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

2. A patient presents with unilateral tongue swelling with no additional signs of allergic reaction She is on multiple cardiac medications Which drug is most likely to have caused these symptoms?

A) Simvastatin
B) Lisinopril
C) Atenolol
D) Aspirin
E) Bendroflumethiazide

3. A patient presents with an arrhythmia and as you are treating them you discuss with a student the depolarisation phase of the cardiac action potential Which change initiates this phase of the action potential?

A) Opening of potassium channel
B) Closure of sodium channel
C) Closure of potassium channel
D) Opening of sodium channel
E) Opening of calcium channel

4. A 54 year old man presents with headaches, palpitations and diaphoresis Imaging findings are consistent with a phaeochromocytoma The cells affected in this condition are most likely to be found in which region?

A) Zona reticularis
B) Adrenal cortex
C) Adrenal medulla.
D) Zona fasciculata
E) Zona glomerulosa

5. 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

Solutions: