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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pathology | 5% | - Haematology and haemostasis - Neoplasia and systemic pathology - Cell injury and repair - Inflammation and immune response |
| Topic 2: Microbiology | 9% | - Bacterial, viral, fungal and parasitic pathogens - General microbiology principles - Infection control and immunity |
| Topic 3: Physiology | 33% | - Cellular physiology - Renal and fluid balance - Cardiovascular system - Endocrine and metabolic physiology - Respiratory system - Gastrointestinal system |
| Topic 4: Evidence-Based Medicine | 6% | - Biostatistics and data interpretation - Study design and methodology - Critical appraisal and clinical guidelines |
| Topic 5: Anatomy | 33% | - Thorax - Abdomen and pelvis - Lower limb - Upper limb - Head, neck and central nervous system |
| Topic 6: Pharmacology | 13% | - Principles of pharmacology - Cardiovascular drugs - Antimicrobials and anti-infectives - Central nervous system and analgesics - Respiratory drugs - Fluids, electrolytes and emergency drugs |
RCEM FRCEM Primary Examination Sample Questions:
1. A 24 year old woman is admitted to your observation ward with a sudden onset headache. Her CT showed no abnormality and you decide to perform a lumbar puncture What is the next structure the needle will puncture after going through the skin and subcutaneous fat?
A) Supraspinous ligament
B) Ligamentum flavum
C) Dura
D) Interspmous ligament
E) Epidural space
2. A five year old girl is brought to the ED by her parents She is pyrexial and has coryzal symptoms. Which diagnosis would require notification to a UK Public Health department?
A) Kawasaki's disease
B) Influenza type A
C) Pneumococcal pneumonia
D) Whooping cough
E) Respiratory syncytial virus
3. A 52 year old woman (alls from a root sustaining a fracture dislocation at T12/L1 level Which muscle is most likely to be injured*?
A) Rhomboid major
B) lliacus
C) Psoas minor
D) Latissimus dorsi
E) Pectineus
4. You are critically appraising a randomised controlled trial about the use of nebulised versus intravenous magnesium in acute asthma You are most interested in whether you can extrapolate the results to your setting and population The presence of which factor would most limit the generalisability/external validity of the results?
A) Poor randomisation strategy
B) Selection bias
C) Absence of blinding
D) Allocation bias
E) Confounders
5. A 35 year old with an extensive history of using multiple recreational drugs but no alcohol use is diagnosed with a megaloblastic anaemia in the ED Which drug is the most likely cause of this anaemia'?
A) Heroin
B) Nitrous oxide
C) Cannabis
D) Cocaine
E) Ketamine
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: D |






