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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 45 year old man with type II diabetes presents after a hypoglycaemic episode He has a history of diabetic eye disease He asks your advice about diabetes and driving.
Which situation is most likely to allow him to continue driving according to the DVLA?

A) Needing laser treatment to both eyes
B) An episode of severe hypoglycaemia while driving
C) Having more than one episode of severe hypoglycaemia in 12 months
D) Development of impaired awareness of hypoglycaemia
E) Having type II diabetes treated with oral medications

2. 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) Occipital
B) Temporal
C) Cerebellum
D) Frontal
E) Parietal

3. You are administering intravenous normal saline to a patient in the resus room.
What change in volume occurs within the body's fluid compartments whilst giving this treatment?

A) Increased interstitial
B) Reduced intracellular
C) Increased intracellular
D) Reduced extracellular
E) Increased extracellular

4. A 37 year old man is injured and has significant blood loss Following blood transfusion his systolic blood pressure increases from 70 to 100 Which physiological parameter is most likely to decrease in response?

A) Total peripheral resistance
B) Right atrial pressure
C) Pulmonary artery pressure
D) Cardiac output
E) Stroke volume

5. A 50 year old man presents with hypoglycaemia You decide to give him intramuscular glucagon Which organ is most affected by this treatment to increase blood sugar levels?

A) Kidney
B) Liver
C) Ileum
D) Adrenal
E) Pancreas

Solutions: