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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

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

2. A 21 year old man is diagnosed with diabetic ketoacidosis. A medical student asks you to assist them in calculating the patients blood pH using the Henderson-Hasselbach equation.
What best describes the two required constituents for this equation?

A) Chloride and PaC02
B) Sodium and calcium
C) Bicarbonate and PaC02
D) Bicarbonate and sodium
E) Bicarbonate and Pa02

3. A 38 year old man with an atrial septal defect complains of chest pain. On auscultation you hear a loud and split second heart sound in the second intercostal space, left parasternal region.
Closure of which structure is most likely responsible for this finding?

A) Mitral valve
B) Tricuspid valve
C) Aortic valve
D) Foramen ovale
E) Pulmonary valve

4. A patient presents with acute cardiac failure and is prescribed a loop diuretic In which part of the nephron will the diuretic inhibit the sodium-potassium-chloride cotransporter?

A) Proximal tubule
B) Thin ascending limb
C) Collecting duct
D) Thick ascending limb
E) Distal convoluted tubule

5. A 75 year old woman is prescribed aspirin for secondary prevention following myocardial infarction The formation by platelets of what substance is most likely to be inhibited by this medication?

A) Plasminogen
B) Fibrin
C) Fibrinogen
D) Prostacyclin
E) Thromboxane

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