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RCEM FRCEM Primary Examination Sample Questions:

1. A 43 year old woman has fallen from a horse and has paralysis of the legs She has full movement at the shoulder and wrist but is unable to flex or abduct/adduct her fingers What is the most likely vertebral level of the spinal injury1?

A) C4/C5
B) C7/T1
C) C5/C6
D) T1/T2
E) C6/C7

2. An 80 year old woman presents to the ED with diarrhoea and vomiting. She is clinically dehydrated The physiological response to this involves release of antidiuretic hormone Where is this hormone most likely to be released from?

A) Anterior pituitary
B) Adrenal cortex
C) Adrenal medulla
D) Posterior pituitary
E) Hypothalamus

3. You are conducting a study of children presenting with febrile convulsions. As pari of your data collection you record their temperature in degrees Celsius on arrival Which is the best description of this type of data?

A) Interval
B) Discrete
C) Ratio
D) Nominal
E) Ordinal

4. A 34 year old woman with Graves' disease presents with fever, palpitations, tremor and anxiety Which hormone is most likely to be causing her symptoms?

A) Triiodothyronine (T3)
B) Thyroid receptor hormone
C) Adrenaline
D) Thyroid stimulating hormone
E) Thyroxine (T4)

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

Solutions: