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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 20 year old woman complains of loss of taste from the posterior part of her tongue She is two days post tonsillectomy Which nerve is most likely damaged?

A) Chorda tympanae
B) Vagus
C) Hypoglossal
D) Lingual
E) Glossopharyngeal

2. A 67 year old woman presents with sudden onset poor balance. vertigo; ataxia, dysarthria and staggering to the left Her condition is most likely to be caused by an infarct in which area?

A) Left cerebellar
B) Left basal ganglia
C) Right basal ganglia
D) Right cerebellar
E) Bilateral hemispheric

3. A 57 year old man has had a myocardial infarction His coronary angiogram has shown a 50% decrease in the radius of the right coronary artery.
Which parameter is most likely to increase by a factor of 16 as a result?

A) Resistance
B) Blood flow
C) Elasticity
D) Pressure gradient
E) Capacitance

4. A 37 year old man presents wilh progressive bilateral ascending weakness following a one week history of diarrhoea and vomiting What is the most likely causative organism?

A) Mycoplasma pneumoniae
B) Shigella spp
C) Salmonella typhii
D) Campylobacter jejuni
E) Klebsiella spp

5. A 75 year old man presents to the ED with burning epigastric abdominal pain You note that he has rheumatoid arthritis and is on diclofenac.
Which step would have been the most beneficial in preventing the development ot ulcers in this patient?

A) Combining diclofenac with omeprazole
B) Use of enteric coated medication
C) Change diclofenac to indomethacm
D) Eradication of Helicobacter pylori
E) Starting misoprostol

Solutions: