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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) Deep circumflex
E) Inferior epigastric

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

3. A clinical trial suggests that a new dressing for burns works better on men than women, but there is in fact no difference Which term best describes this situation?

A) False positive
B) Alternative hypothesis
C) False negative
D) Type 2 error
E) Type 1 error

4. A 37 year old man presents wilh progressive bilateral ascending weakness following a one week history of diarrhoea and vomiting What is the most likely causative organism?

A) Shigella spp
B) Campylobacter jejuni
C) Salmonella typhii
D) Klebsiella spp
E) Mycoplasma pneumoniae

5. 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) Anterior osteophytes causing compression
B) Infarction of the anterior spinal artery
C) Laxity of the ligamentum flavum
D) Herniation of a cervical disc
E) Compression of the posterior vertebral artery

Solutions: