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RCEM FRCEM Primary Examination Sample Questions:

1. A patient presents with muscle spasms caused by hypocalcaemia Which substance is used to adjust (or an abnormality in the calcium level?

A) Albumin
B) Phosphate
C) Chloride
D) Vitamin D
E) Sodium

2. An 83 year old woman presents with acute dyspnoea and is diagnosed with cardiac failure She has a history of dysphagia and CT confirms oesophageal cancer.
Compression of which chamber of the heart is most likely to have caused her cardiac failure? A Both ventricles

A) Right ventricle
B) Left ventricle
C) Right atrium
D) Left atrium

3. A 20 year old woman has an incised wound over the angle of her jaw and you suspect damage to a branch of the facial nerve What action are you most likely to test to confirm your suspicion?

A) Stick tongue out
B) Protrude lower lip
C) Mandibular retraction
D) Pull corner of lips out and down
E) Mandibular elevation

4. A 38 year old man with an atrial septal defect complains of chest pain. On auscultation you hear a loud and split second heart sound in the second intercostal space, left parasternal region.
Closure of which structure is most likely responsible for this finding?

A) Tricuspid valve
B) Mitral valve
C) Foramen ovale
D) Pulmonary valve
E) Aortic valve

5. You are treating a patient with an acute exacerbation of COPD and they remain wheezy after two doses of nebulised salbutamol You decide to add nebulised ipratropium to improve bronchodilation Which receptors are most likely to be targeted by this treatment?

A) Nicotinic
B) Beta 1
C) Alpha 1
D) Muscarinic
E) Beta 2

Solutions: