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RCEM FRCEM Primary Examination Sample Questions:

1. A 17 year old girl presents with a maculopapular rash She has a seven day history of fever and sore throat and was prescribed an antibiotic three days ago Which antibiotic is most likely to have been prescribed?

A) Phenoxymethylpemcillin
B) Amoxicillin
C) Cephalexin
D) Ciprofloxacin
E) Clarithromycin

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

3. A 47 year old woman with a diagnosis of pulmonary hypertension attends the ED with breathlessness An increase in which physiological parameter is the most likely consequence of this condition?

A) Left ventricular contractility
B) Pulmonary arterial blood flow
C) Right atrial pressure
D) Pulmonary venous resistance
E) Right ventricular afterload

4. A clinical pathway uses a predictive tool to guide use of diagnostic tests. Your patient has a high risk score, but a negative test They ask you how likely it is that they have the disease in question.
Which statistic are you most likely to use in your explanation?

A) Specificity
B) Sensitivity
C) Likelihood ratio
D) Post-test probability
E) Negative predictive value

5. A 45 year old man has been in a motorbike crash A CT scan shows a fracture dislocation at T4 The sensory level is most likely to be found at which surface landmark?

A) Sternal notch
B) Apex beat
C) Nipple line
D) Umbilicus
E) Xiphisternum

Solutions: