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RCEM FRCEM Primary Examination Sample Questions:

1. A patient presents with muscle spasms caused by hypocalcaemia Which substance is used to adjust (or an abnormality in the calcium level?

A) Phosphate
B) Chloride
C) Vitamin D
D) Albumin
E) Sodium

2. A 78 year old has a (all and hits her forehead During (he fall she hyperexlended her neck and now complains of weakness in her arms You suspect she may have central cord syndrome What is the most likely anatomical cause of this injury during hyperextension?

A) Compression of the posterior vertebral artery
B) Herniation of a cervical disc
C) Anterior osteophytes causing compression
D) Infarction of the anterior spinal artery
E) Laxity of the ligamentum flavum

3. You plan to use a local anaesthetic to provide intravenous regional anaesthesia to reduce a patient's wrist fracture Which local anaesthetic is most appropriate?

A) Lidocaine
B) Tetracaine
C) Ropivacame
D) Prilocaine
E) Bupivacaine

4. A 70 year old woman presents to the ED with symptoms and signs suggestive of sepsis Her BP is 80/40 You think her low BP is because of a drop in the systemic vascular resistance Which type of blood vessels are most likely implicated in causing her hypotension?

A) Veins
B) Arterioles
C) Capillaries
D) Arteries
E) Venules

5. 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) Discrete
B) Nominal
C) Ordinal
D) Ratio
E) Interval

Solutions: