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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A doctor about to sit an important examination has become aware of the urge to detaecate Involuntary relaxation of which muscle is most likely to have occurred?

A) Circular muscle coat of sigmoid
B) External anal sphincter
C) Puborectalis
D) Internal anal sphincter
E) Abdominal wall

2. 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) Selection bias
B) Allocation bias
C) Absence of blinding
D) Poor randomisation strategy
E) Confounders

3. A 55 year old heavy smoker presents with cough, sputum production and dyspnoea A chest x-ray shows hyperinflation with diminished pulmonary vasculature Which measurement is likely to be increased on lung function testing?

A) Physiological dead space
B) Peak expiratory flow rate
C) Tidal volume
D) Forced expiratory volume
E) Vital capacity

4. A four year old girl presents with a fever Her skin feels warm to touch What is the most likely mechanism of effective thermoregulation?

A) Reduced blood velocity in cutaneous vessels
B) Cutaneous vasoconstriction
C) Reduced blood volume in cutaneous vessels
D) Increased cutaneous blood pressure
E) Increased sympathetic supply to cutaneous vessels

5. You intubate a patient in the resuscitation room After inducing anaesthesia you lie the patient supine. Which lung volume is most affected by this change in posture?

A) Residual volume
B) Inspiratory capacity
C) Functional residual capacity
D) Inspiratory reserve volume
E) Tidal volume

Solutions: