmg best describes what you expect on examination of the eyes?

A) Loss of direct light reflex
B) Ptosis of the eyelids
C) Convergent squint with failure to abduct
D) Gaze deviation to affected site
E) Deviation of eye laterally and downwards

Solutions: