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RCEM FRCEM Exam Syllabus Topics:

RCEM FRCEM Primary Examination Sample Questions:

Question 1

A 45 year old man with an acute kidney injury is found to have a metabolic acidosis What renal response is most likely to be involved in compensating for this metabolic abnormality?

A. Secretion of HC03" into the tubular lumen
B. Secretion of glutamine into the interstitial fluid
C. Carbonic anhydrase - mediated production of phosphate
D. Reabsorption of H*
E. Secretion of ammonium into the tubular lumen

Question 2

A patient presents with a food bolus obstruction and you decide hyoscine butylbromide should not be administered Presence of which physiological feature is most likely to have influenced your decision?

A. Hypotension
B. Tachycardia
C. Hypertension
D. Bradycardia
E. Pyrexia

Question 3

A 78 year old woman presents with a painful shoulder after a fall. On examination she is unable to lift the dorsum of her hand off her mid-lumbar spine (lift-off test).
Which muscle is most likely to have been injured?

A. Supraspinatus
B. Subscapulars
C. Teres major
D. Infraspinatus
E. Teres minor

Question 4

A 35 year old man attends after a motorbike accident. He is complaining of abnormal vision and his right eye is slightly adducted when he looks straight ahead.
Which cranial nerve has suffered the most damage?

A. Trochlear
B. Abducens
C. Trigeminal
D. Inferior division of oculomotor
E. Superior division of oculomotor

Question 5

A 35 year old man is hypotensive following a fracture of the right femoral shaft.
Which receptors are initially involved in increasing his BP?

A. Beta 2 vascular receptors
B. Cardiac receptors
C. Baroreceptors
D. Carotid body receptors
E. Atrial stretch receptors

Solutions: