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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. You are managing a patient with life threatening asthma and you start IV aminophylline Which electrolyte is it most important to monitor in this patient?

A) Chloride
B) Calcium
C) Sodium
D) Magnesium
E) Potassium

2. A 67 year old man presenls one month post resection for cancer with breathlessness He is found to have iron deficiency anaemia Resection of what part of the gastrointestinal tract is most likely to be responsible for this deficiency''

A) Stomach
B) Ileum
C) Caecum
D) Duodenum
E) Colon

3. A 26 year old man sustains a stab wound to the anterior aspect of the left side of his neck The wound involves the thoracic inlet Which structure is most likely to be encountered and injured first?

A) Subclavian artery
B) Subclavian vein
C) Thoracic duct
D) Pleura
E) Oesophagus

4. A 45 year old man with an acute kidney injury is found to have a metabolic acidosis What renal response is most likely to be involved in compensating for this metabolic abnormality?

A) Secretion of ammonium into the tubular lumen
B) Reabsorption of H*
C) Carbonic anhydrase - mediated production of phosphate
D) Secretion of HC03" into the tubular lumen
E) Secretion of glutamine into the interstitial fluid

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

Solutions: