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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. When taking a history from a 74 year old woman, she tells you she has pernicious anaemia Where are the cells that are attacked in this autoimmune condition most likely to be located?

A) Ileum
B) Stomach
C) Jejunum
D) Ascending colon
E) Duodenum

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

3. A 23 year old woman presents with facial swelling She has hereditary angioedema due to complement deficiency Which organism is it most important for this patient to be vaccinated agains?

A) Parainfluenza
B) Influenza
C) Neisseria meningitidis
D) Clostridium tetani
E) Herpes zoster

4. A 40 year old woman wilh a new diagnosis of type II diabetes has significant hyperglycaemia What is the most likely cause of her elevated blood glucose?

A) Excessive glucocorticoid production
B) Reduced glucagon secretion
C) Reduced insulin production by pancreatic beta cells
D) Increased cellular resistance to insulin
E) Production of abnormal insulin

5. A clinical pathway uses a predictive tool to guide use of diagnostic tests. Your patient has a high risk score, but a negative test They ask you how likely it is that they have the disease in question.
Which statistic are you most likely to use in your explanation?

A) Sensitivity
B) Post-test probability
C) Specificity
D) Negative predictive value
E) Likelihood ratio

Solutions: