RCEM FRCEM Certification FRCEM

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RCEM FRCEM Primary Examination Sample Questions:

1. A 20 year old woman has an incised wound over the angle of her jaw and you suspect damage to a branch of the facial nerve What action are you most likely to test to confirm your suspicion?

A) Pull corner of lips out and down
B) Stick tongue out
C) Mandibular retraction
D) Protrude lower lip
E) Mandibular elevation

2. A father brings his febrile eight week old child to the ED. He tells you that the child's vaccinations are fully up to date. Which of the following vaccines has the child not yet received'?

A) Haemophilus influenzae B
B) Polio
C) Meningococcal
D) Pertussis
E) Diptheria

3. An 80 year old man presents with abdominal pain and diarrhoea He is diagnosed with Clostridium difficile colitis. What is the most likely cause of the toxic effects of this bacteria?

A) Cytotoxin
B) Haemotoxm
C) Endotoxin
D) Necrotoxin
E) Tetrodotoxm

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

5. A five year old girl is brought to the ED by her parents She is pyrexial and has coryzal symptoms. Which diagnosis would require notification to a UK Public Health department?

A) Influenza type A
B) Whooping cough
C) Pneumococcal pneumonia
D) Kawasaki's disease
E) Respiratory syncytial virus

Solutions: