Exam Code: FRCEM
Exam Name: FRCEM Primary Examination
Certification Provider: RCEM
Corresponding Certification: FRCEM Certification
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RCEM FRCEM Exam Syllabus Topics:

SectionObjectives
Topic 1: Pathology and Microbiology- Disease mechanisms and infection
  • 1. Inflammation and tissue injury
    • 2. Viral infections
      • 3. Bacterial infections
        Topic 2: Pharmacology- Principles of drug action
        • 1. Pharmacodynamics
          • 2. Pharmacokinetics
            • 3. Emergency medications
              Topic 3: Physiology- Core human physiology
              • 1. Respiratory physiology
                • 2. Cardiovascular physiology
                  • 3. Endocrine physiology
                    • 4. Renal physiology
                      Topic 4: Anatomy- System-based anatomy relevant to emergency medicine
                      • 1. Neurological anatomy
                        • 2. Musculoskeletal anatomy
                          • 3. Respiratory anatomy
                            • 4. Cardiovascular anatomy
                              Topic 5: Evidence-Based Medicine- Research methods and statistics
                              • 1. Study design
                                • 2. Sensitivity and specificity
                                  • 3. Statistical interpretation

                                    RCEM FRCEM Primary Examination Sample Questions:

                                    1. A 60 year old man with alcoholic liver cirrhosis and portal hypertension is brought to the ED because he has been vomiting blood Which vein is the most likely origin of his haematemesis?

                                    A) Inferior mesenteric
                                    B) Left gastric
                                    C) Superior vena cava
                                    D) Azygos
                                    E) Periumbilical


                                    2. When taking a history from a 74 year old woman, she tells you she has pernicious anaemia Where are the cells that are attacked in this autoimmune condition most likely to be located?

                                    A) Ascending colon
                                    B) Stomach
                                    C) Ileum
                                    D) Duodenum
                                    E) Jejunum


                                    3. You are conducting a study of children presenting with febrile convulsions. As pari of your data collection you record their temperature in degrees Celsius on arrival Which is the best description of this type of data?

                                    A) Ratio
                                    B) Discrete
                                    C) Interval
                                    D) Nominal
                                    E) Ordinal


                                    4. A patient presents to the ED a few days after a significant head injury He is polyuric with hypernatremia and high plasma osmolality Which hormone is most likely to cause this picture?

                                    A) Dopamine
                                    B) Vasopressin
                                    C) Somatostatin
                                    D) Adrenocorticotropic
                                    E) Corticotropm-releasing


                                    5. A 56 year old woman with severe ascites attends the ED with breathlessness Chest auscultation is normal What findings would you expect on spirometry?

                                    A) Increased total lung capacity
                                    B) Increased inspiratory capacity
                                    C) Increased vital capacity
                                    D) Increased FVC
                                    E) Increased FEV,/FVC ratio


                                    Solutions:

                                    Question # 1
                                    Answer: B
                                    Question # 2
                                    Answer: B
                                    Question # 3
                                    Answer: E
                                    Question # 4
                                    Answer: B
                                    Question # 5
                                    Answer: E

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