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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) Cardiac output
C) Pulmonary artery pressure
D) Stroke volume
E) Total peripheral resistance

2. A 45 year old builder attends with an elbow injury An x-ray confirms fracture of the medial epicondyle On examination there is hyperextension of the metacarpophalangeal joint and flexion of the interphalangeal joint of ring and little fingers.
Which nerve is most likely to be injured?

A) Radial
B) 'I'M'
C) Musculocutaneous
D) Axillary
E) Median

3. When taking a history from a 74 year old woman, she tells you she has pernicious anaemia Where are the cells that are attacked in this autoimmune condition most likely to be located?

A) Jejunum
B) Duodenum
C) Ileum
D) Ascending colon
E) Stomach

4. A 45 year old man has been in a motorbike crash A CT scan shows a fracture dislocation at T4 The sensory level is most likely to be found at which surface landmark?

A) Apex beat
B) Xiphisternum
C) Umbilicus
D) Nipple line
E) Sternal notch

5. 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) Latissimus dorsi
C) Rhomboid major
D) Pectineus
E) lliacus

Solutions: