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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A patient is brought into the ED unconscious Calculation from the venous blood gas confirms a low anion gap acidosis What is the most likely cause of this abnormality?

A) Diabetic ketoacidosis
B) Hypoalbummaemia
C) Salicylates
D) Methanol
E) Rhabdomyolysis

2. A 71 year old man with a history of heart failure and type II diabetes mellitus presents with an acute, painful, swollen first metatarsophalangeal joint in his foot You suspect gout.
Which treatment would be most appropriate for the acute management of this patient*?

A) Colchicine
B) Allopunnol
C) Diclofenac
D) Naproxen
E) Prednisolone

3. A 43 year old Afghan national presents to the ED with a four month history of cough, weight loss and night sweats What test is most consistent with active tuberculosis?

A) Positive mantoux test
B) Sputum sample showing ziehl-nielsen stain negative bactena
C) Absence of a bacille calmette-guenn scar
D) Chest x-ray showing a cavitating lesion
E) Chest x-ray showing lobar consolidation

4. A 50 year old man with HIV has not been taking his treatment and presents with severe headache and neck stiffness His current CD4+ count is 180/mmc (normal 500-1400/mmc) What is the most likely causative agent of his meningitis?

A) Aspergillus
B) Cryptococcus
C) Sporothrix
D) Candida
E) Malassezia

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

Solutions: