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RCEM FRCEM Primary Examination Sample Questions:

1. A 78 year old woman presents with a painful shoulder after a fall. On examination she is unable to lift the dorsum of her hand off her mid-lumbar spine (lift-off test).
Which muscle is most likely to have been injured?

A) Infraspinatus
B) Supraspinatus
C) Teres minor
D) Teres major
E) Subscapulars

2. A 34 year old woman presents with flank pain She has recently been diagnosed with glomerulosclerosis.
Which part of the kidney is most likely to be affected in this condition?

A) Capsule
B) Calyx
C) Medulla
D) Pelvis
E) Cortex

3. 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) Diptheria
B) Haemophilus influenzae B
C) Meningococcal
D) Pertussis
E) Polio

4. You see a patient with steatorrhea, weight loss and abdominal pain You suspect they have exocrine pancreatic insufficiency The secretion of which substance is least likely to be affected by this condition?

A) Phospholipase A2
B) Amylase
C) Cholecystokinin
D) Lipase
E) Protease

5. An 80 year old man presents to the ED with clinical features suggestive of ischaemic bowel Which artery is most commonly occluded in this condition?

A) Gastroduodenal
B) Inferior mesenteric
C) Coeliac
D) Superior mesenteric
E) Left colic

Solutions: