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RCEM FRCEM Primary Examination Sample Questions:

1. A 56 year old woman with severe ascites attends the ED with breathlessness Chest auscultation is normal What findings would you expect on spirometry?

A) Increased FEV,/FVC ratio
B) Increased inspiratory capacity
C) Increased total lung capacity
D) Increased FVC
E) Increased vital capacity

2. A father brings his febrile eight week old child to the ED. He tells you that the child's vaccinations are fully up to date. Which of the following vaccines has the child not yet received'?

A) Pertussis
B) Diptheria
C) Haemophilus influenzae B
D) Polio
E) Meningococcal

3. A patient presents to the ED a few days after a significant head injury He is polyuric with hypernatremia and high plasma osmolality Which hormone is most likely to cause this picture?

A) Dopamine
B) Corticotropm-releasing
C) Somatostatin
D) Vasopressin
E) Adrenocorticotropic

4. 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) Lymphocytes
B) Neutrophils
C) Platelets
D) Fibroblasts
E) Macrophages

5. You are managing a patient with life threatening asthma and you start IV aminophylline Which electrolyte is it most important to monitor in this patient?

A) Potassium
B) Calcium
C) Chloride
D) Sodium
E) Magnesium

Solutions: