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RCEM FRCEM Primary Examination Sample Questions:

1. An 83 year old woman presents with acute dyspnoea and is diagnosed with cardiac failure She has a history of dysphagia and CT confirms oesophageal cancer.
Compression of which chamber of the heart is most likely to have caused her cardiac failure? A Both ventricles

A) Left ventricle
B) Right ventricle
C) Left atrium
D) Right atrium

2. A two year old child presents with a barking cough You suspect croup Which virus is most likely to be implicated?

A) Adenovirus
B) Measles
C) Parainfluenza
D) Rhinovirus
E) Respiratory syncytial virus

3. A 45 year old man has been in a motorbike crash A CT scan shows a fracture dislocation at T4 The sensory level is most likely to be found at which surface landmark?

A) Nipple line
B) Xiphisternum
C) Sternal notch
D) Apex beat
E) Umbilicus

4. A 56 year old woman with hypothyroidism is found to have significant hypokalemia Which feature is most likely to be seen on her ECG?

A) Short QT interval
B) J waves
C) Prolonged PR interval
D) Tall T waves
E) Prominent U waves

5. A 23 year old presents with episodes of a painful left arm which becomes swollen and cyanosed after they have been kayaking Obstruction of which structure is most likely to cause these symptoms'?

A) Subclavian vein
B) Brachiocephalic trunk
C) Axillary vein
D) Brachiocephalic vein
E) Subclavian artery

Solutions: