RCEM FRCEM : FRCEM Primary Examination

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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

Question #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. Brucella abortus
C. Bartonella qumtana .
D. Theilena microti
E. Anaplasma phagocytophilum

Question #2

A 37 year old man presents wilh progressive bilateral ascending weakness following a one week history of diarrhoea and vomiting What is the most likely causative organism?

A. Mycoplasma pneumoniae
B. Campylobacter jejuni
C. Salmonella typhii
D. Shigella spp
E. Klebsiella spp

Question #3

A patient presents following a stabbing to his chest and has a cardiac arrest You perform an anterolateral thoracotomy. Which muscle in addition to pectoralis major are you most likely to incise?

A. Teres major
B. Subclavius
C. Latissimus dorsi
D. Serratus anterior
E. Pectoralis minor

Question #4

A 38 year old man with an atrial septal defect complains of chest pain. On auscultation you hear a loud and split second heart sound in the second intercostal space, left parasternal region.
Closure of which structure is most likely responsible for this finding?

A. Pulmonary valve
B. Foramen ovale
C. Aortic valve
D. Mitral valve
E. Tricuspid valve

Question #5

A 65 year old patient presents to the ED with a three hour history of expressive dysphasia. You suspect a stroke and order a CT scan Which area of the brain is the most likely site of the infarct?

A. Temporal
B. Occipital
C. Frontal
D. Parietal
E. Cerebellum

Solutions: