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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 20 year old woman has an incised wound over the angle of her jaw and you suspect damage to a branch of the facial nerve What action are you most likely to test to confirm your suspicion?

A) Mandibular elevation
B) Mandibular retraction
C) Protrude lower lip
D) Pull corner of lips out and down
E) Stick tongue out

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. A16 year old girl is diagnosed with nephrotic syndrome
What is the most likely mechanism responsible for generalised oedema in this condition?

A) Venous obstruction
B) Lymphatic obstruction
C) Arterial occlusion
D) Oncotic pressure
E) Capillary hydrostatic pressure

4. A 25 year old man sustains a crush injury to his chest A CT scan reveals an oesophageal rupture as it passes through the diaphragm At which vertebral level is this injury most likely to have occurred?

A) T10
B) T8
C) T11
D) T9
E) T7

5. A 43 year old Afghan national presents to the ED with a four month history of cough, weight loss and night sweats What test is most consistent with active tuberculosis?

A) Sputum sample showing ziehl-nielsen stain negative bactena
B) Chest x-ray showing a cavitating lesion
C) Positive mantoux test
D) Absence of a bacille calmette-guenn scar
E) Chest x-ray showing lobar consolidation

Solutions: