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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 14 year old boy presents after a bicycle accident He has a suspected pelvic fracture and the cremasteric reflex is absent Which nerve is most likely to be affected1?

A) Femoral
B) Subcostal
C) Lateral femoral cutaneous
D) Iliohypogastric .
E) Genitofemoral

2. A 56 year old woman with hypothyroidism is found to have significant hypokalemia Which feature is most likely to be seen on her ECG?

A) J waves
B) Prolonged PR interval
C) Tall T waves
D) Short QT interval
E) Prominent U waves

3. A 56 year old man presents with a spiral fracture of the humerus and wrist drop Which structure is most likely to be damaged?

A) Musculocutaneous nerve
B) Radial nerve
C) Axillary artery
D) Brachial artery
E) Ulnar nerve

4. A 38 year old man with an atrial septal defect complains of chest pain. On auscultation you hear a loud and split second heart sound in the second intercostal space, left parasternal region.
Closure of which structure is most likely responsible for this finding?

A) Pulmonary valve
B) Mitral valve
C) Tricuspid valve
D) Foramen ovale
E) Aortic valve

5. A three week old baby is brought in by her concerned parents She is vomiting substantially after feeds and is failing to gain weight. Investigation reveals an alkalosis and a low serum potassium.
The alkalosis is most likely to be due to which mechanism?

A) Increased loss of magnesium
B) Increased production of bicarbonate
C) Hypoventilation causing reduced pC02
D) Exchange of H* at the gastric protein pump
E) Loss of hydrochloric acid

Solutions: