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RCEM FRCEM Primary Examination Sample Questions:

1. A 37 year old man is injured and has significant blood loss Following blood transfusion his systolic blood pressure increases from 70 to 100 Which physiological parameter is most likely to decrease in response?

A) Right atrial pressure
B) Pulmonary artery pressure
C) Cardiac output
D) Total peripheral resistance
E) Stroke volume

2. An 18 year old man presents with persistent vomiting You diagnose type I diabetes mellitus He asks you the implications of his diagnosis for driving a car What is the most accurate advice according to the DVLA?

A) You do not need to contact DVLA
B) Inform the DVLA if any episodes of hypoglycaemia
C) Inform the DVLA if insulin dependent
D) Only inform the DVLA if disabling hypoglycaemia
E) Inform the DVLA if insulin treatment for >3 months

3. A nine month old child is brought to the ED with a (ever and rash The child's mother states that all of her immunisations are up to date What is the most likely cause of this infectious illness?

A) Haemophilus influenzae b
B) Pertussis
C) Diphtheria
D) Pneumococcus
E) Rubella

4. A 56 year old man presents with a spiral fracture of the humerus and wrist drop Which structure is most likely to be damaged?

A) Axillary artery
B) Musculocutaneous nerve
C) Brachial artery
D) Ulnar nerve
E) Radial nerve

5. A 67 year old woman presents with sudden onset poor balance. vertigo; ataxia, dysarthria and staggering to the left Her condition is most likely to be caused by an infarct in which area?

A) Left basal ganglia
B) Bilateral hemispheric
C) Right cerebellar
D) Left cerebellar
E) Right basal ganglia

Solutions: