All real FRCEM questions are from your FRCEM study guide.


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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Anatomy | 33% | - Upper limb - Thorax - Lower limb - Head, neck and central nervous system - Abdomen and pelvis |
| Topic 2: Evidence-Based Medicine | 6% | - Biostatistics and data interpretation - Critical appraisal and clinical guidelines - Study design and methodology |
| Topic 3: Pharmacology | 13% | - Fluids, electrolytes and emergency drugs - Cardiovascular drugs - Antimicrobials and anti-infectives - Respiratory drugs - Principles of pharmacology - Central nervous system and analgesics |
| Topic 4: Microbiology | 9% | - Bacterial, viral, fungal and parasitic pathogens - General microbiology principles - Infection control and immunity |
| Topic 5: Physiology | 33% | - Renal and fluid balance - Endocrine and metabolic physiology - Cellular physiology - Respiratory system - Cardiovascular system - Gastrointestinal system |
| Topic 6: Pathology | 5% | - Cell injury and repair - Neoplasia and systemic pathology - Inflammation and immune response - Haematology and haemostasis |
Question 1
A16 year old girl is diagnosed with nephrotic syndrome
What is the most likely mechanism responsible for generalised oedema in this condition?
A. Capillary hydrostatic pressure
B. Venous obstruction
C. Arterial occlusion
D. Lymphatic obstruction
E. Oncotic pressure
Question 2
A 45 year old man has been in a motorbike crash A CT scan shows a fracture dislocation at T4 The sensory level is most likely to be found at which surface landmark?
A. Sternal notch
B. Nipple line
C. Apex beat
D. Xiphisternum
E. Umbilicus
Question 3
A 33 year old man presents with epigastric pain
What best describes the function of the gastric chief cell'?
A. Absorbs vitamin B1
B. Secretes intrinsic factor
C. Secretes pepsinogen
D. Absorbs vitamin B12
E. Secretes hydrochloric acid
Question 4
A newborn infant is brought to your ED He was born at 39 weeks gestation with low birthweight, a purpuric rash, hepatosplenomegaly and bilateral cataracts You suspect the signs are secondary to an infection acquired while khe baby was still in utero Which organism is most likely to cause this clinical presentation?
A. Rubella
B. Group B streptococcus
C. Toxoplasma gondii
D. Treponema pallidum
E. Cytomegalovirus
Question 5
A pregnant patient presents to the department following an eclamptic seizure She requires management for her hypertension.
Which drug would be most appropriate in this case?
A. Labetalol
B. Sodium nitroprusside
C. Atenolol
D. Nifedipine
E. Glyceryl trinitrate
Solutions:
| Question 1 Answer: E | Question 2 Answer: B | Question 3 Answer: C | Question 4 Answer: A | Question 5 Answer: A |
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All real FRCEM questions are from your FRCEM study guide.
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