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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A patient is brought into the ED unconscious Calculation from the venous blood gas confirms a low anion gap acidosis What is the most likely cause of this abnormality?

A) Diabetic ketoacidosis
B) Hypoalbummaemia
C) Methanol
D) Rhabdomyolysis
E) Salicylates

2. A 24 year old woman is admitted to your observation ward with a sudden onset headache. Her CT showed no abnormality and you decide to perform a lumbar puncture What is the next structure the needle will puncture after going through the skin and subcutaneous fat?

A) Supraspinous ligament
B) Ligamentum flavum
C) Epidural space
D) Interspmous ligament
E) Dura

3. A 37 year old man is injured and has significant blood loss Following blood transfusion his systolic blood pressure increases from 70 to 100 Which physiological parameter is most likely to decrease in response?

A) Cardiac output
B) Stroke volume
C) Total peripheral resistance
D) Pulmonary artery pressure
E) Right atrial pressure

4. A 35 year old man is hypotensive following a fracture of the right femoral shaft.
Which receptors are initially involved in increasing his BP?

A) Atrial stretch receptors
B) Baroreceptors
C) Carotid body receptors
D) Beta 2 vascular receptors
E) Cardiac receptors

5. A 60 year old man with alcoholic liver cirrhosis and portal hypertension is brought to the ED because he has been vomiting blood Which vein is the most likely origin of his haematemesis?

A) Superior vena cava
B) Periumbilical
C) Left gastric
D) Azygos
E) Inferior mesenteric

Solutions: