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RCEM FRCEM Primary Examination Sample Questions:

1. A 24 year old woman presents with an abscess over her buttock. Examination reveals palpable groin lymphadenopathy. Which group of lymph nodes are most likely to be initially involved?

A) External iliac
B) Deep inguinal
C) Superomedial superficial
D) Superolateral superficial
E) Inferior superficial

2. A keen cyclist attends the ED complaining of clumsiness and tingling in his right hand When he attempts to grip paper in his first web space he is only able to achieve this by flexing his right thumb.
Innervation of which muscle is most likely compromised?

A) Extensor pollicis brevis
B) Adductor pollicis
C) First dorsal interosseous
D) Opponens pollicis
E) Abductor pollicis brevis

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

4. A five year old girl presents with a fever, a non-blanching rash and drowsiness. You suspect meningococcal infection What is most likely mode of spread for this infection?

A) Droplet
B) Blood
C) Faecal-oral
D) Skin contact
E) Airborne

5. A 27 year old woman presents with visual problems and has known optic neuritis. What is the most likely cause of the slowing of impulse conduction in her optic nerve?

A) Axonal loss
B) Loss of saltatory conduction.
C) Damage to presynaptic calcium channels.
D) Compression of the nerve
E) Sodium channel blockade at nodes of Ranvier

Solutions: