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RCEM FRCEM Primary Examination Sample Questions:

1. A 34 year old man presents with bruising and swelling over the anterior arm after lifting weights at the gym.
There is pain and weakness on attempted internal rotation and adduction of the shoulder.
Rupture of which muscle best explains these findings?

A) Serratus anterior
B) Latissimus dorsi
C) Pectoralis minor
D) Trapezius
E) Pectoralis major

2. A 45 year old woman requires procedural sedation for a dislocated shoulder She has recently eaten a fatty meal Which substance is most likely to be secreted when the food reaches the small intestine''

A) Secretin
B) Vasoactive intestinal peptide
C) Cholecystokmin
D) Gastrin
E) Gastrointestinal peptide

3. You are managing a patient with life threatening asthma and you start IV aminophylline Which electrolyte is it most important to monitor in this patient?

A) Chloride
B) Magnesium
C) Potassium
D) Sodium
E) Calcium

4. A 67 year old woman presents with sudden onset poor balance. vertigo; ataxia, dysarthria and staggering to the left Her condition is most likely to be caused by an infarct in which area?

A) Left basal ganglia
B) Bilateral hemispheric
C) Right cerebellar
D) Left cerebellar
E) Right basal ganglia

5. A 15 year old girl with sickle cell anaemia attends with left leg swelling and pain Further investigations suggest a diagnosis of osteomyelitis of her tibia.
What is the most likely causative organism?

A) Salmonella typhimunum
B) Escherichia coli
C) Streptococcus pneumoniae
D) Haemophilus influenza
E) Pseudomonas aeruginosa

Solutions: