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RCEM FRCEM Primary Examination Sample Questions:

1. A 34 year old man presents wrth shortness of breath He has a normal alveolar-arterial <A-a) gradient What is the most likely diagnosis?

A) Atelectasis
B) Neuromuscular disorder
C) Congestive cardiac failure
D) Acute respiratory distress syndrome
E) Pulmonary thromboembolism

2. 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) Inferior epigastric
C) Superficial epigastric
D) Superior epigastric
E) Deep circumflex

3. You plan to use a local anaesthetic to provide intravenous regional anaesthesia to reduce a patient's wrist fracture Which local anaesthetic is most appropriate?

A) Prilocaine
B) Ropivacame
C) Tetracaine
D) Lidocaine
E) Bupivacaine

4. A 34 year old woman presents with flank pain She has recently been diagnosed with glomerulosclerosis.
Which part of the kidney is most likely to be affected in this condition?

A) Pelvis
B) Capsule
C) Cortex
D) Calyx
E) Medulla

5. An 80 year old woman with an extensive cardiac history is diagnosed with aortic stenosis On auscultation you appreciate an ejection systolic murmur.
Which haemodynamic factor is most likely responsible for the audible murmur?

A) Increased viscosity
B) Laminar flow
C) High blood volume
D) Turbulent flow
E) Decreased viscosity

Solutions: