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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. An 87 year old man is brought to the ED from his nursing home with loose stools and abdominal pain. You suspect Clostridium difficile infection because he had a recent course of antibiotics for pneumonia.
What measure is most likely to reduce the spread of infection to other patients?

A) Use of alcohol hand gel
B) Treatment with metronidazole
C) Wearing gloves and aprons for patient contact
D) Isolation of the patient in a side room
E) Hand washing with soap and water

2. You are critically appraising a randomised controlled trial about the use of nebulised versus intravenous magnesium in acute asthma You are most interested in whether you can extrapolate the results to your setting and population The presence of which factor would most limit the generalisability/external validity of the results?

A) Confounders
B) Allocation bias
C) Poor randomisation strategy
D) Absence of blinding
E) Selection bias

3. You are treating a patient with a dysrhythmia You are teaching your students about the phases of the cardiac action potential and emphasize the absolute refractory period as a means of preventing another action potential being generated Which factor is most important for this period?

A) Calcium channel activation
B) Potassium channel activation
C) Sodium channel activation
D) Potassium channel mactivation
E) Sodium channel inactivation

4. You are considering procedural sedation for a patient with vascular compromise due to a fracture They ate a meal two hours ago You are trying to remember the factors that affect gastric emptytng in healthy patients What factor will delay gastric emptying?

A) Decreased duodenal luminal pH
B) Increased gastric distention
C) Release of gastrin
D) More liquids than solids in the stomach
E) Low fat content of chyme

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

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