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RCEM FRCEM Primary Examination Sample Questions:

1. A 67 year old woman presents with sudden onset poor balance. vertigo; ataxia, dysarthria and staggering to the left Her condition is most likely to be caused by an infarct in which area?

A) Bilateral hemispheric
B) Left basal ganglia
C) Left cerebellar
D) Right basal ganglia
E) Right cerebellar

2. A 35 year old man presents with extensive burns His circulating volume and renal perfusion pressure drop.
Concentration of NaCI in the intraluminal fluid in the kidney decreases.
Which hormone is most likely to be released by the juxtaglomerular apparatus in response?

A) Aldosterone
B) Renin
C) Angiotensin
D) Anti-diuretic hormone
E) Adenosine

3. A 24 year old woman presents with an abscess over her buttock. Examination reveals palpable groin lymphadenopathy. Which group of lymph nodes are most likely to be initially involved?

A) Superomedial superficial
B) Deep inguinal
C) Superolateral superficial
D) Inferior superficial
E) External iliac

4. A five year old girl is brought to the ED by her parents She is pyrexial and has coryzal symptoms. Which diagnosis would require notification to a UK Public Health department?

A) Kawasaki's disease
B) Respiratory syncytial virus
C) Pneumococcal pneumonia
D) Influenza type A
E) Whooping cough

5. A clinical trial suggests that a new dressing for burns works better on men than women, but there is in fact no difference Which term best describes this situation?

A) Type 2 error
B) Alternative hypothesis
C) False negative
D) Type 1 error
E) False positive

Solutions: