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RCEM FRCEM Primary Examination Sample Questions:

1. 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) Shigella spp
C) Salmonella typhii
D) Campylobacter jejuni
E) Mycoplasma pneumoniae

2. A 75 year old man presents to the ED with burning epigastric abdominal pain You note that he has rheumatoid arthritis and is on diclofenac.
Which step would have been the most beneficial in preventing the development ot ulcers in this patient?

A) Eradication of Helicobacter pylori
B) Combining diclofenac with omeprazole
C) Starting misoprostol
D) Use of enteric coated medication
E) Change diclofenac to indomethacm

3. A clinical pathway uses a predictive tool to guide use of diagnostic tests. Your patient has a high risk score, but a negative test They ask you how likely it is that they have the disease in question.
Which statistic are you most likely to use in your explanation?

A) Negative predictive value
B) Likelihood ratio
C) Specificity
D) Sensitivity
E) Post-test probability

4. A 55 year old woman is found to have clinical and biochemical features of cholestatic jaundice. You think her jaundice might be caused by one of her medications.
Which medication is the most likely cause of her jaundice?

A) Co-amoxiclav
B) Aspirin
C) Phenytoin
D) Thyroxine
E) Paracetamol

5. A 20 year old man presents lo the ED with a slab wound to the antecubital fossa Exploration of the wound reveals a large nerve has been transected Which function is most likely to be preserved on clinical examination'?

A) Flexion of the wrist
B) Flexion of the distal interphalangeal joints
C) Abduction of the little finger
D) Opposition of the thumb
E) Flexion of the proximal interphalangeal joints

Solutions: