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RCEM FRCEM Primary Examination Sample Questions:
1. A 53 year old man on anticoagulation presents with pain over his anterior abdomen following an episode of coughing A CT scan identifies an isolated haematoma within the rectus sheath above the arcuate line Which artery is most likely to have been injured?
A) Superficial circumflex
B) Superior epigastric
C) Superficial epigastric
D) Inferior epigastric
E) Deep circumflex
2. A 23 year old woman presents with facial swelling She has hereditary angioedema due to complement deficiency Which organism is it most important for this patient to be vaccinated agains?
A) Neisseria meningitidis
B) Parainfluenza
C) Clostridium tetani
D) Influenza
E) Herpes zoster
3. A 78 year old has a (all and hits her forehead During (he fall she hyperexlended her neck and now complains of weakness in her arms You suspect she may have central cord syndrome What is the most likely anatomical cause of this injury during hyperextension?
A) Infarction of the anterior spinal artery
B) Laxity of the ligamentum flavum
C) Compression of the posterior vertebral artery
D) Herniation of a cervical disc
E) Anterior osteophytes causing compression
4. You are considering procedural sedation for a patient with vascular compromise due to a fracture They ate a meal two hours ago You are trying to remember the factors that affect gastric emptytng in healthy patients What factor will delay gastric emptying?
A) Decreased duodenal luminal pH
B) Increased gastric distention
C) Release of gastrin
D) More liquids than solids in the stomach
E) Low fat content of chyme
5. A patient presents with a fracture to the mid-clavicle after a fall The medial part of the clavicle is displaced superiorly Which muscle is most likely to cause this displacement?
A) Scalenus anterior
B) Platysma
C) Trapezius
D) Pectoralis major
E) Sternocleidomastoid
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: D |
By Quentin
