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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

1. A 54 year old man presents with headaches, palpitations and diaphoresis Imaging findings are consistent with a phaeochromocytoma The cells affected in this condition are most likely to be found in which region?

A) Zona reticularis
B) Adrenal cortex
C) Zona fasciculata
D) Zona glomerulosa
E) Adrenal medulla.

2. A 50 year old man presents with hypoglycaemia You decide to give him intramuscular glucagon Which organ is most affected by this treatment to increase blood sugar levels?

A) Liver
B) Kidney
C) Pancreas
D) Adrenal
E) Ileum

3. A 20 year old woman presents with symptoms and signs suggestive of infectious mononucleosis Proliferation of which cells on the peripheral blood film would best support your diagnosis?

A) Lymphocytes
B) Eosinophils
C) Neutrophils
D) Basophils
E) Monocytes

4. A 45 year old man is brought into the ED by the police following a witnessed seizure. He is suspected to be alcohol dependent Which haematological index best suggests this dependence?

A) Low white blood cell count
B) High red cell distribution width
C) Raised mean corpuscular haemoglobin
D) Raised mean corpuscular volume
E) Low haemoglobin

5. An 80 year old woman with an extensive cardiac history is diagnosed with aortic stenosis On auscultation you appreciate an ejection systolic murmur.
Which haemodynamic factor is most likely responsible for the audible murmur?

A) Increased viscosity
B) High blood volume
C) Decreased viscosity
D) Turbulent flow
E) Laminar flow

Solutions: