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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

Question 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. Isolation of the patient in a side room
D. Wearing gloves and aprons for patient contact
E. Hand washing with soap and water

Question 2

A 75 year old man is concerned about having frequent chest infections He is a heavy smoker and you explain to him that this can affect the normal mechanism of mucociliary clearance of microorganisms and pollutants What type of cell is primarily responsible for this method of pathogen clearance?

A. Mast cells
B. Goblet cells
C. Columnar epithelial cells
D. Club cells
E. Acinar cells

Question 3

A 45 year old man with an acute kidney injury is found to have a metabolic acidosis What renal response is most likely to be involved in compensating for this metabolic abnormality?

A. Secretion of glutamine into the interstitial fluid
B. Reabsorption of H*
C. Secretion of HC03" into the tubular lumen
D. Carbonic anhydrase - mediated production of phosphate
E. Secretion of ammonium into the tubular lumen

Question 4

You are prescribing gentamicin for a patienl. Her serum creatinine level is raised Which property of creatinine best explains why it is used as a marker of glomerular filtration rate?

A. Indicative of body muscle mass IE.
B. Free filtration by the glomerulus
C. Estimation of the 24 hour excretion rate
D. Steady state concentration existence in the blood
E. Active secretion by the peritubular capillaries

Question 5

A 48 year old man presents with a flare up of gout You recommend treatment with a non-steroidal anti-inflammatory drug (NSAID) He is concerned because his wife suffered a peptic ulcer associated with NSAID use Which medication would be your first choice NSAID to minimise his risk of gastrointestinal side effects?

A. Ibuprofen
B. Piroxicam
C. Diclofenac
D. Indomethacin
E. Naproxen

Solutions: