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RCEM FRCEM Primary Examination Sample Questions:

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

2. A 63 year old woman has confirmed Leptospirosis
Which is the most common way people contract this infection?

A) Invasion of intact skin
B) Droplet
C) Sexually
D) Invasion of breached skin
E) Faeco-oral

3. You are treating a patient with left ventricular failure and decide to revise some cardiovascular physiology to help you understand the likely response to treatment Which statement best describes Starling's law in relation to cardiac output?

A) Increased heart rate due to an increase in sympathetic stimulation
B) Increased filling pressure leading to an increase in heart rate ID.
C) Increased contractility leading to an increase in stroke volume
D) Increased afterload due to an increase in cardiac output
E) Increased force of contraction due to an increase in preload

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

5. A 23 year old man presents to the ED after cutting his wrist with a kitchen knife There is a wound on the flexor aspect of the wrist and you are concerned about median nerve injury.
Which examination of motor function would best test for damage to this nerve?

A) Opposition of the thumb
B) Adduction of the fingers
C) Extension of finger metacarpophalangeal joints
D) Extension of the wrist
E) Pronation of the forearm

Solutions: