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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 46 year old woman arrives after being hit by a car She has sustained a head injury You suspect she may have increased intracranial pressure due to a traumatic brain injury.
Which is the earliest clinical finding you are likely to see?

A) Dilated ipsilateral pupil
B) Bilateral fixed dilated pupils
C) Impaired corneal reflex
D) Papilledema
E) Cushmg's triad

2. You suspect cauda equina syndrome in an 85 year old man with metastatic cancer On examination there is loss of anal tone Which myotomes are most likely to be affected and causing this examination finding?

A) S1.2
B) L3,4
C) L12
D) L5
E) S2, 3, 4

3. A 67 year old woman is being treated for haematemesis Within a few minutes of starting transfusion of packed red cells she reports dizziness, breathlessness, tingling of her lips and develops a maculopapular rash What type of hypersensitivity reaction is most likely to be occurring?

A) Type V
B) Type III
C) Type I
D) Type IV
E) Type II

4. A 48 year old man presents to the ED with sudden onset, severe abdominal pain His CT shows pneumoretroperitoneum. Which of these structures is most likely to have perforated?

A) Jejunum
B) Duodenum
C) Transverse colon
D) Ileum
E) Sigmoid colon

5. 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) Atrial stretch receptors
C) Baroreceptors
D) Carotid body receptors
E) Cardiac receptors

Solutions: