RCEM FRCEM : FRCEM Primary Examination

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RCEM FRCEM Primary Examination Sample Questions:

1. A newborn infant is brought to your ED He was born at 39 weeks gestation with low birthweight, a purpuric rash, hepatosplenomegaly and bilateral cataracts You suspect the signs are secondary to an infection acquired while khe baby was still in utero Which organism is most likely to cause this clinical presentation?

A) Toxoplasma gondii
B) Group B streptococcus
C) Treponema pallidum
D) Rubella
E) Cytomegalovirus

2. A 43 year old Afghan national presents to the ED with a four month history of cough, weight loss and night sweats What test is most consistent with active tuberculosis?

A) Chest x-ray showing lobar consolidation
B) Sputum sample showing ziehl-nielsen stain negative bactena
C) Chest x-ray showing a cavitating lesion
D) Positive mantoux test
E) Absence of a bacille calmette-guenn scar

3. 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) Trapezius
C) Pectoralis major
D) Platysma
E) Sternocleidomastoid

4. A doctor about to sit an important examination has become aware of the urge to detaecate Involuntary relaxation of which muscle is most likely to have occurred?

A) External anal sphincter
B) Puborectalis
C) Internal anal sphincter
D) Abdominal wall
E) Circular muscle coat of sigmoid

5. 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) Gastrin
C) Gastrointestinal peptide
D) Cholecystokmin
E) Vasoactive intestinal peptide

Solutions: