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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 48 year old man presents to the ED with sudden onset, severe abdominal pain His CT shows pneumoretroperitoneum. Which of these structures is most likely to have perforated?

A) Transverse colon
B) Jejunum
C) Duodenum
D) Sigmoid colon
E) Ileum

2. A 54 year old man presents with an incised wound to the anterior compartment of his lower leg Exploration of the wound identifies a complete transection at the origin of the tibialis anterior muscle What associated motor deficit of the toot is most likely in this patient?

A) Plantarflexion and eversion
B) Plantarflexion and inversion
C) Plantarflexion
D) Dorsiflexion and inversion
E) Dorsiflexion and eversion

3. You have designed a randomised control trial and need to make a calculation as to the sample size required such that we do not reject the null hypothesis when it is false Which component of the sample size calculation is most likely to avoid this error'?

A) Power
B) Smallest effect of interest
C) Variability
D) Standardised difference
E) Significance level

4. A patient with major trauma requires a central line. They have right sided neck and chest burns You decide to insert a left subclavian central line.
Which complication is more likely to occur during this procedure on the left in comparison to the right?

A) Injury to the phrenic nerve
B) Perforation of the oesophagus.
C) Injury to the recurrent laryngeal nerve
D) Injury to the thoracic duct ID.
E) Pneumothorax

5. An 80 year old woman with an extensive cardiac history is diagnosed with aortic stenosis On auscultation you appreciate an ejection systolic murmur.
Which haemodynamic factor is most likely responsible for the audible murmur?

A) High blood volume
B) Decreased viscosity
C) Increased viscosity
D) Laminar flow
E) Turbulent flow

Solutions: