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RCEM FRCEM Primary Examination Sample Questions:

1. A 40 year old man attends with a fracture of the shaft of femur and you performed a femoral nerve block for pain relief. Which structure lies immediately medial to your needle insertion in the groins A

A) Psoas muscle
B) Inguinal ligament
C) Iliacus muscle
D) Femoral artery
E) Femoral vein

2. A 40 year old woman taking the oral contraceptive pill was prescribed phenytom following a seizure Some months later she becomes pregnant What is the most likely mechanism by which this treatment has led to tailure of her contraception?

A) Liver enzyme induction
B) Increased renal clearance of the contraceptive pill
C) Inhibition of oestrogen receptors
D) Interference with protein binding of the contraceptive pill
E) Alteration of intestinal flora

3. A 37 year old man presents wilh progressive bilateral ascending weakness following a one week history of diarrhoea and vomiting What is the most likely causative organism?

A) Klebsiella spp
B) Campylobacter jejuni
C) Mycoplasma pneumoniae
D) Shigella spp
E) Salmonella typhii

4. An eight year old boy presents with headache fever, fatigue and leg pain There is erythema and swelling over his thigh You suspect osteomyelitis.
What is the most likely causative organism?

A) Haemophilus influenza
B) Salmonella typhimunum
C) Staphylococcus aureus
D) Streptococcus pneumoniae
E) Streptococcus pyogenes

5. A 45 year old woman requires procedural sedation for a dislocated shoulder She has recently eaten a fatty meal Which substance is most likely to be secreted when the food reaches the small intestine''

A) Gastrin
B) Secretin
C) Vasoactive intestinal peptide
D) Gastrointestinal peptide
E) Cholecystokmin

Solutions: