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RCEM FRCEM Primary Examination Sample Questions:

1. You are teaching a medical student about the knee and discuss the structures that border the popliteal fossa Which structure best describes the superolateral boundary of this fossa?

A) Lateral head of gastrocnemius
B) Semimembranosus
C) Biceps femons
D) Medial head of gastrocnemius
E) Semitendinosis

2. A 35 year old with an extensive history of using multiple recreational drugs but no alcohol use is diagnosed with a megaloblastic anaemia in the ED Which drug is the most likely cause of this anaemia'?

A) Heroin
B) Nitrous oxide
C) Cocaine
D) Ketamine
E) Cannabis

3. 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

4. A 45 year old man with type II diabetes presents after a hypoglycaemic episode He has a history of diabetic eye disease He asks your advice about diabetes and driving.
Which situation is most likely to allow him to continue driving according to the DVLA?

A) An episode of severe hypoglycaemia while driving
B) Development of impaired awareness of hypoglycaemia
C) Needing laser treatment to both eyes
D) Having more than one episode of severe hypoglycaemia in 12 months
E) Having type II diabetes treated with oral medications

5. A 14 year old boy presents after a bicycle accident He has a suspected pelvic fracture and the cremasteric reflex is absent Which nerve is most likely to be affected1?

A) Femoral
B) Subcostal
C) Iliohypogastric .
D) Lateral femoral cutaneous
E) Genitofemoral

Solutions: