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RCEM FRCEM Primary Examination Sample Questions:

1. A 40 year old woman with history o! anorexia, presents with sudden onset of confusion, loss of balance and a wide based gait. Which medication is most likely to be prescribed in the early stages of her treatment?

A) Glutathione
B) Thiamine
C) Cyanocobalamin
D) Ascorbic acid
E) Vitamin D

2. You are teaching a medical student and are discussing how fluid compartment ratios can change in relation to age and gender You note that some population groups have proportionally higher total body water which increases the extracellular to intracellular fluid ratio What population group best demonstrates this?

A) Child
B) Adult male
C) Neonate
D) Adult female
E) Elderly

3. A patient is in respiratory distress and you suspect left ventricular failure Which respiratory volume is most likely to be increased?

A) Expiratory reserve
B) Physiological dead space
C) Inspiratory reserve
D) Residual volume
E) Anatomical dead space

4. A 50 year old man presenls with a history of a productive cough and fever Chest x-ray shows right middle lobe consolidation Which is the most likely causative organism?

A) Influenza virus
B) Pseudomonas aeruginosa
C) Klebsiella pneumoniae
D) Streptococcus pneumoniae
E) Mycoplasma pneumoniae

5. A patient with severe renal impairment requires regular opioid analgesia for their pain You are concerned about opiate accumulation Which drug in this class is most appropriate in this patient?

A) Dihydrocodeine
B) Codeine
C) Oxycodone
D) Morphine
E) Pethidine

Solutions: