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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A patient with severe renal impairment requires regular opioid analgesia for their pain You are concerned about opiate accumulation Which drug in this class is most appropriate in this patient?

A) Pethidine
B) Oxycodone
C) Morphine
D) Dihydrocodeine
E) Codeine

2. A 63 year old woman has confirmed Leptospirosis
Which is the most common way people contract this infection?

A) Invasion of intact skin
B) Invasion of breached skin
C) Droplet
D) Faeco-oral
E) Sexually

3. A 54 year old man presents with an incised wound to the anterior compartment of his lower leg Exploration of the wound identifies a complete transection at the origin of the tibialis anterior muscle What associated motor deficit of the toot is most likely in this patient?

A) Plantarflexion
B) Plantarflexion and eversion
C) Plantarflexion and inversion
D) Dorsiflexion and inversion
E) Dorsiflexion and eversion

4. A 55 year old woman is found to have clinical and biochemical features of cholestatic jaundice. You think her jaundice might be caused by one of her medications.
Which medication is the most likely cause of her jaundice?

A) Aspirin
B) Paracetamol
C) Phenytoin
D) Co-amoxiclav
E) Thyroxine

5. You intubate a patient in the resuscitation room After inducing anaesthesia you lie the patient supine. Which lung volume is most affected by this change in posture?

A) Inspiratory capacity
B) Inspiratory reserve volume
C) Functional residual capacity
D) Tidal volume
E) Residual volume

Solutions: