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RCEM FRCEM Primary Examination Sample Questions:

1. A patient presents with muscle spasms caused by hypocalcaemia What is the most likely physiological response to this abnormality?

A) Decreased vitamin D synthesis
B) Increased parathyroid secretion
C) Decreased renal excretion of phosphate
D) Increased calcitonin secretion
E) Decreased secretion of calcium from bone

2. You are prescribing gentamicin for a patienl. Her serum creatinine level is raised Which property of creatinine best explains why it is used as a marker of glomerular filtration rate?

A) Indicative of body muscle mass IE.
B) Estimation of the 24 hour excretion rate
C) Steady state concentration existence in the blood
D) Active secretion by the peritubular capillaries
E) Free filtration by the glomerulus

3. A doctor about to sit an important examination has become aware of the urge to detaecate Involuntary relaxation of which muscle is most likely to have occurred?

A) Circular muscle coat of sigmoid
B) External anal sphincter
C) Puborectalis
D) Abdominal wall
E) Internal anal sphincter

4. A 20 year old woman complains of loss of taste from the posterior part of her tongue She is two days post tonsillectomy Which nerve is most likely damaged?

A) Hypoglossal
B) Glossopharyngeal
C) Vagus
D) Lingual
E) Chorda tympanae

5. An 80 year old woman with an extensive cardiac history is diagnosed with aortic stenosis On auscultation you appreciate an ejection systolic murmur.
Which haemodynamic factor is most likely responsible for the audible murmur?

A) Decreased viscosity
B) High blood volume
C) Increased viscosity
D) Turbulent flow
E) Laminar flow

Solutions: