RCEM FRCEM Primary Examination : FRCEM exam

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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A four year old girl presents with a fever Her skin feels warm to touch What is the most likely mechanism of effective thermoregulation?

A) Cutaneous vasoconstriction
B) Reduced blood velocity in cutaneous vessels
C) Reduced blood volume in cutaneous vessels
D) Increased cutaneous blood pressure
E) Increased sympathetic supply to cutaneous vessels

2. A patient presents with anaphylaxis requiring adrenaline She is markedly vasodilated Which substance is most likely to be responsible for this appearance?

A) Platelet activating factor.
B) Histamine
C) Leukotrienes
D) Tumour necrosis factor alpha
E) Prostaglandin

3. A five year old girl is brought to the ED by her parents She is pyrexial and has coryzal symptoms. Which diagnosis would require notification to a UK Public Health department?

A) Kawasaki's disease
B) Respiratory syncytial virus
C) Influenza type A
D) Pneumococcal pneumonia
E) Whooping cough

4. You are treating a patient with an acute exacerbation of COPD and they remain wheezy after two doses of nebulised salbutamol You decide to add nebulised ipratropium to improve bronchodilation Which receptors are most likely to be targeted by this treatment?

A) Alpha 1
B) Beta 2
C) Beta 1
D) Muscarinic
E) Nicotinic

5. You are teaching a medical student about the knee and discuss the structures that border the popliteal fossa Which structure best describes the superolateral boundary of this fossa?

A) Medial head of gastrocnemius
B) Lateral head of gastrocnemius
C) Semimembranosus
D) Biceps femons
E) Semitendinosis

Solutions: