RCEM FRCEM Primary Examination : FRCEM

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RCEM FRCEM Primary Examination Sample Questions:

1. A 48 year old man presents to the ED with sudden onset, severe abdominal pain His CT shows pneumoretroperitoneum. Which of these structures is most likely to have perforated?

A) Sigmoid colon
B) Jejunum
C) Transverse colon
D) Duodenum
E) Ileum

2. A 56 year old woman with hypothyroidism is found to have significant hypokalemia Which feature is most likely to be seen on her ECG?

A) Tall T waves
B) Prominent U waves
C) Prolonged PR interval
D) J waves
E) Short QT interval

3. You are treating a patient with a dysrhythmia You are teaching your students about the phases of the cardiac action potential and emphasize the absolute refractory period as a means of preventing another action potential being generated Which factor is most important for this period?

A) Potassium channel activation
B) Calcium channel activation
C) Sodium channel activation
D) Potassium channel mactivation
E) Sodium channel inactivation

4. A father brings his febrile eight week old child to the ED. He tells you that the child's vaccinations are fully up to date. Which of the following vaccines has the child not yet received'?

A) Polio
B) Meningococcal
C) Haemophilus influenzae B
D) Pertussis
E) Diptheria

5. A 45 year old man is brought into the ED by the police following a witnessed seizure. He is suspected to be alcohol dependent Which haematological index best suggests this dependence?

A) Raised mean corpuscular volume
B) Raised mean corpuscular haemoglobin
C) High red cell distribution width
D) Low haemoglobin
E) Low white blood cell count

Solutions: