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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 25 year old woman sustains damage to the hypothalamus as a result of head injury This would most likely result in excess secretion of which hormone?

A) Adrenocorticotropic
B) Prolactin
C) Luteinizing
D) Thyroid stimulating
E) Follicle-stimulating

2. A 23 year old man presents to the ED after cutting his wrist with a kitchen knife There is a wound on the flexor aspect of the wrist and you are concerned about median nerve injury.
Which examination of motor function would best test for damage to this nerve?

A) Extension of the wrist
B) Adduction of the fingers
C) Pronation of the forearm
D) Opposition of the thumb
E) Extension of finger metacarpophalangeal joints

3. A 32 year old builder slips with an angle grinder causing a deep facial wound which intersects with the inferomedial edge of the orbit and leaves exposed damaged bone.
What bone is most likely affected?

A) Zygoma
B) Maxilla
C) Ethmoid
D) Nasal
E) Sphenoid

4. A 70 year old woman presents to the ED with symptoms and signs suggestive of sepsis Her BP is 80/40 You think her low BP is because of a drop in the systemic vascular resistance Which type of blood vessels are most likely implicated in causing her hypotension?

A) Veins
B) Arteries
C) Arterioles
D) Capillaries
E) Venules

5. A 52 year old man presents to the ED with headaches, sweating and a change in his voice. He is complaining of tingling in his hands and is hypertensive What is the most likely visual defect you will find on neurological examination'?

A) Superior quadrantanopia
B) Central scotoma
C) Homonymous hemianopia
D) Monocular vision
E) Bitemporal hemianopia

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