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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A patient is noted to have a low sodium level. The urinary biochemistry suggests a diagnosis of syndrome of inappropriate anti-diuretic hormone secretion.
Which of these medications is the most likely cause of this abnormality?

A) Spironolactone
B) Furosemtde
C) Ramipnl
D) Fluoxetine
E) Prednisolone

2. You are treating a patient with a dysrhythmia You are teaching your students about the phases of the cardiac action potential and emphasize the absolute refractory period as a means of preventing another action potential being generated Which factor is most important for this period?

A) Sodium channel activation
B) Calcium channel activation
C) Potassium channel activation
D) Sodium channel inactivation
E) Potassium channel mactivation

3. A16 year old girl is diagnosed with nephrotic syndrome
What is the most likely mechanism responsible for generalised oedema in this condition?

A) Lymphatic obstruction
B) Oncotic pressure
C) Capillary hydrostatic pressure
D) Arterial occlusion
E) Venous obstruction

4. A 45 year old man has been in a motorbike crash A CT scan shows a fracture dislocation at T4 The sensory level is most likely to be found at which surface landmark?

A) Nipple line
B) Apex beat
C) Sternal notch
D) Xiphisternum
E) Umbilicus

5. A 78 year old woman presents with a painful shoulder after a fall. On examination she is unable to lift the dorsum of her hand off her mid-lumbar spine (lift-off test).
Which muscle is most likely to have been injured?

A) Infraspinatus
B) Teres minor
C) Supraspinatus
D) Teres major
E) Subscapulars

Solutions: