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RCEM FRCEM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Evidence-Based Medicine | 6% | - Biostatistics and data interpretation - Critical appraisal and clinical guidelines - Study design and methodology |
| Topic 2: Physiology | 33% | - Cellular physiology - Cardiovascular system - Gastrointestinal system - Respiratory system - Renal and fluid balance - Endocrine and metabolic physiology |
| Topic 3: Microbiology | 9% | - Bacterial, viral, fungal and parasitic pathogens - General microbiology principles - Infection control and immunity |
| Topic 4: Pharmacology | 13% | - Antimicrobials and anti-infectives - Fluids, electrolytes and emergency drugs - Cardiovascular drugs - Principles of pharmacology - Central nervous system and analgesics - Respiratory drugs |
| Topic 5: Pathology | 5% | - Cell injury and repair - Neoplasia and systemic pathology - Inflammation and immune response - Haematology and haemostasis |
| Topic 6: Anatomy | 33% | - Abdomen and pelvis - Upper limb - Lower limb - Thorax - Head, neck and central nervous system |
RCEM FRCEM Primary Examination Sample Questions:
A 35 year old man presents with extensive burns His circulating volume and renal perfusion pressure drop.
Concentration of NaCI in the intraluminal fluid in the kidney decreases.
Which hormone is most likely to be released by the juxtaglomerular apparatus in response?
- A. Renin
- B. Angiotensin
- C. Aldosterone
- D. Anti-diuretic hormone
- E. Adenosine
Correct Answer: A 🗳️
A patient is noted to have a low sodium level. The urinary biochemistry suggests a diagnosis of syndrome of inappropriate anti-diuretic hormone secretion.
Which of these medications is the most likely cause of this abnormality?
- A. Fluoxetine
- B. Furosemtde
- C. Ramipnl
- D. Prednisolone
- E. Spironolactone
Correct Answer: A 🗳️
You are treating a patient with left ventricular failure and decide to revise some cardiovascular physiology to help you understand the likely response to treatment Which statement best describes Starling's law in relation to cardiac output?
- A. Increased force of contraction due to an increase in preload
- B. Increased filling pressure leading to an increase in heart rate ID.
- C. Increased afterload due to an increase in cardiac output
- D. Increased heart rate due to an increase in sympathetic stimulation
- E. Increased contractility leading to an increase in stroke volume
Correct Answer: D 🗳️
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. Increased sympathetic supply to cutaneous vessels
- B. Reduced blood volume in cutaneous vessels
- C. Increased cutaneous blood pressure
- D. Cutaneous vasoconstriction
- E. Reduced blood velocity in cutaneous vessels
Correct Answer: A 🗳️
A 22 year old woman sustained an incised wound to the sole of her foot from standing on glass. Examination of the wound under local anaesthetic identifies the wound depth is limited to the first plantar layer.
Which structure is most likely to be injured?
- A. Flexor digitorum brevis
- B. Tibialis posterior
- C. Lateral plantar artery
- D. Peroneus longus
- E. Medial plantar artery
Correct Answer: A 🗳️




