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RCEM FRCEM Primary Examination Sample Questions:

1. A premature baby is born at 28 weeks' gestation in your ED. They are at risk of respiratory distress syndrome due to lack of surfactant What best describes the composition of this substance?

A) Sphingolipid
B) Phospholipid
C) Fatty acid
D) Phosphoglyceride
E) Glycolipid

2. A 60 year old woman presents with shortness of breath and signs of pulmonary oedema. An echocardiogram demonstrates reduced left ventricular systolic function.
Which measurement on echocardiogram best demonstrates this?

A) Ejection fraction
B) Left ventricle end diastolic pressure
C) Left ventricle end diastolic volume
D) Stroke volume
E) Left ventricle end diastolic volume and pressure

3. You have achieved haemostasis of a wound A medical student asks you about the subsequent inflammatory response. Which is the predominant cell type in this phase?

A) Platelets
B) Lymphocytes
C) Macrophages
D) Fibroblasts
E) Neutrophils

4. A 50 year old woman with longstanding severe asthma presents with a four day history of diarrhoea and vomiting An imbalance of which hormone is most likely to be causing this clinical picture'?

A) Thyroxine
B) Insulin
C) Dihydroepiandrosterone
D) Cortisol
E) Aldosterone

5. A 45 year old builder attends with an elbow injury An x-ray confirms fracture of the medial epicondyle On examination there is hyperextension of the metacarpophalangeal joint and flexion of the interphalangeal joint of ring and little fingers.
Which nerve is most likely to be injured?

A) Musculocutaneous
B) Median
C) Radial
D) Axillary
E) 'I'M'

Solutions: