RCEM FRCEM Primary Examination - FRCEM certification

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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

Question 1

A patient presents following a stabbing to his chest and has a cardiac arrest You perform an anterolateral thoracotomy. Which muscle in addition to pectoralis major are you most likely to incise?

A. Subclavius
B. Teres major
C. Latissimus dorsi
D. Pectoralis minor
E. Serratus anterior

Question 2

A 78 year old has a (all and hits her forehead During (he fall she hyperexlended her neck and now complains of weakness in her arms You suspect she may have central cord syndrome What is the most likely anatomical cause of this injury during hyperextension?

A. Compression of the posterior vertebral artery
B. Laxity of the ligamentum flavum
C. Herniation of a cervical disc
D. Infarction of the anterior spinal artery
E. Anterior osteophytes causing compression

Question 3

A 21 year old woman is confirmed to have giardiasis
Which characteristic of this specific parasite best explains its persistent intestinal attachment?

A. Hooks
B. Intestinal mucosa penetration
C. Vacule formation
D. Oral sucker
E. Sucking disc

Question 4

A 52 year old man presents to the ED with headaches, sweating and a change in his voice. He is complaining of tingling in his hands and is hypertensive What is the most likely visual defect you will find on neurological examination'?

A. Central scotoma
B. Bitemporal hemianopia
C. Monocular vision
D. Superior quadrantanopia
E. Homonymous hemianopia

Question 5

An 87 year old man is brought to the ED from his nursing home with loose stools and abdominal pain. You suspect Clostridium difficile infection because he had a recent course of antibiotics for pneumonia.
What measure is most likely to reduce the spread of infection to other patients?

A. Use of alcohol hand gel
B. Hand washing with soap and water
C. Treatment with metronidazole
D. Isolation of the patient in a side room
E. Wearing gloves and aprons for patient contact

Solutions: