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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. An eight year old boy presents with headache fever, fatigue and leg pain There is erythema and swelling over his thigh You suspect osteomyelitis.
What is the most likely causative organism?

A) Streptococcus pyogenes
B) Staphylococcus aureus
C) Salmonella typhimunum
D) Haemophilus influenza
E) Streptococcus pneumoniae

2. A 78 year old has a (all and hits her forehead During (he fall she hyperexlended her neck and now complains of weakness in her arms You suspect she may have central cord syndrome What is the most likely anatomical cause of this injury during hyperextension?

A) Infarction of the anterior spinal artery
B) Laxity of the ligamentum flavum
C) Anterior osteophytes causing compression
D) Compression of the posterior vertebral artery
E) Herniation of a cervical disc

3. A 56 year old woman with hypothyroidism is found to have significant hypokalemia Which feature is most likely to be seen on her ECG?

A) Short QT interval
B) Prominent U waves
C) Tall T waves
D) J waves
E) Prolonged PR interval

4. A two year old child presents with a barking cough You suspect croup Which virus is most likely to be implicated?

A) Parainfluenza
B) Measles
C) Respiratory syncytial virus
D) Rhinovirus
E) Adenovirus

5. A father brings his febrile eight week old child to the ED. He tells you that the child's vaccinations are fully up to date. Which of the following vaccines has the child not yet received'?

A) Diptheria
B) Pertussis
C) Haemophilus influenzae B
D) Meningococcal
E) Polio

Solutions: