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RCEM FRCEM Primary Examination Sample Questions:
1. A 25 year old man sustains a crush injury to his chest A CT scan reveals an oesophageal rupture as it passes through the diaphragm At which vertebral level is this injury most likely to have occurred?
A) T9
B) T7
C) T10
D) T11
E) T8
2. A 72 year old diabetic man develops an oculomotor nerve palsy.
Which clinical sign are you most likely to find?
A) Constriction of the pupil
B) Deviation of the eye inferolaterally
C) Absence of sweating on the face
D) Absent corneal reflex
E) Increased lacrimation
3. You suspect cauda equina syndrome in an 85 year old man with metastatic cancer On examination there is loss of anal tone Which myotomes are most likely to be affected and causing this examination finding?
A) L5
B) L12
C) S2, 3, 4
D) L3,4
E) S1.2
4. 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) Transverse colon
C) Jejunum
D) Duodenum
E) Ileum
5. A 50 year old man presents with hypoglycaemia You decide to give him intramuscular glucagon Which organ is most affected by this treatment to increase blood sugar levels?
A) Pancreas
B) Kidney
C) Liver
D) Ileum
E) Adrenal
Solutions:
Question # 1 Answer: E | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: A |
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