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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

Question 1

A 52 year old woman (alls from a root sustaining a fracture dislocation at T12/L1 level Which muscle is most likely to be injured*?

A. Psoas minor
B. lliacus
C. Latissimus dorsi
D. Pectineus
E. Rhomboid major

Question 2

A 34 year old man presents with bruising and swelling over the anterior arm after lifting weights at the gym.
There is pain and weakness on attempted internal rotation and adduction of the shoulder.
Rupture of which muscle best explains these findings?

A. Pectoralis major
B. Latissimus dorsi
C. Pectoralis minor
D. Trapezius
E. Serratus anterior

Question 3

A 43 year old woman has fallen from a horse and has paralysis of the legs She has full movement at the shoulder and wrist but is unable to flex or abduct/adduct her fingers What is the most likely vertebral level of the spinal injury1?

A. T1/T2
B. C4/C5
C. C6/C7
D. C5/C6
E. C7/T1

Question 4

A 24 year old woman is admitted to your observation ward with a sudden onset headache. Her CT showed no abnormality and you decide to perform a lumbar puncture What is the next structure the needle will puncture after going through the skin and subcutaneous fat?

A. Supraspinous ligament
B. Interspmous ligament
C. Epidural space
D. Ligamentum flavum
E. Dura

Question 5

A 19 year old old runner presents with pain in the lateral compartment of the lower leg when running and you suspect intermittent compartment syndrome Which movement of the ankle and foot would most likely replicate the pain?

A. External rotation
B. Dorsiflexion and eversion
C. Plantarflexion and inversion
D. Dorsiflexion and inversion
E. Plantarflexion and eversion

Solutions: