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RCEM FRCEM Primary Examination Sample Questions:

1. A 50 year old woman with longstanding severe asthma presents with a four day history of diarrhoea and vomiting An imbalance of which hormone is most likely to be causing this clinical picture'?

A) Insulin
B) Thyroxine
C) Dihydroepiandrosterone
D) Aldosterone
E) Cortisol

2. A 32 year old man presents with suspected acute appendicitis A medical student asks you what the commonest anatomical position of the appendix is What is the most likely position?

A) Preileal
B) Postileal
C) Subileal
D) Paracaecal
E) Retrocaecal

3. A patient presents with a food bolus obstruction and you decide hyoscine butylbromide should not be administered Presence of which physiological feature is most likely to have influenced your decision?

A) Pyrexia
B) Hypotension
C) Hypertension
D) Bradycardia
E) Tachycardia

4. An eight year old boy presents with headache fever, fatigue and leg pain There is erythema and swelling over his thigh You suspect osteomyelitis.
What is the most likely causative organism?

A) Staphylococcus aureus
B) Streptococcus pyogenes
C) Haemophilus influenza
D) Salmonella typhimunum
E) Streptococcus pneumoniae

5. A 56 year old woman with severe ascites attends the ED with breathlessness Chest auscultation is normal What findings would you expect on spirometry?

A) Increased total lung capacity
B) Increased FEV,/FVC ratio
C) Increased inspiratory capacity
D) Increased FVC
E) Increased vital capacity

Solutions: