RCEM FRCEM Exam : FRCEM Primary Examination

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RCEM FRCEM Primary Examination Sample Questions:

1. A16 year old girl is diagnosed with nephrotic syndrome
What is the most likely mechanism responsible for generalised oedema in this condition?

A) Capillary hydrostatic pressure
B) Venous obstruction
C) Lymphatic obstruction
D) Arterial occlusion
E) Oncotic pressure

2. A 23 year old presents with episodes of a painful left arm which becomes swollen and cyanosed after they have been kayaking Obstruction of which structure is most likely to cause these symptoms'?

A) Brachiocephalic vein
B) Subclavian vein
C) Axillary vein
D) Brachiocephalic trunk
E) Subclavian artery

3. A patient is brought into the ED unconscious Calculation from the venous blood gas confirms a low anion gap acidosis What is the most likely cause of this abnormality?

A) Salicylates
B) Hypoalbummaemia
C) Methanol
D) Diabetic ketoacidosis
E) Rhabdomyolysis

4. A 20 year old man presents lo the ED with a slab wound to the antecubital fossa Exploration of the wound reveals a large nerve has been transected Which function is most likely to be preserved on clinical examination'?

A) Flexion of the wrist
B) Flexion of the proximal interphalangeal joints
C) Abduction of the little finger
D) Opposition of the thumb
E) Flexion of the distal interphalangeal joints

5. A 68 year old man with a history of Addison's disease presents having recently been diagnosed with a urinary tract infection He is hypotensive, tachycardic and clammy His biochemistry shows hyponatraemia and hyperkalemia.
Which hormone imbalance best explains his biochemical abnormalities?

A) Cortisol deficiency
B) Mineralocorticoid deficiency
C) Adrenocorticotropic hormone excess
D) Glucocorticoid deficiency
E) Beta lipotropin excess

Solutions: