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RCEM FRCEM Primary Examination Sample Questions:

1. 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) Amylase
B) Lipase
C) Cholecystokinin
D) Phospholipase A2
E) Protease

2. A 43 year old woman has fallen from a horse and has paralysis of the legs She has full movement at the shoulder and wrist but is unable to flex or abduct/adduct her fingers What is the most likely vertebral level of the spinal injury1?

A) C6/C7
B) C4/C5
C) C7/T1
D) C5/C6
E) T1/T2

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

4. An 80 year old man presents with abdominal pain and diarrhoea He is diagnosed with Clostridium difficile colitis. What is the most likely cause of the toxic effects of this bacteria?

A) Necrotoxin
B) Tetrodotoxm
C) Haemotoxm
D) Cytotoxin
E) Endotoxin

5. A 28 year old woman with a dislocated left shoulder has altered sensation along the radial aspect of her left forearm and loss of flexion at the elbow and wrist Injury at which location of the brachial plexus best explains her neurological symptoms?

A) Posterior cord
B) Lateral cord
C) Lower trunk
D) Upper trunk
E) Medial cord

Solutions: