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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 40 year old woman taking the oral contraceptive pill was prescribed phenytom following a seizure Some months later she becomes pregnant What is the most likely mechanism by which this treatment has led to tailure of her contraception?

A) Liver enzyme induction
B) Inhibition of oestrogen receptors
C) Increased renal clearance of the contraceptive pill
D) Interference with protein binding of the contraceptive pill
E) Alteration of intestinal flora

2. A 20 year old woman has an incised wound over the angle of her jaw and you suspect damage to a branch of the facial nerve What action are you most likely to test to confirm your suspicion?

A) Mandibular retraction
B) Pull corner of lips out and down
C) Protrude lower lip
D) Mandibular elevation
E) Stick tongue out

3. A 34 year old man presents to the ED with chest and left shoulder pain A diagnosis of pericarditis is made Involvement of which nerve best explains hts symptoms?

A) Left vagus
B) Right vagus
C) Cervical ganglia of sympathetic trunk
D) Phrenic
E) Recurrent laryngeal

4. A 21 year old woman attends with an earring becoming lodged in the lobule of her ear You decide to perform a nerve block to allow removal of the earring Which nerve are you most likely to need to block?

A) Auriculotemporal
B) Posterior auncular branch of facial
C) Lesser occipital
D) Auricular branch of vagus
E) Greater auricular

5. A 60 year old woman presents with shortness of breath and signs of pulmonary oedema. An echocardiogram demonstrates reduced left ventricular systolic function.
Which measurement on echocardiogram best demonstrates this?

A) Left ventricle end diastolic pressure
B) Left ventricle end diastolic volume and pressure
C) Ejection fraction
D) Left ventricle end diastolic volume
E) Stroke volume

Solutions: