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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 28 year old woman has an expanding skin rash: lethargy and body ache You suspect Lyme disease Which microorganism is most likely to be the cause?

A) Borrelia burgdorferi
B) Anaplasma phagocytophilum
C) Theilena microti
D) Brucella abortus
E) Bartonella qumtana .

2. A patient presents with an area of cellulitis with discharge on their foot following a puncture wound A swab shows a large number of gram positive rods on initial culture.
Which organism does this most likely represent?

A) Staphylococcal aureus
B) Pseudomonas aeruginosa
C) Clostridium perfnngens
D) Streptococcus pyogenes
E) Helicobacter cinaedi

3. A 45 year old builder attends with an elbow injury An x-ray confirms fracture of the medial epicondyle On examination there is hyperextension of the metacarpophalangeal joint and flexion of the interphalangeal joint of ring and little fingers.
Which nerve is most likely to be injured?

A) Radial
B) Median
C) 'I'M'
D) Musculocutaneous
E) Axillary

4. A patient presents with septic shock A venous blood gas shows a metabolic acidosis Following treatment with crystalloid infusion and antibiotics their HR and BP are normal A repeat venous gas shows a persistent metabolic acidosis with a normal anion gap Which mechanism best explains the results of the repeat blood gas?

A) Metabolic acidosis due to occult aspirin overdose
B) Acute kidney injury due to reduced renal blood flow
C) Capillary leak due to sepsis causing continued hypovolamia
D) Hyperchloraemic acidosis due to excessive infusion of normal saline
E) Lactic acidosis due to tissue hypoperfusion

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

Solutions: