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RCEM FRCEM Primary Examination Sample Questions:

1. A 72 year old diabetic man develops an oculomotor nerve palsy.
Which clinical sign are you most likely to find?

A) Deviation of the eye inferolaterally
B) Increased lacrimation
C) Absence of sweating on the face
D) Constriction of the pupil
E) Absent corneal reflex

2. A 55 year old woman is found to have clinical and biochemical features of cholestatic jaundice. You think her jaundice might be caused by one of her medications.
Which medication is the most likely cause of her jaundice?

A) Paracetamol
B) Phenytoin
C) Thyroxine
D) Co-amoxiclav
E) Aspirin

3. A 70 year old woman presents to the ED with symptoms and signs suggestive of sepsis Her BP is 80/40 You think her low BP is because of a drop in the systemic vascular resistance Which type of blood vessels are most likely implicated in causing her hypotension?

A) Arteries
B) Veins
C) Capillaries
D) Venules
E) Arterioles

4. A 34 year old man presents to the ED with chest and left shoulder pain A diagnosis of pericarditis is made Involvement of which nerve best explains hts symptoms?

A) Recurrent laryngeal
B) Phrenic
C) Cervical ganglia of sympathetic trunk
D) Right vagus
E) Left vagus

5. You are discussing the different muscles within the medial thigh and movements at the hip joint with a medical student. Which muscle within this compartment is most likely to be involved in hip extension?

A) Adductor longus
B) Adductor brevis
C) Pectineus
D) Adductor magnus
E) Gracilis

Solutions: